Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
8
8
years of professional experience
Work History
Medical Billing Specialist/Office Manager
All American Allergy
San Antonio, TX
12.2023 - Current
Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
Work From Home-Insurance Verification Coordinator
Texas Physical Therapy Specialist
San Antonio, TX
05.2023 - 12.2023
Determined appropriateness of payers to protect organization and minimize risk.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Complied with HIPAA guidelines and regulations for confidential patient data.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Referral Coordinator/Billing Specialist
San Antonio Medical Associates
San Antonio
06.2020 - 05.2023
Completed up to 55 referral requests each day for 8 medical providers
Called insurance companies to get precertification and other benefits information on behalf of patients.
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Planned and supported staff office meetings by preparing agendas and setting up audio-visual equipment.
Developed close working relationships with front office and back office staff.
Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
Assisted with regulatory issues such as compliance.
Medical Office Specialist/Billing Specialist/Authorization Specialist
Favorite Staffing
San Antonio, TX
01.2018 - 12.2020
Reviewed patient diagnosis codes to verify accuracy and completeness.
Processed 56 insurance company denials daily by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Pulled insurance authorizations for cardiac procedures for the week and any add ons, worked with offices and insurances to get pt approved.
Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
Adeptly managed multi-line phone system and pleasantly greeted all patients.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Adhered to strict HIPAA guidelines at all times to protect patient privacy.
Medical Office Specialist
Leading Edge Staffing
10.2016 - 12.2017
Enhanced office efficiency by handling 100+ callers per day
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
Checked patient data including insurance, demographic and health history to ensure all information was current
Responded to correspondence from insurance companies to verify patient's coverage
Adhered to strict HIPAA guidelines at all times to protect patient privacy
Scheduled, rescheduled and handled cancelled appointments for patients.
Received, recorded and filed medical payments by check, cash and credit card.
Education
Some College (No Degree) - Nursing
Galen College of Nursing
San Antonio, TX
2020
Skills
Appointment Scheduling/rescheduling
CPT Coding
Insurance Plan Verification
Prior Authorization Processing
Customer Service
Proficient in Athena health/ECW
Billing and coding(medicare/medicaid)
Referral verification
Handling Customer Complaints
Timeline
Medical Billing Specialist/Office Manager
All American Allergy
12.2023 - Current
Work From Home-Insurance Verification Coordinator
Texas Physical Therapy Specialist
05.2023 - 12.2023
Referral Coordinator/Billing Specialist
San Antonio Medical Associates
06.2020 - 05.2023
Medical Office Specialist/Billing Specialist/Authorization Specialist
Front Desk Medical Office Assistant/Patient Billing Representative at Southeast Orthopedic SpecialistsFront Desk Medical Office Assistant/Patient Billing Representative at Southeast Orthopedic Specialists