Sonia Acosta De Munoz
Summary
Experienced in medical billing and claims processing, demonstrating proficiency in ICD-10 coding and adherence to HIPAA regulations. Successfully managed billing discrepancies, resulting in enhanced accuracy and reduced claim rejections, which improved cash flow for healthcare providers. Engaged effectively with insurance carriers and patients to resolve billing inquiries, ensuring timely payment resolutions. Maintained comprehensive records of billing activities while staying updated on healthcare reimbursement policies and procedures.
Overview
24
24
years of professional experience
1992
1992
years of post-secondary education
Work History
Medical Biller
Fleur Women's Health
Rancho Mirage, California
03.2002 - 02.2026
- Processed medical billing claims with precision, ensuring compliance with healthcare regulations and optimizing reimbursement timelines.
- Reviewed and corrected billing discrepancies, enhancing accuracy and reducing claim rejections for improved cash flow.
- Collaborated with healthcare providers to resolve billing inquiries, fostering effective communication and expediting payment resolutions.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Input details into accounts and tracked payments.
- Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
- Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Processed refunds requests timely and accurately according to established protocols.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Organized information for past-due accounts and transferred to collection agency.
- Maintained accurate patient data in electronic health records system.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Managed all payments processing, invoicing and collections tasks.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Reviewed legal claims for accuracy and issues.
Education
Palm Springs High School
Palm Springs, CAPalm Springs
Palm Springs, CA 09.1989 - 06.1990
Skills
- Medical billing
- Claims processing
- ICD-10 coding
- HIPAA compliance
Languages
Spanish
Full Professional
Affiliations
- I am a plant lover , love the outdoors, long walks with my husband and dog , nature lover
References
References available upon request.
Timeline
Medical Biller
Fleur Women's Health
03.2002 - 02.2026
Palm Springs
09.1989 - 06.1990
Palm Springs High School