BRENDA JIMENEZ

**** *** ** *** **

Buena Park Ca 90621

562-***-**** E-mail: acesx6@r.postjobfree.com

OBJECTIVE

To obtain a position at a facility that will benefit from my training, education and

experience. The enclosed resume will provide you with an overview of my qualifications,

but the opportunity of a conversation or meeting would be greatly appreciated.

EDUCATION

2014- Present Santa Ana College

Law Enforcement, Santa Ana CA

2008 Medical Billing/Office Management Program

Newbridge College, Santa Ana CA

High School

2008 Haster Site, Garden Grove CA

AREA OF SKILLS AND KNOWLEDGE

Typing/10 key

PC Literate

Medical Front Office/Microsoft Word/Excel

Records Organization and Management

Medical Manger Software

Payment Posting and Claim Entry

ICD-9, CPT-10 and Medical Terminology

HMO, PPO, W/C, Medical, Caloptima, Medicare & Private Insurances

Online Claim Submission & ERA

HIPAA Compliance/ Protocols

Charge Entry, Data Entry

Admitting, Auditing, Analysis

Insurance and Patient Aging

Insurance, Medical, Caloptima and Medicare Verification

Skylab/ Ligolab /LabDaq / Daqbilling/ MD Suite/CNG/Brightree

Fluent in Spanish & English

Multitask, Excellent Communication Skills, Hard Worker, Team player, Friendly &

Organized, Excellent Interpersonal Skill, Excellent Phone Skills

Receptionist

QC/Quality Control

EXPERIENCE

Town & Country Manor Santa Ana CA

Food Server 3/2008-8/2008

Provided customer service assisting and serving

Responsible for hospitality services

Prepared food trays to HHC patients

Verified orders on color coded menu cards

Obtained record of special orders for patients

Collected and stacked dirty dishes on cart & returned cart to kitchen

Central Medical Laboratory Cypress CA

Medical Biller 01/2011-04/2012

Maintained payment records of all patients

Made payment arrangements and collected past due accounts

Verified benefits for private Ins, Medicare, Medical, CalOptima & W/C

Daily aging

Data Entry

Qc requisition forms

Faxed lab reports to physicians

Answering patient/doctor calls

Submitted online claims and billed electronic claims

Filed appeals when appropriate to obtain maximum reimbursement

Precision Diagnostic Laboratory Inc. Garden Grove CA

Medical Biller 05/2009-06/2012

Maintained payment records of all patients

Made payment arrangements

Claim data entry and posted eobs

Verified Benefits for Private Ins, Medicare, Medical, CalOptima & W/C

Qc requisition forms

Receptionist

Consistently f/u on unpaid claims utilizing monthly aging reports

Filed appeals when appropriate to obtain maximum reimbursement

Answered patient/doctor calls and faxed results to physicians

Submitted online claims and billed electronic claims

Filed appeals

Americare Respiratory Services. Santa Ana CA

Medical Biller 01/2013-05/2014

Maintained payment records of all patients

Made payment arrangements and collected past due accounts

Verified Insurance Eligibility; Medicare, Medicaid, Private Ins

Processed; Billing for Catheter, Cpap, Bipap & supplies

Checked benefits, Copayment, Ded and Coinsurance

Data Entry and Posted Upgrade fees

Verified Pre existing and waiting periods

Verified Pt does not have previous cpap or Bipap with different provider

Verified Pt was not in a HHC & SNF

Verified Sleep Study and H&P notes

Charged Upgrade Fee & created new sales order

Answered patient/doctor calls

Faxed documentation to physicians

Verified patient was compliant with pap machine (Mc & Private ins)

Obtained Pre Authorization for catheters

Extended Rentals of pap device & filed appeals

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