Vanessa Baca

• Submit clean claims to insurance companies and follow up on unpaid claims
• Verify patient insurance eligibility and benefits
• Process and post payments from insurance companies and patients
• Review and appeal denied claims
• Monitor accounts receivable and work aging reports
• Ensure compliance with billing regulations and coding guidelines
• Handle patient billing inquiries and resolve discrepancies
• Maintain accurate patient records and billing documentation
• Manages time to complete work in a timely manner and be a team player
• Work collaboratively with clinical staff to ensure proper documentation
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
• Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
• Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.

Ability to meet, communicate, and interact with individuals from varying backgrounds and other healthcare
team members courteously and helpfully to facilitate medical care for patients.
Ability to use, and navigate, various types of office automation equipment and software (i.e. computer systems,
web-based scheduling programs; insurance collection systems; scanning software, multiple line phone systems;
and electronic faxing programs) to support patient care.
Knowledge of basic medical terminology to assist in the provision of care to patients.
Skill in recording patient messages and understanding physician requests about follow-up medical care in internal
or external clinics.

Ability to meet, communicate, and interact with individuals from varying backgrounds and other healthcare
team members courteously and helpfully to facilitate medical care for patients.
Ability to use, and navigate, various types of office automation equipment and software (i.e. computer systems,
web-based scheduling programs; insurance collection systems; scanning software, multiple line phone systems;
and electronic faxing programs) to support patient care.
Knowledge of basic medical terminology to assist in the provision of care to patients.
Skill in recording patient messages and understanding physician requests about follow-up medical care in internal
or external clinics.

Ability to collaborate and communicate with a wide range of medical clinicians across multiple disciplines (e.g.
medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical
pharmacists, and nursing staff) to accomplish team goal-setting to ensure medical care to patients is met.
Ability to independently set priorities and organize work to meet deadlines, ensuring compliance with
established processes, policies, and regulations.
Ability to communicate tactfully and effectively, electronically, by phone, in person, and writing, [with internal
and external customers]. This may include preparing reports in various formats, presenting data to various
organizational levels, and resolving patient concerns.
Advanced knowledge of the technical health care process (including, but not limited to, scheduling across
interdisciplinary coordinated care delivery and care in the community models and patient health care portals) as
it relates to access to care.
Advanced knowledge of policies and procedures associated with interdisciplinary coordinated care delivery and
care in the community operational activities that affect patient flow, and patient support care [administrative
functions] to include, but not limited to appointment cycles, outside patient referrals, follow-up care,
overbooking, provider availability, etc.
Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians.