Raivelly Regalado Parra

• Verified insurance of patients to determine eligibility.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures. • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.

• Properly coded cases using ICD-10 and CPT and abstract coding to extract chart information.

• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.

• Used Prime Suite EHR & EMR Software to assign procedures and diagnostic codes to patient records for billing purposes.

• Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
• Handled customer complaints professionally, resulting in satisfactory outcomes and positive feedback.
• Maintained a high level of product knowledge, providing accurate information to customers.
• Answered customer telephone calls promptly to avoid on-hold wait times.