Xochilt Pacheco - Medical Biller And Insurance Claims Rep - Guidehouse

Summary

Detail-oriented medical biller with 25 years of experience. Well-versed in using EPIC and learning new skills with ease and efficiency. Dedicated to exceeding goals and maintaining positive attitude.

Overview

17

years of professional experience

2

years of post-secondary education

1

Language

Work History

PAR II / Biller

Guidehouse

08.2007 - Current

Responsibilities: preparing and submitting medical claims via client's host system or clearinghouse software such as Assurance or Epremis, correcting initial claim edits and errors, correcting rejected claims
Communication: Effectively communicated to team new or modified processes implemented by client regarding billing and insurance follow-up
Leadership: Took initiative in training new joiners and motivated some of them who experienced challenges learning the client system, processes and workflows implemented and required by client and supported them through their learning period and beyond.
Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally.
Developed strong relationships with clients, fostering trust and effective communication regarding billing matters.
Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
Followed up with appropriate parties to obtain prompt payments.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Enhanced team productivity by providing training on new billing software and processes.
Researched and resolved billing discrepancies to enable accurate billing.
Worked with multiple departments to check proper billing information.
Responded to customer concerns and questions on daily basis.

Education

Medical billing and coding and business office training -

Larson Vocation School

01.1999 - 05.2001

Skills

Experienced Medical Biller

Payment tracking

Medical coding knowledge

Claim submission

Insurance billing procedures

Variance Analysis

Invoice Processing

Regulatory Compliance

Technical aptitude