Viridiana Hernandez
Asheville,NC
Summary
Dedicated medical coder and biller with over ten years of experience in full-cycle billing. Seeking for an opportunity to contribute to the success of an organization through my knowledge and experience.
Overview
18
18
years of professional experience
Work History
Patient Revenue Coder and Biller Lead
WNC Community Health Services
Asheville, NC
01.2021 - Current
- Assisted the Patient Revenue Manager by leading the daily activities of the billing department.
- Monitored key performance indicators, focusing on claims denials and outstanding accounts receivable.
- Formulated action plans to improve compliance in coding and billing processes, based on audit findings.
- Automated billing workflows and integrated EHR systems to streamline processes.
- Functioned as key liaison between Billing department and OCHIN Epic EHR system.
- Lead training for new employees to ensure compliance with departmental standards.
Patient Revenue Coder and Biller
WNC Community Health Services
Asheville, NC
01.2010 - 01.2021
- Processed medical, behavioral health, and dental claims for private insurance, Medicare, and Medicaid.
- Ensured coding accuracy by coordinating with healthcare providers for documentation clarification.
- Posted insurance payments and processed overpayment refunds efficiently.
- Investigated and resolved claim rejections and denials promptly.
- Conducted regular follow-ups on unpaid claims to expedite resolution.
- Managed patient account payments, ensuring timely collection and posting.
Patient Services Assistant
WNC Community Health Services
Asheville, NC
01.2008 - 01.2010
- Greeted patients and captured personal, medical, and insurance information efficiently.
- Scheduled, rescheduled, and verified patient appointments to optimize clinic operations.
- Triage incoming phone calls, forwarding them promptly to appropriate personnel.
- Informed patients of financial obligations and processed payments accurately.
Education
Medical Coding Certificate (CPC)
AAPC
01-2018
High School Diploma -
Asheville High School
01-2008
Skills
- Analytical, Problem-solving
- Attention to detail
- Team Leadership
- EHR integration and billing software - OCHIN EPIC
- CPT, ICD-10-CM, HCPCS, CDT
- Bilingual
References
References available upon request.
Timeline
Patient Revenue Coder and Biller Lead
WNC Community Health Services
01.2021 - Current
Patient Revenue Coder and Biller
WNC Community Health Services
01.2010 - 01.2021
Patient Services Assistant
WNC Community Health Services
01.2008 - 01.2010
Medical Coding Certificate (CPC)
AAPC
High School Diploma -
Asheville High School
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