Vivian Rico
Corona
Summary
Highly capable professional seeking a Medical Billing and Coding position to utilize and enhance industry knowledge, coding experience and education in a growth oriented company.
Overview
11
11
years of professional experience
Work History
Reception Specialist
NY Health Progressive Urology
06.2024 - Current
- Register incoming patients and verify demographic information
- Schedule appointments and manage appointment calendars
- Verify medical insurance card and answer patient questions regarding insurance
- Handle cash and card co-payments for service
- Facilitate communication between patient and healthcare professionals
- Adhere to all healthcare regulations and compliance standards
Medical Biller
Progressive Urology
12.2023 - 06.2024
- Authorizations
- Billing and collections
- Reviews and resolves billing discrepancies and denials
- Verify patients insurance coverage and eligibility
- Financially counseled patients on insurance coverage
Medical Biller
Excel Medical Billing
QUEENS
05.2022 - 12.2023
- Post charges and payments.
- Identify denials, coding and documentation errors.
- Ensures denial reviews are conducted in a timely manner in accordance with the Center for Medicare & Medicaid.
- Review accounts receivable for discrepancies and prepare appeals when necessary.
- Resolve clearinghouse claim errors or rejections.
- Answered phones, responded to patient inquiries and triaged calls to appropriate personnel.
- Handle self-pay accounts offer payment plans and discounts to settle delinquent accounts.
- Initiate and prepare written correspondence as needed.
Client Service
Xeron Clinical Laboratories
QUEENS
11.2021 - 02.2022
- Managing client inquiries via phone or e-mail.
- Providing clients with technical assistance on service.
Medical Biller
Advance Urology
QUEENS
11.2014 - 07.2018
- Perform comprehensive review of patient records to assure appropriate CPT and ICD-10 coding of medical record prior to billing
- Communicate with providers to obtain incomplete or missing information needed to process accurate and clean claims
- Answer phone calls and schedule appointments.
- Prepare charts for medical review and fixing charts after medical review
- Bill UDS and A/R file in correct order according to patient chart
- Authorizations
Education
Associates -
The Long Island Business Institute
NY01.2016
Skills
- Bilingual (Spanish and English)
- Advanced Coding
- Strong knowledge of Medical Terminology
- Medical Insurance Billing
- CPT
- ICD-10
- Record Analysis
References
References furnished upon request.
Timeline
Reception Specialist
NY Health Progressive Urology
06.2024 - Current
Medical Biller
Progressive Urology
12.2023 - 06.2024
Medical Biller
Excel Medical Billing
05.2022 - 12.2023
Client Service
Xeron Clinical Laboratories
11.2021 - 02.2022
Medical Biller
Advance Urology
11.2014 - 07.2018
Associates -
The Long Island Business Institute