Summary
Overview
Work History
Education
Skills
Languages
Certification
References
Timeline
Generic

Shally Cuizon

Concord,CA

Summary

Logical Medical Biller proudly offers many years of experience reviewing accounts and maintaining patient records. Driven professional with background in medical terminology and coding. Recognized task prioritization expertise in fast-paced environments. Quality-focused Medical Biller offers strong track record over many years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute. Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment. Skilled Medical Billing Specialist with background in accurate coding, claims processing and managing patient accounts. Showcased proficiency in medical software systems, healthcare regulations, and insurance policies. Proven ability to streamline billing procedures leading to increased productivity and improved revenue cycle management. Known for strong problem-solving skills and commitment to maintaining confidentiality in handling sensitive patient information. Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions. Results driven medical biller with several years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals. Resourceful Medical Billing Specialist known for high productivity and efficiency in task completion. Specialize in accurate claim submission, effective revenue cycle management, and comprehensive insurance follow-up. Excel in problem-solving, communication, and time management to ensure smooth financial operations within healthcare settings.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Medical Billing Specialist

OptumHealth Services
Minnetoka, MN
03.2020 - Current
  • Managed all payments processing, invoicing and collections tasks.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.

Medical Billing Specialist 1

John Muir Physician Network
Concord, CA
03.2007 - 03.2020
  • Reviewed legal claims for accuracy and issues.
  • Managed all payments processing, invoicing and collections tasks.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Computed credit terms, discounts and shipment charges for goods or services to complete billing documents.

Education

High School Diploma -

Vallejo High School
Vallejo, CA
06-1989

Skills

  • Quality-oriented team player
  • Epic software applications proficiency
  • Patient billing
  • CPT knowledge
  • ICD-10 proficiency
  • Insurance verification
  • Claim submission
  • Medical terminology
  • Information inputting
  • Bill payment
  • Files and records management
  • Medicare and medicaid process
  • Accounts payable
  • HIPAA compliance
  • Payment posting
  • Claims review
  • Billing and collection procedures
  • Submission of medical claims
  • HIPAA compliance certification
  • Teamwork and collaboration
  • Medical billing technology
  • Data entry
  • Work prioritization
  • Critical thinking
  • Proficiency in Epic
  • Medical billing45
  • 40-50 WPM
  • Insurance billing
  • Clerical support
  • Billing security
  • Account follow-up
  • Claims processing
  • Insurance claims processing
  • CMS-1500 billing forms
  • Insurance claims
  • Customer service
  • Medical billing

Languages

English
Professional
Tagalog
Professional

Certification

  • I do have Certificates of Appreciation - 2015 Rejivenation Tourament.
  • Compliance Education and Training
  • Fraud Compliance Education.
  • Workplace Injury & Illness Prevention Program.

References

References available upon request.

Timeline

Medical Billing Specialist

OptumHealth Services
03.2020 - Current

Medical Billing Specialist 1

John Muir Physician Network
03.2007 - 03.2020

High School Diploma -

Vallejo High School
Shally Cuizon