Versatile and achievement-oriented professional with a proven track record at Prime Care Family Center, enhancing billing efficiency and reducing claim denials through expert insurance verification and ICD-10 coding. Skilled in Advanced and , demonstrating exceptional teamwork and organizational abilities. Excelled in customer service across diverse roles, ensuring optimal satisfaction and loyalty.
Overview
23
23
years of professional experience
Work History
Medical Billing Specialist
Prime Care Family Center
5590 W 20TH AVE SUITE 300 HIALEAH FL 33016
11.2011 - Current
Correctly coded and billed medical claims
Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted and adjusted payments from insurance companies.
Sale and Cashier
USA Beauty Care INC
2090 NW 13th Av Miami Fl 33142
06.2007 - 11.2011
Greeted customers entering store and responded promptly to customer needs.
Welcomed customers and helped determine their needs.
Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
Restocked and organized merchandise in front lanes.
Counted money in cash drawers at beginning and end of shifts to maintain accuracy.
Resolved customer complaints professionally, leading to improved customer relations and loyalty.
Class B Truck Driver
Prestige Gunite Concrete
210 Rich St, Venice FL 34292
07.2002 - 05.2007
Enhanced delivery efficiency by optimizing truck routes and adhering to strict schedules.
Conducted routine maintenance checks on the truck''s mechanical systems, identifying potential issues early for prompt resolution by authorized technicians.
Provided excellent customer service during pickups and deliveries, addressing client concerns promptly and professionally.
Participated in ongoing training programs to stay current on industry best practices and maintain Class B CDL certification.
Demonstrated exceptional knowledge of DOT regulations, maintaining a clean driving record with no violations.
Documented mileage, deliveries, pickups, customer issues and damages.
Complied with truck driving rules as well as company policies and procedures regarding safe vehicle operations.
Education
Associate of Applied Science - Medical Billing And Codig Specialist
Fortis College
MIAMI FL
04-2010
High School Diploma -
MIAMI SENIOR HIGH SCHOOL
2450 SW 1ST MIAMI FL 33135
06-1995
Skills
Claim submission
Insurance verification
Medicare and Medicaid process
Data entry
Medical billing
ICD-10
Claims review
Billing and collection procedures
Electronic claims
Teamwork and collaboration
CMS-1500 billing forms
Electronic health record software
HIPAA compliance certification
Multitasking and organization
Timeline
Medical Billing Specialist
Prime Care Family Center
11.2011 - Current
Sale and Cashier
USA Beauty Care INC
06.2007 - 11.2011
Class B Truck Driver
Prestige Gunite Concrete
07.2002 - 05.2007
Associate of Applied Science - Medical Billing And Codig Specialist