Rebeca P Avila
Miami,FL
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 15 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Overview
15
15
years of professional experience
Work History
Medicare Billing Specialist
CClinical Medical Services
Miramar, FL
03.2009 - Current
- Created and maintained detailed documentation of all billing activities.
- Investigated denied claims and followed up on appeals as needed.
- Reviewed medical records, identified relevant diagnosis codes, and applied appropriate procedure codes for billing purposes.
- Performed eligibility verifications for Medicare patients utilizing online databases.
- Verified and processed Medicare claims with accuracy and efficiency.
- Ensured compliance with all applicable federal regulations related to Medicare billing processes.
- Assisted in the development of internal policies and procedures related to Medicare billing practices.
- Managed all payments processing, invoicing and collections tasks.
Home Care Billing Specialist
Sanz Health Services
Hialeah, FL
2006 - 2009
- Procesing and Billing RAPS and Finals for Home Care Providers to be send to Medicare
- Check status of the claims on DDE system and solve any claim problem to be paid
- Enter Oasis and make transmition. Receiving ERA from Palmetto GBA to be poster.
Biller, Data Entry and Posting Payments
Advance Data Processing Inc
Miami, FL
2004 - 2006
- Billing and Posting payments for different county : Miami Dade, Miami Beach, Hialeah, etc.
Education
Diploma - Medical Billing And Coding
National School of Thecnology
Miami, FL09-2004
Bachelor of Science - Physic Sciences
IPVC: Felix Varela
Cuba01-1990
Skills
- Claims Processing
- Claims Review
- HIPAA Compliance Certification
- Billing and Collection Procedures
- ICD-10
- Reimbursements
- Medical Coding Understanding
- Account Management
- Teamwork and Collaboration
- Insurance Collections
- Insurance Verification
- Medical Terminology
- Accounts Receivable
References
References available upon request.
Timeline
Medicare Billing Specialist
CClinical Medical Services
03.2009 - Current
Home Care Billing Specialist
Sanz Health Services
2006 - 2009
Biller, Data Entry and Posting Payments
Advance Data Processing Inc
2004 - 2006
Diploma - Medical Billing And Coding
National School of Thecnology
Bachelor of Science - Physic Sciences
IPVC: Felix Varela
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