Overview
Work History
Education
Skills
Timeline
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Sheila Otero

Las Vegas

Overview

3
3
years of professional experience

Work History

Medical Biller - AR Specialist

Prestige Medical Group
06.2022 - 11.2023
  • Preparing and submitting claims to health insurance
  • Verifying patient's eligibility
  • Contacting health insurance carriers
  • Investigating and appealing denied claims from insurance
  • Customer service through phone contact
  • Request prior authorization from insurance companies.

Medical Biller & Coder - AR Specialist

Professional Billing Solutions
02.2021 - 06.2022
  • Investigation and resolution of claim denials and/or rejections for corrective action
  • Customer service via phone contact to adjust accounts and assist inquiries
  • Assist fellow co-workers by actively supporting on difficult tasks to complete such as: completing duties on a timely manner, billing claims for various providers, post EOB's, contact insurance, etc
  • Utilizing correct coding for health insurance policies and state law requirements.2 Contact insurance via phone to seek information regarding denials, $0.00 payments, patient eligibility, etc
  • Posting payments from insurance or patients.

Education

Certificate in Medical Billing and Coding -

Carrington College
Las Vegas, NV
01.2021

science studies -

College of Southern Nevada (CSN)
Henderson, NV
01.2020

High School Diploma -

Global Community High School
01.2019

Skills

  • Medical Billing and Coding experienced with full understanding of ICD-9-CM, CPT, HCPCS, and DRG procedures
  • Skilled in data entry using medical documentation
  • Highly skilled in analyzing and validating patient information, diagnoses, and medical billing data
  • Demonstrated accuracy and discretion in processing patient information, verifying patient eligibility
  • Fluent in Spanish and English
  • Detail oriented and able to work with minimal supervision
  • Proficient in claim review, fixing claim denials/rejections, financial transactions
  • Exhibit signs of teamwork through assisting coworkers if needed
  • Rapid learner when it comes to navigate new websites, eager to be taught new information in order to develop more skills required for the field
  • Able to handle high volume work with precision
  • Commercial and Private Insurance
  • Proficiency in Microsoft Programs

Timeline

Medical Biller - AR Specialist

Prestige Medical Group
06.2022 - 11.2023

Medical Biller & Coder - AR Specialist

Professional Billing Solutions
02.2021 - 06.2022

Certificate in Medical Billing and Coding -

Carrington College

science studies -

College of Southern Nevada (CSN)

High School Diploma -

Global Community High School

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Sheila Otero