Vanessa Moreno
Rialto,CA
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
4
4
years of professional experience
Work History
Funding Specialist
National Seating And Mobility
Redlands, CA
03.2019 - 09.2022
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Conducted pre-funding and funding activities for over 150 monthly applications
Funding Specialist.
Brace Yourself
Corona, CA
08.2018 - 01.2019
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Responded to customer requests for products, services and company information.
- Provided primary customer support to internal and external customers.
- Assisted customers with setting appointments, special order requests, and arranging merchandise pick-up.
- Fielded customer questions regarding available merchandise, sales, current prices and upcoming company changes.
- Developed community reputation through commitment to customer satisfaction and strong client relationships.
- Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
- Consulted with outside parties to resolve discrepancies and create expert solutions.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Delivered prompt service to prioritize customer needs.
- Educated customers about billing, payment processing and support policies and procedures.
- Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
- Answered average of 100 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
Education
Medical assistant -
UEI College
Ontario, CA2009
GED - undefined
Eisenhower Senior High School
Rialto, CA2005
Skills
- Patient data compilation
- Coding error resolution
- Data security procedures
- Insurance claims analysis
- Medical claims coding
- CTP coding
- Records management
- Records review
- Teamwork and Collaboration
- Attention to Detail
Timeline
Funding Specialist
National Seating And Mobility
03.2019 - 09.2022
Funding Specialist.
Brace Yourself
08.2018 - 01.2019
Medical assistant -
UEI College
GED - undefined
Eisenhower Senior High School
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