Tory Pais
Raton
Summary
Emerging Medical Biller with foundational experience in billing operations and a growing expertise in ICD-10 and CPT coding. Demonstrated ability to learn quickly, adapt to new billing systems, and contribute to revenue cycle improvements. Committed to maintaining accuracy and efficiency in billing processes, with a solid understanding of medical terminology and insurance policies. Detail-oriented with strong data entry and customer service skills. Currently pursuing AAS in Medical Reimbursement and Coding at Bryant and Stratton College. Looking to leverage my knowledge and experience into a role as a Medical Billing Specialist.
Overview
23
23
years of professional experience
Work History
Branch Manager
New Mexico Title Loans, Inc.
08.2020 - 08.2023
- Continuously monitored branch performance against key performance indicators, taking corrective actions as needed to ensure objectives were met or exceeded.
- Maintained friendly and professional customer interactions.
- Improved customer satisfaction ratings by enhancing service quality and resolving client issues promptly.
- Oversaw daily operations for streamlined efficiency, ensuring timely execution of tasks and optimal resource allocation.
Sales representative
New Mexico Title Loans, Inc.
11.2019 - 08.2020
- Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
- Generated additional sales opportunities with upselling and cross-selling techniques.
- Expanded customer base through cold calling, networking, and relationship building.
- Increased sales revenue by identifying and targeting high-potential accounts.
Head cook
Aviands
12.2016 - 10.2019
- Preparing and serving daily breakfast and lunch for 600+ students and staff
General Manager
Historic Icehouse
03.2014 - 11.2014
- Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
- Managed a diverse team of professionals, fostering a positive work environment and high employee satisfaction.
- Developed and implemented strategies to increase sales and profitability.
- Cultivated strong relationships with clients, vendors, and partners to ensure long-term success and loyalty.
General Manager
Oasis Restaurant
03.2012 - 03.2014
- Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
- Managed a diverse team of professionals, fostering a positive work environment and high employee satisfaction.
Office Manager
Burco Chemical
12.2008 - 03.2012
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Waitress
Oasis Restaurant and Motel
10.2000 - 12.2008
- Handled high-pressure situations with composure, maintaining excellent service standards even during busy shifts.
- Exhibited strong multitasking abilities, balancing multiple tables and orders while delivering prompt service.
- Maintained clean and welcoming dining environment, ensuring a positive guest experience.
- Remained calm and poised when dealing with difficult customers or during busy shifts.
Education
Medical Reimbursement & Coding -
Bryant & Stratton College
Buffalo, NY03.2025
Trinidad State Junior College
Trinidad, CO01.1998
High School Diploma -
Foothill High School
Albuquerque, NM01.1995
High School -
Raton High School
Raton, NM01.1993
Skills
- Introductory problem-solving abilities
- Effective Communication Skills
- Awareness of HIPAA Regulations
- Fundamentals of Reimbursement Procedures
- Knowledge of Insurance Policies (Medicare and Medicaid)
- Familiarity with EHR/EMR Systems
- Understanding of Medical Terminology
- Introductory Knowledge of ICD-10 and CPT Coding
- Basic Medical Billing
- Administrative writing skills
- Reporting skills
- Organizational skills
- Record-keeping
- Microsoft office skills
- Professionalism, confidentiality, and organization
Training
- ICD-10-CM Diagnostic Coding
- ICD-10-PCS Procedural Coding
- CPT & HCPCS Level II Coding
- Electronic Health Records
- Healthcare Reimbursement Methodologies
- Anatomy & Physiology
- Health Information Management and HIPAA Compliance
- Insurance Claims & Reimbursement
- Billing and Denial Management
- Medical Documentation Review & Abstraction
- Time Management and Accuracy
Timeline
Branch Manager
New Mexico Title Loans, Inc.
08.2020 - 08.2023
Sales representative
New Mexico Title Loans, Inc.
11.2019 - 08.2020
Head cook
Aviands
12.2016 - 10.2019
General Manager
Historic Icehouse
03.2014 - 11.2014
General Manager
Oasis Restaurant
03.2012 - 03.2014
Office Manager
Burco Chemical
12.2008 - 03.2012
Waitress
Oasis Restaurant and Motel
10.2000 - 12.2008
Medical Reimbursement & Coding -
Bryant & Stratton College
Trinidad State Junior College
High School Diploma -
Foothill High School
High School -
Raton High School
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