Sandra Moreno

Medical Billing Specialist with 10+ years experience in insurance verification, claims processing, and ICD-10/CPT coding. Skilled in revenue cycle management, reducing errors, and enhancing collections. Proficient in EHR systems and HIPAA/OSHA compliance. Seeking a position to improve financial operations and minimize claim denials.

• OSHA Training
• HIPAA Compliance Training

• Medical Billing Expertise: Extensive knowledge of medical billing processes in ambulatory care, physician/provider offices, multi-specialty FQHCs, and professional billing settings.

• Claims Formatting & Processing: Proficient in ICD-9/10 and CPT coding, and experience with CMS 1500 and UB04 claim formats for accurate claim submission.

• Revenue Cycle Optimization: Demonstrated success in improving the accounts receivable cycle, reducing outstanding balances by 15% through effective follow-up and denials management.

• EDI & EHR Systems: Skilled in Electronic Data Interchange (EDI) and experienced with EHR systems like NextGen for charge creation, encounter processing, and insurance claims management.

• Regulatory Compliance: In-depth knowledge of HIPAA, PHI, and other regulatory requirements ensuring full compliance when handling sensitive claims data.

• Denial Management: Experienced in identifying and resolving claim denials, collaborating with insurance companies, and improving claim reimbursement rates.