Zariza Israel
Wheeler Staffing
Lubbock,TX
1
Certification
18
years of professional experience
Detail-oriented Certified Medical Billing and Coding Specialist experienced in claims processing, insurance verification, and denial resolution. Achieved reductions in denials and enhanced clean-claim submission through meticulous EHR data integrity and strict HIPAA compliance. Focused on optimizing reimbursement outcomes through effective patient account management and cross-functional coordination.
Work History
Patient Account Representative
6 Months- Effectively follow-up on claim submissions, remittance review for insurance collections. Create and pursue disputed balances from commercial insurance companies, Medicare, Medicaid and managed care organizations regarding claim status.
- Followed up on claim submissions and conducted remittance reviews for insurance collections, creating and pursuing disputed balances with commercial insurance companies, Medicare, Medicaid, and managed care organizations regarding claim status.
- Collaborated with coding, billing, and clinical staff to identify and communicate issues with account status, resolving reimbursement issues.
Patient Account Representative
1 Year 4 Months- Registered 2,530 newborns daily across multiple facilities using Microsoft Office and EMR systems; ensured accurate demographic and financial data collection for efficient billing workflows.
- Maintained 98% accuracy in coverage verification, reduced rejected claims, and consistently met customer service, productivity, and policy standards.
- Achieved 98% accuracy in coverage verification, minimizing rejected claims while consistently meeting customer service and policy standards.
Insurance Denials Coordinator
2 Months- Reviewed and analyzed 20-30 denied claims weekly to identify coding and documentation gaps; initiated appeals and corrective actions, enhancing reimbursement timelines.
- Performed financial clearance of patient accounts by verifying insurance eligibility and benefits, ensuring timely completion of notifications and authorizations.
- Partnered with clinical teams to validate documentation and strengthen clean-claim submission processes, addressing recurring denial trends.
Medical Administrative Assistant
9 Months- Verified insurance eligibility and benefits daily to ensure accurate scheduling and billing processes.
- Maintained patient charts in Athena Health EHR, ensuring compliance with privacy and documentation standards.
- Generated expense and insurance documentation in Sage Intacct to facilitate billing and administrative workflows.
Loan Processor
4 Years 3 Months- Reviewed income and employment documentation for 1520 loan files daily using QuickBooks and Dynamics 365, ensuring completeness and accuracy to facilitate timely processing.
- Coordinated with borrowers and underwriters to resolve discrepancies, enhancing application quality and reducing potential delays.
- Tracked application status, documentation, and customer inquiries in Salesforce CRM, maintaining visibility and meeting turnaround timelines for efficient loan processing.
Home Preservation Specialist II
9 Years 4 Months- Facilitated mortgage retention for homeowners through financial reviews, loan modifications, and repayment planning, enhancing their ability to stay in their homes.
- Evaluated credit reports (Experian, Equifax, TransUnion) and guided customers on effective home preservation solutions.
- Collaborated with underwriting and loss mitigation teams to expedite case resolution and strengthen retention outcomes.
Education
Medical Billing And Coding - Medical Billing And Coding
Skills
Revenue cycle management
Insurance verification
Denials & Appeals
Medical Coding & Compliance- ICD-10
CPT
HCPCS
EHR Systems- Epic
Athenahealth
Cerner
Claims processing
Clearinghouses- Availity
TMHP
TriZetto
HIPAA Compliance
Patient Privacy
Excel reporting
Excel reporting
Certification
Medical Billing and Coding Certificate, The College of Health Care Professions
Timeline
Patient Account Representative
Wheeler Staffing
04.2026 - CurrentRead More
Patient Account Representative
LaSalle Network
08.2024 - 12.2025Read More
Insurance Denials Coordinator
Texas Ears Nose and Throat
02.2024 - 04.2024Read More
Medical Administrative Assistant
Family Foot Care
05.2023 - 02.2024Read More
Loan Processor
Finance of America
08.2018 - 11.2022Read More
Home Preservation Specialist II
Wells Fargo
12.2008 - 04.2018Read More
The College Health of Professions
Medical Billing And Coding from Medical Billing And Coding
Read More