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Medical Insurance

Location:
Poway, CA
Posted:
July 07, 2015

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Resume:

BELINDA PINO-REINERT

***** ******* **., ***. ***, Poway, CA 92064

Cell: 619-***-****- acqmp4@r.postjobfree.com

SKILLS

Medical terminology expert

ICD-9 expertise Billing and collection

Procedures expert

CPT coding expertise Records management

Professional

Familiar with all forms of insurance Hospital

Inpatient and outpatient records

TRAINING & SEMINARS

HIPPA Compliance Seminars -San Diego

OSHA Compliance I Blood Borne Pathogens- San Diego

Medical Unit Clerk -Santee

Medicare Training Seminar 2013 -Las Vegas

Medicare Training Seminar 2004 -San Diego

Medical Terminology - Santee

WORK HISTORY

March 2015 – June 2015

Medical Biller

UCSD contracted by Medical Professionals- 5935 Cornerstone Court West, Ste. 240, San Diego, CA 92121

Medicare follow up collector, Medicare denials, submitted ADR’s, corrected Medicare claims for submission, filed Medicare appeals

October 2004- August 2014

Medical Billing Manager

Center for Family Health- 6280 Jackson Dr. San Diego

Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing. Precisely completed appropriate claims paperwork, documentation and system entry. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. Identified and resolved patient billing and payment issues.

October 2003-0ctober 2004

Collections-Patient Financial Services Alvarado Hospital- 6655 Alvarado Rd. San Diego

Verified patients' eligibility and claims status with insurance agencies. Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations. Posted and adjusted payments from insurance companies. Submitted electronic/paper claims for timely filing.

June 2001-0ctober 2003

Lead Insurance Analyst Alvarado Surgical Associates -6719 Alvarado Rd. San Di1 go

Precisely completed appropriate claims paperwork, documentation and system entry. Verified patients' eligibility and claims status with insurance agencies. Posted and adjusted payments from insurance companies. Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable. Attended gastric bypass seminars.

June 1996-June 2001

Clerical Coordinator Alvarado Hospital Same Day Services- 6655 Alvarado Rd. San Diego

Scheduled appointments, registered patients and managed the secretarial staff.

EDUCATION

1987 High School Diploma: El Capitan High School- I 0410 Ashwood Dr. Lakeside



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