Yoselin Kawas
Medical Biller Specialist
Coral Springs,FL
Summary
Dedicated Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Talents includes an extensive knowledge of medical billing medical and office experience, patient records and all aspects of healthcare administration in a fast-paced environment. Showcasing 7+ years of experience managing complex clerical and accounting functions to ensure accurately and timely patient billing. Highly experienced in insurance verification, maintenance of third-party billing records, CPT/ICD-10 coding and ensuring claims are processed with accuracy and confidentiality. Demonstrates strong critical thinking, strong administrative skills, decision making, problem solving, time management, multi-tasking, and communication skills. Recognized for my ability to work within a team environment, independently and remotely and exceed all expectations. Committed to utilize my strength and experience in working in healthcare systems to support smooth administrative processes.
Overview
8
8
years of professional experience
5
5
years of post-secondary education
Work History
Front Desk Medical Receptionist
Stand-Up MRI
Boca Raton, FL
10.2021 - Current
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic and health history to keep information current.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Helped patients complete necessary medical forms and documentation.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
Medical Billing Specialist
ProMed
Boca Raton, FL
01.2020 - Current
- Accurately entered procedure codes, diagnosis codes and patient information into billing software.
- Performed full-cycle DME billing in a fast-paced office in house and remote .
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Appropriately and correctly identified errors and communicate with clients and managers via email or phone to correct those errors.
- Evaluate the accuracy of client chargers, including date of services, location, diagnoses, patient information and provided supplies.
- Create weekly reports using Microsoft Excel to identify new denials or any discrepancies.
- Analyze trends impacting charges, coding collections and account receivables and communicate with co-workers and managers daily and/or weekly.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Precisely completed appropriate claims paperwork, documentation and system entry.
Medical Billing Manager
CCG of South Florida
Plantation, FL
01.2016 - 01.2020
- Transmit over 200 claims daily to various insurance companies electronically and/or paper with the highest degree of accuracy.
- Accurately assign ICD-10 and/or CPT codes per medical records for Internal and Geriatric Medicine, Inpatient and Outpatient Hospital Services, Skilled Nursing Facilities, Long-Term Care Facilities and Home Visits.
- Extensive knowledge of insurance eligibility, prior authorization, charge capture, CPT/ICD-10 coding, and denial management.
- Ensure timely collection of payment, work outstanding A/R denials.
- Generating patient statements, collect past due and set up payment arrangements.
- Tracked submitted denials, rejections, and no-response claims.
- Follow up with doctors and nurse practitioners for any billing discrepancies.
- Resolve billing issues and discrepancies with various insurance companies.
- Reviewed billing problems, researched issues and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Established and checked coding procedures, monitored reports and updated internal files.
Medical Front Desk Manager
Lakes Radiology
Sunrise, FL
01.2014 - 01.2016
- Greet, check-in and collect personal, medical and insurance information.
- Schedule, reschedule and verify patient appointment.
- Obtained pre-authorization from various insurances companies.
- Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.
- Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and clinic.
- Manage office and medical supply inventories; receive deliveries and organize supplies in stockrooms and exam rooms.
- Facilitated daily administrative functions, including customer service, patient scheduling, and inventory management.
- Collected patient copayments and recorded payment transactions; obtained third-party payer authorization for services provided and communicated outstanding balances to insurance companies and patients.
Education
Associate of Applied Science - Health Information Technology
Broward College
Coconut Creek, FL 01.2019 - Current
Certificate in Medical Coding and Billing Specialist -
U.S Career Institute
Fort Collins, CO 01.2014 - 01.2015
High School Diploma -
American High School
Hollywood, FL 08.2010 - 08.2011
Skills
Medical insurance knowledge (Medicare, Medicaid, HMO’s)
Timeline
Front Desk Medical Receptionist
Stand-Up MRI
10.2021 - Current
Medical Billing Specialist
ProMed
01.2020 - Current
Associate of Applied Science - Health Information Technology
Broward College
01.2019 - Current
Medical Billing Manager
CCG of South Florida
01.2016 - 01.2020
Certificate in Medical Coding and Billing Specialist -
U.S Career Institute
01.2014 - 01.2015
Medical Front Desk Manager
Lakes Radiology
01.2014 - 01.2016
High School Diploma -
American High School
08.2010 - 08.2011
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