Medical Billing Data Entry
Resume:
Tamecya Sanchez
Houston, TX *****
ad5upq@r.postjobfree.com
OBJECTIVE
Dedicated Medical Billing and Coding Specialist committed to implementing comprehensively organized billing and documentation policies. Adept at the analysis and interpretation of medical documentation, coordinating with medical providers to ensure care, and preparing and submitting claims to insurance companies. Specialize in auditing medical accounts and verifying medical documents.
Notable Career Highlights
●Extensive experience executing medical billing and coding for commercial and private insurance
●Experience in policy and procedure development
●Understanding of state federal and HIPPA guidelines and laws
●Proficient in CPT-4 and ICD-10 and other relevant coding
●Capable of preparing spreadsheets via database software
●Ability to analyze and interpret medical records
●Software: Epic, E-clinical works, Navicure, Changed Healthcare
●Continuous education and training in coding updates
●Leadership and team management capabilities
Professional Experience
MEMORIAL HERMANN
Houston, Texas
Medical Billing Collection Specialist June 2022- PRESENT
●Perform all data entry required for entry of patients payments and insurance payments into computer system
●Responsible for claim review and submission to Medicare, Medicaid, commercial and private insurance payers
●Execute necessary action to resolve claim and payer issues in an effort to recover proper reimbursement
●Resolve routine patient billing inquiries and problems, handling follow-up questions from patients, resolving discrepancies or errors
●File and enter billing for patients into system and analyzes patient accounts to ensure billing is accurate
●Identify billing errors, under payments, overpayments, unpaid claims, and resolve accordingly and contact clients when necessary regarding account balance
●Act as a liaison between insurers, medical offices, and patients
●Accurate reading and understanding of UB04 for accurate billing
●Epic super user and team trainer
HOUSTON METHODIST
Houston, Texas
Medical Billing Collection Specialist November 2018- May 2022
●Followed up on outstanding claims, balance within a standard billing cycle, and corrected clearing house rejections and demographics to insure claims payment
●Performed mathematical calculations, balance, and reconcile figures, punctuate properly, and transcribe accurately
●Knowledgeable of collection policies, procedures, negotiation of account resolution, accurately inputted and documented all actions within the collections system as happen basis and
●Identified accounts that needed to be written off as uncollectible, small balance and prepare, submit billing data, and medical claims to insurance companies.
●Reviewed patient accounts, monitor assigned accounts, direct communication with patients, rebill rejected claims, and resolve discrepancies and short pay
LEGACY PRIMARY CARE
Houston, Texas
Medical Billing Collection Specialist March 2017- November 2018
●Reviewed accounts regularly for insurance or patient follow up and print and follow up on AR summaries
●Performed various collection actions including contacting patients by phone, correcting, and resubmitting claims to third party payers, etc.
●Negotiated payment proposals and review patient bills for accuracy and completeness and obtain any missing information
●Addressed provider enrollment issues, patient statements, insurance appeals/reviews/hearings, insurance claim/payment issues, insurance/patient refunds, medical record requests.
●Followed up on unpaid claims within standard billing cycle timeframe and checked each insurance payment for accuracy and compliance with contract discount
High Tech Family Care & Women’s PA
Woodlands, Texas
Billing and Collection Specialist July 2011 – February 2018
●Prepared and submitted clean claims to various insurance companies either electronically or by paper and answered questions from patients, clerical staff and insurance companies
●Identified and resolved patient billing complaints including discussing outstanding balance, patient’s financial status and established budget payment plans
●Reviewed accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency
●Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers
●Trained front desk employees on insurance rules and verifying, trained nurses on appropriate dx codes for authorizations
●Managed daily operations of the billing system
●Developed and implemented new billing solutions to improve departmental efficiency and accuracy
Education
Remington College Medical Billing and Coding Certificate
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