Yesenia Reyes
Medical Billing Specialists/Bookkeeping
Keenesburg,CO
Summary
Competent Medical billing specialist with 6 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate claims.
Organized Bookkeeper proficient in QuickBooks and Adobe software. Executed bookkeeping tasks for Reyes Stucco & Stone, LLC and excelled at quickly learning new accounting methods and procedures. Excellent accounting skills and attention to detail leading to decreased loss of revenue.
Overview
12
12
years of professional experience
Work History
Medical Billing Coordinator
Every Child Pediatrics
08.2022 - Current
- Prepare billing statements for patients and verified correct diagnostic coding.
- Verify insurance of patients to determine eligibility.
- Deliver timely and accurate charge submissions.
- Communicate with insurance providers to resolve denied claims and resubmitted.
- Lias between patients, insurance companies, and billing office.
- Analyze Explanation of Benefits forms to verify correct billing of insurance carriers.
- Review patient diagnosis codes to verify accuracy and completeness.
- Verify claims eligible for collections.
- Accurately entered patient demographic and billing information in billing system.
- File and update patient information and medical records.
- Answer incoming calls from patients and insurances.
- Work and process insurance denials
- Post ERA
- Submit electronic and paper claims to payors
- Verify any patient credits
- Post payments and collections on regular basis.
Office Bookkeeper
Reyes Stucco & Stone LLC
05.2016 - 05.2022
- Maintained and processed invoices, deposits and money logs.
- Completed payroll for employees and maintained detailed records of procedures.
- Tracked expenses and income for businesses while organizing and maintaining bank statements for checking accounts.
- Reviewed and filed financial documents, coded accounting entries for data processing and posted daily receipts and payments in accordance with all corporate protocols.
- Established QuickBooks accounting system to reflect accurate financial records.
- Organized and carried out proactive month-end, quarterly and year-end processes.
- Applied proper codes to invoices, files and receipts to keep records organized and easily searchable.
- Monitored, verified and approved invoices and reviewed balances using financial software to assess balance sheet for variances.
- Supported operations by communicating with customers, filing documents and managing data.
- Increased customer satisfaction by filing taxes on time and promptly resolving issues.
- Completed tax forms in compliance with legal regulations
- Recorded deposits, reconciled monthly bank accounts and tracked expenses
Contact Center Agent
Salud Family Health Centers
02.2016 - 05.2016
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Responded to customer requests for products, services and company information.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Analyzed and escalated complaints, issues and grievances to designated departments for investigation and response.
- Answered over 65 calls per shift to meet fast-paced call center demands
Accounts Receivable Specialist
Salud Family Health Centers
04.2012 - 02.2016
- Reviewed accounts on monthly basis to assess aging and pursue collection.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Prepared and mailed invoices to patients and payors, processed payments and documented account updates.
- Performed targeted collections on past due accounts aged over 30 days.
- Answered calls from patients and insurances.
- Communicated with providers to resolve denied claims and resubmitted.
- Responded to inbound inquiries regarding accounts and payments.
- Filed and updated patient information and medical records.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Submitted electronic and paper claims.
- Posted payments and EOB
- Transferred calls to the appropriate department.
- Worked and processed insurance denials.
Education
Certificate - Medical Billing
Kaplan Career Institute
Online10.2011
Skills
- Interpretation and Translation Services
- Bill Processing
- Data Entry and 10-Key
- Precision and Accuracy
- Customer Relations
- Document Coding and Classification
- Aging Reports Analysis
- Bill Payment and Recordkeeping
- Accounts Payable and Receivable
- Credit and Collections
Languages
Spanish
Timeline
Medical Billing Coordinator
Every Child Pediatrics
08.2022 - Current
Office Bookkeeper
Reyes Stucco & Stone LLC
05.2016 - 05.2022
Contact Center Agent
Salud Family Health Centers
02.2016 - 05.2016
Accounts Receivable Specialist
Salud Family Health Centers
04.2012 - 02.2016
Certificate - Medical Billing
Kaplan Career Institute
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