Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Rose Torres

Elmont,NY

Summary

Dynamic Medical Coding and Billing Specialist with proven expertise in ICD-10 and CPT coding at Digestive Disease Care. Recognized for enhancing patient satisfaction through exceptional customer service and strict adherence to HIPAA compliance. Adept at resolving billing discrepancies, ensuring accurate reimbursements, and fostering collaborative relationships with healthcare providers.

Overview

18
18
years of professional experience

Work History

Medical Coding and Billing Specialist

Digestive Disease Care
01.2025 - Current
  • Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
  • Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
  • Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
  • Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
  • Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.

Medical Receptionist

Dr Haber
02.2024 - 01.2025
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Resolved customer problems and complaints.
  • Maintained current and accurate medical records for patients.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments.
  • Obtained payments from patients and scanned identification and insurance cards.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.

Accounts Payable Clerk

NYS Veterans Home
11.2022 - 10.2023
  • Reviewed vendor invoices for appropriate documentation and validity prior to payment.
  • Prepared vendor invoices and processed incoming payments.
  • Assisted in month-end closing procedures, ensuring all invoices were processed on time to reflect accurate financial statements.
  • Maintained good working relationships with vendors and resolved disputes.
  • Collaborated with other departments to resolve discrepancies in invoices or purchase orders, promoting smooth business operations.
  • Demonstrated adaptability during peak workload periods while maintaining high-quality results and meeting tight deadlines.
  • Reduced late payment penalties by closely monitoring due dates and managing timely payments.
  • Maintained accurate financial records by regularly reconciling accounts payable transactions.

Secretary to Director

NYS Veterans Home
03.2011 - 10.2023
  • Handled sensitive information discreetly, maintaining confidentiality when managing personnel files or financial data.
  • Answered multi-line phone system and enthusiastically greeted callers.
  • Maintained daily report documents, memos and invoices.
  • Scheduled appointments and conducted follow-up calls to clients.
  • Maintained electronic filing systems and categorized documents.
  • Entered data into system and updated customer contacts with information to keep records current.
  • Prepared professional correspondence, including memos, letters, and emails, ensuring accuracy and timeliness.
  • Responded to emails and other correspondence to facilitate communication and enhance business processes.

Supervisor/Receptionist

Edwin Schottenstein
10.2007 - 03.2011
  • Enhanced customer satisfaction by efficiently managing front desk operations and addressing guest concerns promptly.
  • Served as the primary point of contact for clients, providing exceptional service while addressing inquiries and resolving issues.
  • Actively participated in ongoing training opportunities for professional development, staying current on industry trends and best practices in receptionist roles.
  • Exceeded company goals for revenue growth through outstanding customer service efforts that led to increased bookings and referrals from satisfied clientele.
  • Coordinated team meetings and events, securing necessary resources, including conference rooms and catering services.
  • Proactively identified opportunities for process improvement and offered recommendations to management, leading to increased efficiency across various office functions.
  • Maintained a well-organized reception area, contributing to a professional atmosphere and positive first impressions.
  • Facilitated timely invoice processing by accurately entering data into financial software programs.
  • Collaborated with staff members to ensure seamless communication and coordination among departments.
  • Managed multiline phone systems, directing calls to appropriate personnel and taking detailed messages when necessary.
  • Ensured accurate record-keeping by diligently updating client information within the database system.
  • Developed strong relationships with clients through attentive service, fostering loyalty, and repeat business.
  • Reduced wait times by optimizing check-in procedures, improving overall guest experience.
  • Supported company initiatives by assisting in the implementation of new policies and procedures, ensuring a smooth transition for all team members.
  • Increased efficiency of administrative tasks by implementing an effective filing system and document organization process.
  • Provided support during high-volume periods by effectively multitasking and prioritizing responsibilities under pressure.
  • Handled sensitive client information with discretion to maintain confidentiality at all times while adhering to privacy regulations.
  • Streamlined appointment scheduling for improved time management and increased client flow.
  • Assisted in training new receptionists on company policies, software applications, and best practices for optimal performance.
  • Contributed to office supply management by monitoring inventory levels and submitting orders as needed to avoid shortages or delays in work processes.
  • Handled complaints and questions, and re-directed calls to other team members.
  • Answered incoming calls, directing clients to individuals addressing specific needs.
  • Acted as first point of contact and set appointments for prospective clients.
  • Took delivery of packages and documents, applying appropriate internal policies relating to chain of possession.
  • Oversaw office equipment maintenance to support continuous and uninterrupted operations.
  • Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
  • Routed incoming mail and messages to relevant personnel without delay.
  • Collected and distributed messages to team members and managers to support open communication and high customer service.
  • Scheduled office meetings and client appointments for staff teams.

Education

Certificate - Medical Coding And Billing Specialist

U.S. Career Institute
Fort Collins, CO
06-2024

Cosmetology

Maxwell
Brooklyn, NY
06-2001

Skills

  • ICD-10 proficiency
  • Medical record review
  • Medical terminology expertise
  • HIPAA compliance
  • Medical coding certification
  • Payment posting
  • Patient confidentiality
  • Clinical documentation improvement
  • Insurance verification
  • CPT coding
  • Medical billing software
  • Medical billing procedures
  • Insurance coding (ICD-9 and CPT)

Languages

Spanish
Native or Bilingual

Timeline

Medical Coding and Billing Specialist

Digestive Disease Care
01.2025 - Current

Medical Receptionist

Dr Haber
02.2024 - 01.2025

Accounts Payable Clerk

NYS Veterans Home
11.2022 - 10.2023

Secretary to Director

NYS Veterans Home
03.2011 - 10.2023

Supervisor/Receptionist

Edwin Schottenstein
10.2007 - 03.2011

Certificate - Medical Coding And Billing Specialist

U.S. Career Institute

Cosmetology

Maxwell

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