Reyna Quintero
Saint Paul,MN
Summary
Medical Biller with 10+ years of experience in insurance verification and financial reporting. Expertise in managing accounts receivable and ensuring timely claim resolutions. Proven track record of enhancing operational efficiency through effective billing practices.
Overview
13
13
years of professional experience
Work History
Medical Biller, Accounts Receivable
Primary Care Sports Medicine
Agoura Hills, California
01.2024 - Current
- Managed accounts receivable and resolved outstanding claims regularly.
- Communicated with insurance providers for claim status updates.
- Reviewed patient records to ensure accurate billing information.
- Coordinated with healthcare providers to clarify billing discrepancies.
- Assisted patients with financial inquiries regarding their accounts.
- Reviewed patient accounts for accuracy and completeness, and submitted claims to insurance companies.
- Tracked aging reports of unpaid claims and took corrective action when necessary.
- Provided customer service to both internal and external customers regarding billing inquiries.
- Assisted in month-end closing procedures including preparing journal entries for accruals, adjustments.
- Reconciled daily deposits with bank statements and posted payments into appropriate accounts.
- Performed data entry functions for entering new patient information into the system.
- Maintained records of all billing activities in a timely manner.
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Collaborated with other departments such as finance or human resources when needed.
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
- Processed credit card payments and other forms of payment received from patients or insurance companies.
- Applied HIPAA privacy and security regulations while handling patient information.
- Completed and submitted appeals for denied claims.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Input details into accounts and tracked payments.
- Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
- Executed account updates and noted account information in company data systems.
- Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
- Maintained accounting ledgers by verifying and posting account transactions.
- Input statement information, reconciled accounts and resolved discrepancies.
- Gathered information to produce accounts payable reports for review.
- Expedited payments by verifying accuracy and currency of vendor information.
Medical Biller, Accounts Receivable
UNIVERSITY FOOT AND ANKLE INSTITUTE
Santa Monica, California
12.2012 - 01.2024
- Managed accounts receivable and resolved outstanding claims to streamline cash flow.
- Communicated with insurance providers for timely updates on claim statuses.
- Reviewed patient records to ensure accurate billing information and prevent discrepancies.
- Coordinated with healthcare providers to clarify billing issues and improve resolution times.
- Maintained detailed documentation of billing transactions, adjustments, and account activities.
- Tracked aging reports of unpaid claims and initiated corrective actions as needed.
- Processed credit card payments and reconciled daily deposits with bank statements efficiently.
- Executed month-end closing procedures, including journal entries for accruals and adjustments.
Education
MEDICAL BILLING
UEI College
Huntington Park, CA09-2010
Skills
- Medical coding and billing
- Claims processing and verification
- Revenue cycle management
- Financial reporting and reconciliation
- Customer relationship management
- Data entry accuracy
- Effective communication skills
- Collaboration and teamwork
- Payment posting and collections
- Insurance claims management
- Patient account analysis
- ICD-10 and CPT coding
- Records management and maintenance
- Submission of medical claims
- Billing software proficiency
Languages
English
Professional
Spanish
Professional
Timeline
Medical Biller, Accounts Receivable
Primary Care Sports Medicine
01.2024 - Current
Medical Biller, Accounts Receivable
UNIVERSITY FOOT AND ANKLE INSTITUTE
12.2012 - 01.2024
MEDICAL BILLING
UEI College