Soraya Zamora Orellana

*** ** **** ***. **

Homestead FL 33033

305-***-****

ac0g0o@r.postjobfree.com

Objective: To obtain a position within a company where I can grow and utilize my educational skills that I have learned throughout my years of experience

Skills:

Nationally Registered Certified Coding Specialist

Certified medical assistant

Over ten years in medical billing

Medical Terminology, Anatomy, physiology

Accounts receivable, billing and collections

Familiarity with ICD-10, HCPCS, CPT

Bilingual fluent Spanish/English

Proficient with MS Word, excel and PowerPoint

Charismatic, responsible, reliable,

ability to work under pressure and independently Experience:

Crown Roofing LLC

01/2015-01/2016

Project administrator

Utilizing Egnyte system able to connect to mobile, desktop laptops

Complete multiple administrative tasks such as emails, taking phone calls, sorting mail, doing paperwork, arranging meetings, permits, contracts, purchase orders, change orders by job numbers or job address

Payroll based on a daily hourly log from the project manager

Job calendar schedule

Filed accurately and in order

GMMI, Inc. – Global Medical Management

02/27-11/2014

Bilingual Claims Examiner

Utilizing VDI systems, double screen computers

Administrate and responsible for my own account in Central & South America

Responsible for Claims Data Entry, Claim payments, and incoming claims via email assorting them by DOS to process

Identify and correct potential claim problems, such as balance, billing, overpayment, underpayment and other irregularities

Request supporting documents necessary to support claims

Examine claims investigated by insurance adjusters, further questionable claims to determine whether to authorize payments

Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis

Run a daily claims report to monitor claims from excel log on sheet, Aging reports and sorting them from oldest to newest or from larger amount to lower

Mount Sinai Hospital 305-***-****

08/2007-01/2012

Medical billing and collections

Claims submission paper & electronic, claim denial

Prepare and perform review or appeal on disallowed or underpaid claims

Process and follow-up on insurance company correspondence including request for information, and claim review

Prepare adjustments request for accounts as necessary including supplying any and all documentation

Analyzing payment and delegating to Collections, appeals, medical necessity, dispute letters, rebilling

Process patient accounts receivable

Prepare all collections candidates and discuss with physician

Process patient accounts receivable

Monthly AR’s

Open and distribute all incoming mail

Prepare bank deposit

Postage machine maintenance

Comply with all rules, regulations and procedure of the practice Krishna Jhaveri, MD Urologist 718-***-****

1997-2007

6008 junction Blvd. Rego Park, NY 11373

Administrative and clerical duties

Office billing, collections, hospital list, surgical entries, surgical coding, hospital consults, office charge entry, posting, keeping up with ledger

Assisted physician as medical assistant

EDUCATION:

2013 Dade Medical College

Associates of science-medical billing and coding

2004 ASA Institute, Brooklyn NY

Associated of science - Medical assistant

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