Soledad Quenga
Wills Point,TX
Summary
Proven Medical Biller and Coder from American Medical Center, adept in HIPAA compliance and ICD-10 proficiency, significantly reduced claim denials. Expertise in insurance verification and payment posting, alongside strong collaboration with physicians for optimal reimbursement. Achievements include enhancing claim accuracy and expediting payment processes, demonstrating meticulous attention to detail, and effective problem-solving skills.
Overview
19
19
years of professional experience
Work History
Medical Biller and Coder
American Medical Center
10.2005 - 07.2024
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- 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.
- Reviewed patient charts better to understand health histories, diagnoses, and treatments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
Timeline
Medical Biller and Coder
American Medical Center
10.2005 - 07.2024
Similar Profiles
Dr kalpana Somani MantriDr kalpana Somani Mantri
General Dentist (certified nitrous oxide dentist) at American Medical CenterGeneral Dentist (certified nitrous oxide dentist) at American Medical Center
Lauren Villagomez Sablan CruzLauren Villagomez Sablan Cruz
Patient Service Representative at American Medical CenterPatient Service Representative at American Medical Center
Laval JacksonLaval Jackson
Certified Nursing Assistant at St Joseph Rehabilitation CenterCertified Nursing Assistant at St Joseph Rehabilitation Center
Myia LynnMyia Lynn
Recruiter at GFA WorldRecruiter at GFA World
LAVONTE CHILDSLAVONTE CHILDS
Stormwater Supervisor at City Of WylieStormwater Supervisor at City Of Wylie