ROSELEE PACHECO
Summary
Recent graduate with foundational knowledge in Health Information Technology and hands-on experience gained through academic projects and internships. Demonstrates versatile skills in technology and analytical skills. Prepared to start career and make meaningful contributions with commitment. Previous experience as a certified Medical Insurance Biller with hand-on experience a proven track record at Accurate Billing Solutions, tech-savvy with coding and medical terminology knowledge, as well as CP and procedural coding. Determination to perform expected duties with continuous improvements. Diligent in enhancing billing accuracy and efficiency, resolving denied claims, and ensuring HIPAA compliance. Demonstrated success in improving insurance collections and patient account analysis, leveraging exceptional communication skills with strong appreciation for teamwork.
Overview
14
14
years of professional experience
Work History
Medical Insurance Biller
Accurate Billing Solutions
01.2023 - 03.2023
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Liaised between patients, insurance companies, and billing office.
- Posted payments and collections on regular basis.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Filed and updated patient information and medical records.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
Intern
La Canada Pediatrician
05.2009 - 07.2009
- Scheduled appointments, answered multi-phone line
- Sorted and organized files, spreadsheets, and reports.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Analyzed problems and worked with teams to develop solutions.
- Collected, arranged, and input information into database system.
- Participated in workshops and presentations related to projects to gain knowledge.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Explored new technologies and approaches to streamline processes.
- Optimized customer experience by delivering superior services and effectively troubleshooting issues.
- Conducted regular reviews of operations and identified areas for improvement.
Education
Associate of Science - Health Information Technology
DeVry University
Henderson, NV06-2025
Certificate - Medical Administrative Assistant
Everest College
Henderson10-2009
High School Diploma -
Adult Education (St. Luis Site)
Las Vegas, NV06-2009
Skills
- Payment posting
- CPT coding
- Electronic health records management
- Accounts receivable management
- Claims review
- CPT code modifiers
- Insurance verification
- ICD-10 coding
- Teamwork and collaboration
- Commercial and private insurance
- Customer service
- Medical billing technology
- Information inputting
- Claims processing
- Insurance collections
- Insurance claims
- Billing codes
- ICD-10
- Regulatory compliance
- Account follow-up
- Medicare and medicaid process
- Claim review
- Billing security
- Submission of medical claims
- Patient billing
- Collection calls
- ICD-9
- Multitasking and organization
- Procedure coding
- Medical terminology
- Medical coding
- Data analysis
- Payment posting
- Electronic claims
- HIPAA compliance
- HIPAA compliance certification
- Insurance claims processing
- Billing and collection procedures
- CMS-1500 billing forms
- Database systems
- Data entry
- Medical transcription
- Insurance billing
- Claim submission
- Clerical support
- Verbal and written communication
- Electronic health record software
- Medical claims submission
- Medical billing
- Work prioritization
- Disability claims process
- Medisoft
Timeline
Medical Insurance Biller
Accurate Billing Solutions
01.2023 - 03.2023
Intern
La Canada Pediatrician
05.2009 - 07.2009
Associate of Science - Health Information Technology
DeVry University
Certificate - Medical Administrative Assistant
Everest College
High School Diploma -
Adult Education (St. Luis Site)
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