Medical Billing Manager

Carmen Colon

**** ***** **

Henderson, NV, *****

702-***-****

Email- abitgh@r.postjobfree.com

Professional Profile -Certified Medical Billing and Coding Specialist:

• Medical Terminology

•

• Α/Ρ &Α/R HIPPA

•

• Appeals

Claim Processing/ Reading EOB

•

• Bankruptcy

Posting Payments

•

• Liens

ICD-9 & ICD- 10/ CPT-4

•

• Collections

Modifiers/ HCPC

Medical Software:

•Medical Manager

• Emdeon

• Centricity

• Medi Soft

• Misys

Education

National Healthcare Association-Certified Medical Billing and Coding Specalist-2010

Heritage College- Medical Billing and Coding- Diploma- 2004

Academy of Healing Arts- Medical Assistant- Diploma- 2002

Phillips Business School- Certified Nursing Assistant- Diploma- Certified-1990

Professional Experience:

Authorization Department Nevada Heart and Vascular Center, Las Vegas, NV

04/26/09- 01/22/10

Responsibilities:

• Authorization for Cardiology Testing

• Review Doctors clinical to get authorization Cardiology Therapy.

• Appeals for denied authorization

• Communicate with other department to get claims paid

Answer phone lines and translate for Spanish speaking clients.

• Attending weekly meeting.

• Making sure all testing in house or outside testing are authorized

Patient Accounts and Collections

Heart Center of Nevada, Las Vegas, NV

02/22/08- 04/26/09

Responsibilities:

• Working the A/R daily

• Payment Posting

• Billing insurance

• Working the return mail

• Sending patient weekly statements

• Setting patients on payment plans

• Bankruptcy and Liens

• Approving hardships/ Collections

Medical Biller

Children Bone and Spine, Las Vegas, NV

01/05/07-02/15/08

Responsibilities:

• Working the A/R daily

• Payment Posting/ Collections

• Billing insurance, secondary as well as tertiary

• Pulling EOB

• Submitting appeal on denied claims

• Making sure CPT and ICD-9 are Correct

• Translating for Spanish Clients

• Billing Medicaid and Medicare

• Inbound and out bound calls

Front Desk Coordinator and Account Manager

Physiotherapy Associates, Henderson, NV

10/15/05-12/27/06

Responsibilities:

• Working the A/R daily

• Payment Posting/ Collections

• Billing insurance, secondary as well as tertiary

• Pulling EOB

• Submitting appeal on denied claims

• Scheduling Clients

• Verification and Authorization

• Inbound and out bound calls

• Completing Month end and reaching monthly goal

References Provided Upon Request

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