Yadira V Reyes
Belle Glade
Summary
Detail-oriented, Medical Biller and Coder with 15+ years of experience. Proficient in ICD-10 coding and medical billing software. Strong knowledge of insurance verification, claims processing, and compliance regulations.
Experienced leader with a strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for a collaborative approach and commitment to excellence.
Overview
18
18
years of professional experience
Work History
AR REVENUE CYCLE SPEC
Rejuvenx Accident Center
02.2024 - Current
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Managed time efficiently in order to complete all tasks within deadlines.
- Managed patient accounts, ensuring accurate billing and adherence to compliance regulations.
- Implemented process improvements that enhanced workflow efficiency and minimized delays in collections.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
- Balanced and reconciled accounts.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
- Evaluated auto claims to determine liability and settlement amounts.
Medical Biller and Coder
The Derm Group
04.2023 - 02.2024
- Oversaw billing operations, ensuring accurate coding and timely submission of claims.
- Trained and mentored junior coders on industry best practices and compliance standards.
- Implemented process improvements that enhanced accuracy in claims processing by streamlining workflows.
- Collaborated with healthcare providers to resolve discrepancies in patient records and billing issues.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
Medical Biller
Advanced Imaging Specialists
03.2016 - 03.2023
- Proficient in medical coding systems: ICD-10, CPT, and HCPCS codes.
- Experienced in processing healthcare claims and liaising with insurance companies.
- Skilled in resolving billing discrepancies and following up on unpaid claims.
- Proficient in using medical billing software and maintaining patient financial records accurately.
- Processed and submitted medical claims using advanced billing software to ensure timely reimbursements.
- Reviewed patient accounts for accuracy, identifying discrepancies in coding and billing entries.
Medical Biller Outpatient
New Smyrna Beach Ambulatory Care Center
01.2021 - 01.2023
- Utilized medical terminology to accurately code and submit outpatient billing claims.
- Demonstrated proficiency in verifying insurance coverage and obtaining pre-authorizations for procedures.
- Resolved billing discrepancies and processed payments in compliance with HIPAA regulations.
- Collaborated with healthcare providers to ensure timely and accurate reimbursement for services rendered.
Referral Coordinator
Palms Glades Rural Health
01.2012 - 02.2016
- Developed and maintained relationships with healthcare providers to facilitate patient referrals efficiently.
- Coordinated scheduling and communication between patients, providers, and specialists for timely care.
- Reviewed medical records and insurance coverage to ensure appropriate referral process.
- Utilized electronic health record systems to track and monitor patient referrals accurately.
Medical Receptionist
Glades Home Health
01.2011 - 01.2012
- Managed busy phone lines, scheduling appointments for patients and confirming insurance information.
- Greeted patients with professionalism and empathy, ensuring a positive experience at the front desk.
- Compiled and organized patient records to ensure efficient management of information.
- Assisted with billing and insurance claims, maintaining up-to-date knowledge of medical coding guidelines.
Medical Front Desk
American Care
02.2008 - 01.2012
- Managed patient check-in and check-out process efficiently, maintaining organized reception area.
- Scheduled appointments, verified insurance, and processed patient payments accurately and promptly.
- Demonstrated strong communication skills, providing exceptional customer service to patients and staff.
- Utilized electronic medical records system to update patient information and retrieve medical records.
Education
Civil Engineering -
Universidad Tecnologica Jose Antonio Echeverria
La Habana, Cuba04.2005
Associate of Science -
Palm Beach State College
Lake Worth, FLSkills
- Medical coding
- Data entry
- Insurance billing
- ICD-10 coding
- CPT coding
- Medicare regulations
- Electronic health records
- Medical terminology
- HIPAA compliance
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
LANGUAGES
English
Spanish
Timeline
AR REVENUE CYCLE SPEC
Rejuvenx Accident Center
02.2024 - Current
Medical Biller and Coder
The Derm Group
04.2023 - 02.2024
Medical Biller Outpatient
New Smyrna Beach Ambulatory Care Center
01.2021 - 01.2023
Medical Biller
Advanced Imaging Specialists
03.2016 - 03.2023
Referral Coordinator
Palms Glades Rural Health
01.2012 - 02.2016
Medical Receptionist
Glades Home Health
01.2011 - 01.2012
Medical Front Desk
American Care
02.2008 - 01.2012
Civil Engineering -
Universidad Tecnologica Jose Antonio Echeverria
Associate of Science -
Palm Beach State College