Thalia Pantoja
Oviedo,FL
Summary
Accomplished Medical Biller with a proven track record at BioPlus Specialty Pharmacy, enhancing billing efficiency and accuracy by implementing streamlined processes. Expert in medical billing, insurance verification, and HIPAA compliance, coupled with exceptional customer service skills. Achieved significant reductions in billing errors and improved patient eligibility verification, demonstrating a strong results-oriented approach. 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
5
5
years of professional experience
Work History
Medical Biller
BioPlus Specialty Pharmacy
Altamonte Springs, FL
12.2022 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Effectively billed & audited Medicare/Medicaid claims and/or assistance programs such as copay cards or 340B.
Client Services Coordinator
AdventHealth
Maitland, FL
01.2020 - 11.2022
- Developed strong relationships with clients by providing exceptional customer support and maintaining open lines of communication.
- Provided timely updates on project status to clients, ensuring transparency throughout the entire process while building trust in our services.
- Managed a diverse portfolio of clients, ensuring timely completion of projects and high-quality service delivery.
- Implemented regular follow-ups with clients to ensure their ongoing satisfaction and to address any concerns before they developed into larger issues, proactively managing potential risks.
- Worked closely with lab staff on special projects.
- Maintained confidentiality of sensitive information pertaining to research findings, methodologies, or patient data when required by regulations or ethical standards.
Chiropractic Assistant
Mauricio Chiropractic
Orlando, FL
11.2019 - 12.2021
- Answered phones to respond to customer questions, provide information and schedule appointments.
- Prepared examination rooms with necessary equipment, promoting efficient appointment flow while prioritizing sanitation protocols.
- Managed billing processes accurately and efficiently, ensuring prompt payments from insurance companies and patients.
- Demonstrated proficiency in using various therapeutic modalities like ultrasound therapy or electrical stimulation under chiropractor supervision for better treatment outcomes.
- Assisted chiropractors with patient care, ensuring accurate documentation and treatment plans.
- Contacted insurance carriers to determine patients' coverage and sent invoices for services rendered.
Education
High School Diploma -
Hagerty High School
Oviedo, FL05.2018
Skills
- Medical Billing
- Electronic Claims
- HIPAA Compliance
- Insurance Verification
- CPT Knowledge
- Billing and Collection Procedures
- Customer Service
- Accounts Receivable
- Insurance claims processing
- Medicare and Medicaid process
- ICD-10
- Medical terminology expert
Timeline
Medical Biller
BioPlus Specialty Pharmacy
12.2022 - Current
Client Services Coordinator
AdventHealth
01.2020 - 11.2022
Chiropractic Assistant
Mauricio Chiropractic
11.2019 - 12.2021
High School Diploma -
Hagerty High School