Raivelly Regalado
Garfield,United States
Summary
Detail-oriented and methodical Medical Biller & Coding as well as Receptionist offering Two years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
2
2
years of professional experience
Work History
Receptionist
John Theurer Cancer Center
05.2024 - Current
- Answered phone promptly and directed incoming calls to correct offices.
- Confirmed appointments, communicated with clients, and updated client records.
- Resolved customer problems and complaints.
- Answered central telephone system and directed calls accordingly.
- Responded to inquiries from callers seeking information.
- Facilitated smooth communication channels by promptly forwarding messages to appropriate departments.
- Operated multi-line telephone system to answer and direct high volume of calls.
- Routed incoming mail and messages to relevant personnel without delay.
- Sorted, received, and distributed mail correspondence between departments and personnel.
Billing Specialist
Allacuservices
03.2023 - 03.2024
- . Verified Insurance of Patient to determine eligibility.
- . Communicated with insurance providers to resolve denied claims & resubmitted.
- . Managed appeal process for denied claims, resulting in successful reimbursements from insurance companies.
- . Reviewed Outpatient record & interpreted documentation to identify DX & procedures.
- . Properly coded cases using ICD-10, CPT & abstract coding to extract chart information.
- . Reviewed, analyzed & Managed coding of diagnostic & treatment procedures contained in outpatient medical records.
- . Used prime Suite & Epic EHR or EMR software to assign procedures and diagnostic code to patient record for billing purposes.
Education
No Degree - Certificate On Medical Biller & Coding
Lincoln Technical Institute
Paramus, NJ06-2023
Skills
- Organization Skills
- Time Management
- Telephone Skills
- Data Entry
- Diagnostic Code
- CPT Codes Modifiers
- Reviewing Patient Information
- Claims Processing
- HCPCS Coding
- HIPPA Compliance
- Medical Terminology
- Insurance Claims
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Receptionist
John Theurer Cancer Center
05.2024 - Current
Billing Specialist
Allacuservices
03.2023 - 03.2024
No Degree - Certificate On Medical Biller & Coding
Lincoln Technical Institute
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