Shamira Ross
Santa Monica,CA
Summary
Dynamic medical billing and coding professional with expertise in ICD-10 and HIPAA compliance, honed at Kaiser Permanente. Proven track record in enhancing claim submission accuracy and resolving billing discrepancies. Strong communicator dedicated to improving patient account management and ensuring compliance with healthcare regulations. Committed to delivering exceptional service and optimizing billing processes.
Overview
8
8
years of professional experience
Work History
Medical Biller and Coder
Kaiser Permanente
Los Angeles, CA
04.2022 - Current
- Assisted with processing medical claims and verifying patient information for accuracy.
- Learned to utilize coding software to assign appropriate codes for medical procedures.
- Supported billing team by organizing and maintaining patient records efficiently.
- Engaged in training sessions to understand healthcare regulations and compliance standards.
- Contributed to data entry tasks, ensuring timely submission of insurance claims.
- Developed skills in reviewing patient invoices for accuracy before final submission.
Medical Assistant
Providence Health & Services
Santa Monica, CA
10.2018 - 12.2021
- Administered patient intake processes, ensuring accurate collection of medical history and personal information.
- Assisted healthcare providers with examinations and procedures, maintaining a sterile environment and necessary tools.
- Managed scheduling of patient appointments, optimizing clinic workflow and reducing wait times.
- Documented patient vital signs and medical information in electronic health records, enhancing data accuracy and accessibility.
- Supported patient education initiatives by providing clear instructions on treatment plans and medication usage.
- Coordinated communication between patients and medical staff to facilitate timely follow-up care and referrals.
Medical Biller
Dr. Ung
Los Angeles, CA
10.2017 - 08.2018
- Processed medical claims accurately and efficiently using specific billing software.
- Reviewed and verified patient insurance information to ensure compliance with policies.
- Resolved discrepancies in billing statements through detailed analysis of patient accounts.
- Communicated effectively with healthcare providers to clarify billing issues and obtain necessary documentation.
- Collaborated with team members to streamline billing procedures and improve turnaround times.
- Assisted patients in understanding their bills and insurance benefits, enhancing customer service experience.
- Monitored changes in healthcare regulations to ensure accurate coding and billing practices were followed.
- Verified insurance of patients to determine eligibility.
Education
Medical Billing
American Career College
CANo Degree - Medical Assistant
CBD College
Los Angeles, CASkills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Patient account management
- Medicare and medicaid billing
- Claim submission
- Medical coding expertise
- Appeals processing
- Procedural coding
- Commercial insurance billing
Timeline
Medical Biller and Coder
Kaiser Permanente
04.2022 - Current
Medical Assistant
Providence Health & Services
10.2018 - 12.2021
Medical Biller
Dr. Ung
10.2017 - 08.2018
Medical Billing
American Career College
No Degree - Medical Assistant
CBD College