Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Miami Dade Community Services
03.2021 - 06.2022
Resourcefully used various coding books, procedure manuals, and online encoders.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Assisted in training new staff on medical record processing and filing procedures.
Maintained accuracy, completeness, and security for medical records and health information.
Improve accounts payments by 60 % overall.
Verified insurance of patients to determine eligibility.
Posted payments and collections on a regular basis.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Generated reports to identify coding trends and discrepancies
Utilized electronic medical record systems to store, retrieve and process patient data
Sales Representative
Orange Medical Plan
12.2020 - 05.2021
Provided comprehensive product knowledge and guidance to help clients with product selection.
Cultivated relationships with clients to identify and meet insurance needs and establish trust and rapport.
Educated clients on insurance policies and procedures.
Finalized sales and collected necessary deposits.
Worked with the sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
Monitored customer feedback and identified areas of improvement.
Managed more than 50 calls per day.
Managed customer accounts to secure customer satisfaction and repeat business
Took payment information and other pertinent information such as addresses and phone numbers to place orders.
Education
Diploma - Medical Coding And Billing Specialist
Florida National University
Hialeah, FL
03.2020
GED -
Lourdes Eizmemdiz Vega
La Habana, Cuba
08.2010
Skills
Medical Coder/ Billing Accuracy
Electronic Health Record / Data Entry
Insurance Claims Analysis / Coding Appeals
Electronic Filing System Organization (NDCMedisoft/ICANotes)
Active Learning
HIPAA Compliance
Insurances knowledge
Clerical Support
Attention to Detail
Team building
Languages
English
Full Professional
Spanish
Native or Bilingual
Certification
CPC - Certified Professional Coder, scheduled on 10/16/2023.
SOCIAL WORKER/ ELIGIBILITY WORKER at Miami Dade County Community Action and Human Services DepartmentSOCIAL WORKER/ ELIGIBILITY WORKER at Miami Dade County Community Action and Human Services Department