Insurance Medical

Diana Sanchez, CPC-A

**** ***** ******* ****, *******, Florida 32822 407-***-**** dsanchez-

**@*******.***

Qualifications:

Herzing College Winter Park, FL

**/**

< Associate of Science in Medical Billing and Insurance Coding

American Association of Professional Coders

Tallahassee, FL 11/06

< Certified Professional Coder - Apprentice

Skills:

< Abstract doctor's notes/SOAP notes to identify diagnosis, procedural

codes: ICD-9, ICD-10,

CPT-4, HCPCS

< Create, process insurance claims on paper and electronically using

Medisoft, Medical Manager

< Understanding and application of HIPAA laws

< Create letters, maintain various documents using Word

< Design presentations using PowerPoint

< Create, maintain spreadsheets in Excel and Access

< Use of a register, copier, fax, printer

< Bilingual: English and Spanish (intermediate comprehension and fluency)

Experience:

Medical Collector Alere Home Monitoring

Orlando, FL 03/10-09/10

. Located patient files, corrected errors using Infosys

. Contacted insurance companies for status, reason for denial of claim

. Corrected errors on claims, resubmitted revised claims electronic/paper

. Experienced in verifying patient benefits, eligibility using insurance

websites

. Locating, understanding EOB's using ZirMed

. Write off, adjust uncollectible balances using EOB's

. Create, submit appeal letters to insurance companies

Medical Biller/Collector Central Florida Eye Associates

Orlando, FL 02/09-02/10

. Request insurance companies reissue unclaimed provider checks

. Contest denied claims with insurance companies

. Update addresses on returned mail

. Issue statements to patients with overdue balances

. Compose, submit appeal letters

. Contact Medicare and/or Medicaid on outstanding claims

Medical Biller/Collector Longwood Cardiology

Longwood, FL 07/07-10/08

. Print, register, post charges hospital patients using EMR system Athena

Net

. Contact insurance companies on status of denied claims in Misys

. Register, post charges for Orlando Diagnostic Center

. Updated Addresses on returned mail

. Work self-pay accounts receivable, collections

Medical Biller The Bolick Clinic

Maitland, FL 01/07-03/07

. Electronically located patient files, correct errors using Medisoft

. Contacted insurance companies to verify eligibility of new patients,

status of denied claims

. Maintained procedural documentation, write insurance letters

. Verify status of patient's deductible

Professional Memberships:

< American Health Information Management Association (AHIMA) - Student

Member

< Central Florida Health Information Management Association (CFHIMA) -

Student Member

< American Academy of Professional Coders (AAPC)

Contact this candidate