Sylvia Guerrero
San Juan,TX
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.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Medical Biller/Data Entry Clerk
McAllen Advanced Medical Imaging
08.2023 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Collected payments and applied to patient accounts.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Medical Biller and Coder
Miramar Interventional Pain Treatment
10.2022 - 08.2023
- Correctly coded and billed medical claims for the medical office.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Medical Biller/Data Entry Clerk
Advanced Radiology Associates
08.2021 - 02.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
Assistant Manager
Bealls
11.2019 - 08.2020
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Maintained a clean, safe, and organized store environment to enhance the customer experience.
- Developed strong working relationships with staff, fostering a positive work environment.
- Monitored cash intake and deposit records, increasing accuracy, and reducing discrepancies.
- Improved customer satisfaction by addressing and resolving complaints promptly.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Increased sales through effective merchandising strategies and targeted promotions.
Education
La Joya High School
La Joya, TXSkills
- Insurance Claims
- Insurance Billing
- Medical Billing
- Electronic Claims
- HIPAA Compliance
- Insurance Verification
References
Available upon request.
Certification
- Certified Medical Biller and Coder
Timeline
Medical Biller/Data Entry Clerk
McAllen Advanced Medical Imaging
08.2023 - Current
Medical Biller and Coder
Miramar Interventional Pain Treatment
10.2022 - 08.2023
Medical Biller/Data Entry Clerk
Advanced Radiology Associates
08.2021 - 02.2022
Assistant Manager
Bealls
11.2019 - 08.2020
La Joya High School
- Certified Medical Biller and Coder
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