Victoria Nieto
Corona,CA
Summary
Seeking a position in Medical Billing Specialist on your team. I am highly experienced and will be a high volume contributor with proven knowledge of multi-hospital billing, managed care, and patient relations.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Medicare Billing Specialist II
Providence Medical Group /R1 RCM
Salt Lake City, UT
12.2022 - Current
- Audited billing practices to identify errors and implement corrective measures, enhancing compliance with
- Monitored changes in Medicare policies and guidelines, adapting processes to maintain compliance and accuracy.
Biller/Collection Specialist
Chino Valley Medical Group
03.2021 - 11.2022
- Submitting Electronic Billing Claims
- Commercial, PPO, Managed Care Medicaid, MediCal
- Collections ,phone calls , Appeals, and Aged Reports
- Understanding Payers Contracts and EOB’s
- Work Correspondence, payments and adjustments
Billing Specialist and Collecting
UHS PACIFIC REGIONAL CENTRAL BUSINESS OFFICE
05.2008 - 05.2020
- Prepare and bill claims accurately for timely electronic submission, hard copy billing and resolving billing issues.
- Experience with Stop Loss, Invoices, charge correction, reports, and EOB's.
- Billing in Medicare Part B, worker's comp. Commercial,PPO ,Sub-Acute, SNF, Rehabs, Managed Care Medicaid Claims, Medi-Cal Crossovers, CIF's, and Out of State Billing
- Collections, Correspondence, and Appeals
- Verify Insurance and updating I Plans to correct payer's.
- Setting up billing systems for payers to go auto-release and putting bridges in place.
- Understanding contracts, and working aged accounts
Insurance Biller
CORONA REGIONAL MEDICAL CENTER
Corona, CA
07.2000 - 05.2008
- Verify accuracy of billing data and revise any errors.
- Attach medical records, invoices and support documents.
- Arrange for debt repayment or establish repayment schedules, based on customers' financial situations.
- Answer telephones and direct calls to appropriate staff
- Billing Commercial, PPO, Medicare, Medi-Cal, and Workers Compensation
Front Desk Medical Receptionist
FRIENDLY HILLS MEDICAL GROUP
Brea, CA
01.1997 - 03.2000
- Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations.
- Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
- Complete insurance or other claim forms.
- Receive and route messages or documents, such as laboratory results, to appropriate staff.
- Compile and record medical charts, reports, or correspondence, using typewriter or personal computer.
- Perform bookkeeping duties, such as credits or collections, preparing and sending financial statements or bills, and keeping financial records.
- Answer telephones and direct calls to appropriate staff.
Education
High School Diploma - undefined
FULLERTON HIGH SCHOOL
Fullerton, CA06.1988
Skills
- Knowledge of CPT, ICD -9, and ICD-10
- 4 years of Lead experience
- Ability to multitask in a fast pace environment
- Computer skills
- Strong attention to detail, accuracy and organizational skills
- Medical Terminology, Anatomy and Physiology
Certification
- Certificate in Anatomy and Physiology
- Certificate of Professional Medical Reimbursement Institute
- Certificate Medical Assisting and Administrative
- Medical Terminology and Insurance Billing and Coding
Timeline
Medicare Billing Specialist II
Providence Medical Group /R1 RCM
12.2022 - Current
Biller/Collection Specialist
Chino Valley Medical Group
03.2021 - 11.2022
Billing Specialist and Collecting
UHS PACIFIC REGIONAL CENTRAL BUSINESS OFFICE
05.2008 - 05.2020
Insurance Biller
CORONA REGIONAL MEDICAL CENTER
07.2000 - 05.2008
Front Desk Medical Receptionist
FRIENDLY HILLS MEDICAL GROUP
01.1997 - 03.2000
High School Diploma - undefined
FULLERTON HIGH SCHOOL