Talented Medical Record Specialist, always willing to take on any task, skilled at completing daily assignments and contributing to team success. Flexible and adaptable with a drive to go above and beyond. Good at rolling up sleeves, troubleshooting problems, building successful solutions, and getting things done. Extremely committed to improving patients' lives.
Overview
11
11
years of professional experience
4
4
Certifications
Work History
Medical Billing Supervisor
Health Solutions
Los Angeles, CA
07.2019 - 01.2023
Streamlined medical coding process by integrating cross-functional billing and coding teams, leading to 25% reduction in billing errors and 15% increase in reimbursement rates
Supervised 10-member medical billing team, posting and submitting claims within 24 hours of receipt. Also, assisted with training new hires
Identified issues and suggested potential improvements
Collaborated with medical providers and office management team to determine billing and documentation policies, and develop best practices ensuring to provide compliance and best experiences to all customers.
Medical Records Specialist
HealthSpan
Los Angeles, CA
03.2017 - 06.2019
Interpreted, classified and coded, high volumes of patient data each day.
Developed and implemented new payment posting system utilizing Excel Macros which reduced processing time by 70% and increased accuracy by 20%
Processed and fulfilled high volumes of medical record requests, and released information to persons or agencies according to regulations
Managed and maintained appropriate response times in various communication platforms such as phone calls, chats, emails (Outlook), portal inquiries, etc.
Medical Billing Assistant
Harbor Community Clinic
Los Angeles, CA
09.2014 - 03.2017
Processed data entries averaging 50 cases per day.
Adapted all clinical processes and policies, responding clearly to high volume medical records requests and phone inquiries.
Developed strong professional rapport with vendors and clients.
Negotiated on follow ups, and collected on outstanding balances and receivables.
Created monthly summary sheets to track KPIs, & was able to identify and resolve problem areas in the practice, increasing new patient visits by 20%.
Senior Clinical Administrative Coordinator
United Health Group, Medicare Advantage
Los Angeles, CA
04.2012 - 09.2014
Screened incoming calls requesting medical, behavioral, & clinical services, or benefits information (from providers or members). Extracted and reviewed fax requests for services.
Mailed, filed, and scanned correspondence. Checked procedure codes against notification requirements and benefit coverage to determine next steps.
Assessed automated job aid tools as references, and coordinated with other supervisors and departments, combining group efforts to serve patients and clients needs.
Uncovered duplicate billing and incorrect current procedural terminology codes entered, decreasing A/R to drop to average of 30-40 days, improving 30% from previously.
Education
Bachelor of Science - Marketing
California State University -
Bakersfield, CA
Skills
Self Motivated/Self-Directed
Certification
Certified Billing and Coding (CBCS) Certification - 2011