Yvette Garcia
Plant City
Summary
- An ambitious medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Suncoast Skin Solutions
07.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
Medical Billing Specialist
Medical Practice Partners
02.2023 - 07.2023
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
Medical Biller and Coder
Tampa Lung Specialists, PA
08.2020 - 02.2023
- Assure patient demographic information in EHR is accurate and current.
- Create claims for inpatient and outpatient visits, including procedures.
- Apply appropriate modifiers.
- Abstract diagnosis from inpatient medical records.
- Review rejected Clearing House claims and take appropriate measures to expedite payments.
- Resolve electronic and paper denials by submitting appeals or corrected claims.
- Post electronic and paper checks efficiently.
- Stay informed with any recent coding and insurance changes.
- Assist patients in resolving any concerns regarding their balance.
- Train new office personnel in billing and front office department.
- Schedule patient appointments, send patient orders, route patient phone calls to the correct department.
- Follow up on submitted claims.
- Serve as backup medical assistant by taking vitals and ensuring patient charts contain medical records prior to appointments.
Medical Biller & Coder
Urgent Care USA, LLC
10.2019 - 07.2020
- Create claims based on diagnosis and level of care provided.
- Submit medical records to insurances.
- Knowledge of insurance contracts and rates.
- Follow up on submitted claims and A/R.
- Process all approved adjustments and refunds.
- File appeals to resolve insurance underpayments or nonpayment’s.
- Deescalate and resolve patient complaints.
- Complete employee schedules.
- Serve as backup for management.
Medical Biller & Coder Externship
LoCicero Medical Group
05.2019 - 06.2019
- Input patient demographic information.
- Verify patient insurances and request authorizations.
- Created superbills for the lab department.
- Applied write-offs to patient accounts.
- Applied patient payments to their accounts.
Testing Paraprofessional
Hillsborough County Public Schools (Plant City Adult Ed.)
02.2016 - 03.2017
- Provided students with information in regards to program guidelines.
- Collected any cash, money order, or check payments from students.
- Registered students by collecting all demographic information.
- Administer TABE Test to classrooms of 20+ students.
- Grade all test and administer accurate grade levels.
- Stay informed with current testing and grade scale guidelines.
Bilingual Paraprofessional
Hillsborough County Public Schools (Bailey Elementary School)
11.2010 - 06.2013
- Tested all children who entered the ESOL Program.
- Created any required paperwork to go along with children’s test scores.
- Contacted parents, explained what the ESOL Program was, and did for their children.
- Translated any paperwork in Spanish for parents to receive at home.
- Translated conferences with teachers and parents.
- Provided additional support to ELL students.
Assistant/Instructor
Hillsborough County Public Schools HOST PROGRAM (J.S. Robinson Elementary)
08.2008 - 11.2010
- Assign employees duties and responsibilities in after school program.
- Create employee schedules and payroll.
- Collect payments and apply to appropriate accounts.
- Schedule summer events and field trips.
- Assure all safety measure and guidelines were met.
- Resolve any parent complaints.
- Assist staff in creating safe schedules and activities.
Education
Medical Coding And Billing Certification -
Erwin Technical College
Tampa07-2019
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Denial management
- Medicare and medicaid process
- Accounts payable
- Quality-oriented team player
- Insurance billing
- Teamwork and collaboration
- CMS-1500 billing forms
Languages
English
Full Professional
Spanish
Native or Bilingual
Timeline
Medical Billing Specialist
Suncoast Skin Solutions
07.2023 - Current
Medical Billing Specialist
Medical Practice Partners
02.2023 - 07.2023
Medical Biller and Coder
Tampa Lung Specialists, PA
08.2020 - 02.2023
Medical Biller & Coder
Urgent Care USA, LLC
10.2019 - 07.2020
Medical Biller & Coder Externship
LoCicero Medical Group
05.2019 - 06.2019
Testing Paraprofessional
Hillsborough County Public Schools (Plant City Adult Ed.)
02.2016 - 03.2017
Bilingual Paraprofessional
Hillsborough County Public Schools (Bailey Elementary School)
11.2010 - 06.2013
Assistant/Instructor
Hillsborough County Public Schools HOST PROGRAM (J.S. Robinson Elementary)
08.2008 - 11.2010
Medical Coding And Billing Certification -
Erwin Technical College
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