Summary
Overview
Work History
Education
Skills
Languages
Timeline
Sheila Otero

Sheila Otero

Medical Biller and Coding Specialist
Las Vegas,NV

Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Bilingual Billing Analyst willing to take on any task with a pleasant attitude. Eager to support a high business environment while overseeing claims submissions and document workflow. Friendly Head Cashier experienced in leading large teams with exceptional skill as trainer, team builder and project manager. Talented in accurately handling money, monitoring performance and resolving customer concerns in fast-paced environments. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

5
5
years of professional experience

Work History

Medical Insurance Biller

Reimbursement Remedy
01.2024 - Current
  • Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
  • Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

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, etcPosting payments from insurance or patients.

Cashier

99centsdollarstore
03.2020 - 01.2021
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs.
  • Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.

Pizza Chef Assistant

Little Caesars Pizza
01.2019 - 05.2019
  • Maintained a clean and organized workspace, ensuring compliance with food safety regulations and fostering a positive work environment.
  • Supported head chef in managing kitchen staff schedules, ensuring adequate coverage during peak times for optimal efficiency.
  • Assisted in inventory management, contributing to reduced waste and improved cost control measures.
  • Enhanced customer satisfaction by consistently producing high-quality pizzas with attention to detail and presentation.

Education

Certificate in Medical Billing and Coding -

Carrington College
01.2021

Science Studies -

College of Southern Nevada (CSN)
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
  • Medical Billing Software Proficiency
  • HCPCS Level II Understanding
  • ICD-10 Knowledge
  • Claims Processing Proficiency
  • Medicare and Medicaid knowledge
  • Organizational abilities
  • Denial Resolution Techniques
  • Customer Service
  • Time management skills
  • Cash Handling
  • Cleaning and sanitizing
  • Money Handling
  • Reliability and punctuality
  • Customer Relations
  • Cash Register Operation
  • Written and verbal communication
  • Order Taking
  • Professionalism and Courtesy
  • Basic Math Competence
  • Payment Processing
  • Product restocking
  • Product Knowledge
  • Refunds and exchanges
  • Complex Problem-Solving
  • Staff Training
  • Guest inquiries
  • ID Verification
  • Returns processing
  • Purchase assistance

Languages

Spanish
Native or Bilingual
English
Professional Working

Timeline

Medical Insurance Biller - Reimbursement Remedy
01.2024 - Current
MEDICAL BILLER - AR SPECIALIST - Prestige Medical Group
06.2022 - 11.2023
MEDICAL BILLER & CODER - AR SPECIALIST - Professional Billing Solutions
02.2021 - 06.2022
Cashier - 99centsdollarstore
03.2020 - 01.2021
Pizza Chef Assistant - Little Caesars Pizza
01.2019 - 05.2019
Carrington College - Certificate in Medical Billing and Coding,
College of Southern Nevada (CSN) - Science Studies,
Global Community High School - High School Diploma,

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Sheila OteroMedical Biller and Coding Specialist