Experienced Medical Billing Specialist with 20+ years in claim submission, insurance verification, HIPAA compliance, and account reconciliation. Strong focus on billing accuracy, collections management, and patient support.
Overview
1
1
Certification
20
20
years of professional experience
Work History
Medical Billing Specialist
Clinica Sierra Vista
Bakersfield, California
03.2019 - Current
Submitted insurance claims and assisted with denials and explanation of benefit rejections.
Submitted claims to insurance companies.
Verified coverage details and eligibility prior to claim submission to minimize denials.
Monitored past due accounts and followed up on outstanding invoices for collection.
Prepared customer statements and payment notices through billing systems.
Assisted customers with billing questions and payment-related support.
Answered customer questions about billing discrepancies and account activity to ensure clarity and satisfaction.
Answered inbound calls and resolved customer questions using company service guidelines.
Documented customer concerns in case notes for effective follow-up and resolution.
Medical Billing Specialist
Comprehensive Medical Group
Delano, CA
07.2006 - 03.2019
Completed day-to-day duties accurately and efficiently.
Delivered attentive customer service in person and over the phone, ensuring client satisfaction.
Answered inbound calls and resolved customer questions using company service guidelines.
Reviewed account details, invoices, and payment records for billing accuracy.
Tracked payments from insurance and patients for accurate billing.
Communicated with insurance representatives to verify claim status.
Utilized electronic billing systems to submit claims to insurance providers in a timely manner.
Utilized electronic billing systems to submit claims to insurance
providers in a timely manner.
Education
Some College (No Degree) - Medical Billing Specialist
Maric College
Bakersfield, CA
06-2006
High School Diploma -
Delano High School
Delano
06-2002
Skills
Medical claim submission
Insurance billing
Insurance verification
Insurance eligibility
Insurance follow up
Billing procedures
Patient billing
Collections management
ICD-10 proficiency
CPT knowledge
Account reconciliation
Data entry accuracy
Attention to detail
HIPAA compliance
Customer communication
Certification
Medical Billing Specialist
Certificate of Completion (Medical Office Pediatric Procedures)
Certificate of Proficiency Typing 45wpm
Timeline
Medical Billing Specialist
Clinica Sierra Vista
03.2019 - Current
Medical Billing Specialist
Comprehensive Medical Group
07.2006 - 03.2019
Some College (No Degree) - Medical Billing Specialist