Yoselin Lemus Saenz
Las Vegas,NV
Summary
A Medical Biller with proficient knowledge of CPT and ICD-10 codes. Who is currently working on securing a CPC and CPB credential. I am also pursuing a bachelor's degree in healthcare administration and looking to grow as a Medical Biller.
Overview
1
1
year of professional experience
Work History
Radiology Medical Biller
Sandstone Medical Solutions
2023.07 - Current
- Proficient in Verifying Insurance Coverage and Eligibility
- Knowledgeable in Insurance guidelines in Nevada
- Process claims in a timely manner
- Familiar with working the entire billing cycle
- Create Invoices for facilities and send statements
- Proficient in following up on unpaid claims and managing collection processes to ensure timely reimbursements
- Prepare and submit clean claims electronically and through mail
- Communicate with patients and facilities over the phone
- Identify and resolve patients' insurance and billing discrepancies
- Provided supervisors and managers with information on outstanding bills and payments and performed follow-up activities
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Posted payments and collections on regular basis.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
Medical Billing Student Extern
Quality Medical Imaging
2023.06 - 2023.07
- Hours: 180
- Verified Insurances for different states such as ID, WA, NV, TX, UT, AZ
- Understanding of Physiology/Anatomy
- Medical Office Etiquette & Ethics
- Proficient in EMR systems
- Current procedural coding (CPT) and ICD-10 CM Diagnostic Coding
- Knowledgeable of CPT Coding guidelines and Modifiers
Education
Associate's degree - Health Studies
Carrington College
Certificate - Medical Billing And Coding
Carrington College
Las Vegas, NV10.2023
Skills
- Knowledgeable in CMS-1500 Forms
- MS Word and Excel as well as navigating Teams
- Customer Service Experience
- Excellent communication
- Organized
- Multitasker
- Motivated and Self-Starter
- Team Player
- Proficient in Medical Terminology
- Data Entry
- Detail Oriented
- Dispute Negotiation
Accomplishments
- Presidents List (4.0 GPA)
- Seal of Biliteracy
- Hispanic Baccalaureate
- HIPPA Certified
Awards
- Presidents List (4.0 GPA)
- Seal of Biliteracy
- Hispanic Baccalaureate
- HIPPA Certified
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Radiology Medical Biller
Sandstone Medical Solutions
2023.07 - Current
Medical Billing Student Extern
Quality Medical Imaging
2023.06 - 2023.07
Associate's degree - Health Studies
Carrington College
Certificate - Medical Billing And Coding
Carrington College
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