Zaina Melendez
Santa Ana
Summary
Results-driven Medical Biller with over 7 years of experience ensuring accuracy and compliance in insurance payments while effectively resolving billing discrepancies. Expertise in ICD-10-CM, CPT, and HCPCS coding has consistently improved claim acceptance rates. Proficient in managing insurance aging and patient account follow-ups, showcasing exceptional organizational and multitasking abilities. Committed to optimizing billing processes and enhancing revenue cycle efficiency within healthcare settings.
Overview
9
9
years of professional experience
Work History
Front Store Supervisor
Chick-fil-A
Santa Ana, CA
- Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
- Responded to customer concerns with friendly and knowledgeable service and remedied issues promptly and effectively.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Trained team members in successful strategies to meet operational and sales targets.
Medical Biller and Coder
EHR Consultants & Billing Inc
Anaheim, CA
06.2017 - Current
- Ensure accuracy and compliance of insurance payments, resolving discrepancies and overpayments.
- Manage insurance aging and patient account follow-up, achieving timely resolution of billing issues.
- Expertly interpret medical charts and assign appropriate CPT, ICD-10, and modifiers.
- Research and appeal denied claims, significantly improving claim acceptance rates.
- Proficient in ICD-9/10, CPT, HCPCS coding, and various medical software for efficient billing operations.
- Processed medical claims using ICD-10 and CPT coding systems for accuracy.
- Reviewed patient records to ensure proper documentation and coding compliance.
Education
Medical Billing and Coding -
UEI College
Anaheim, CA06.2017
Skills
- Insurance Claims Analysis
- Extensive knowledge of insurance, PPO, HMO & Medi-Cal
- Billing and Collection Procedures
- Claims Processing
- Chart Auditing
- Multitasking and Organization
- Claims review
- ICD-9 and ICD-10 Diagnostic and Procedural Coding
- Current Procedural Terminology Coding
- Medical Practice Management Software
- Electronic Health Records
- CMS-1500
- EOB
- SOAP Notes
- Office procedures
- Insurance guidelines
- Denied claims
- Insurance aging
- Patient account aging follow-up
- ICD-10-CM
- HCPCS/Modifiers
- Medical Terminology
LANGUAGES
Spanish Native
English Native
Timeline
Medical Biller and Coder
EHR Consultants & Billing Inc
06.2017 - Current
Front Store Supervisor
Chick-fil-A
Medical Billing and Coding -
UEI College