Billing/Appeal Specialist
Resume:
Monica Alva
*********@*****.***
OBJECTIVE
Bilingual and patient-oriented Medical Biller and Coder with over 20 years experience in a private medical office, DME company and hospital settings with strong attention to detail, professional telephone etiquette and organizational skills, and work great with others.
WORK EXPERIENCE
BILLING COLLECTIONS
October 2017 – Present
Alliance Medical Supply / San Antonio, Texas
Complete appropriate claims, paperwork, documentation and system entry, thoroughly research newly identified diagnosis to expand skills and knowledge, adeptly manage a multi-line phone system and pleasantly greet all patients, verify patients' eligibility and claim status with varies insurance companies and their websites, diligently file and followed up on third party claims, correctly code and bill medical claims for various insurance companies, research CPT & ICD-10 coding discrepancies for compliance and reimbursement accuracy, resourcefully use various coding books, procedure manuals and on-line encoders, update patient financial information to guarantee accuracy, submit electronic/paper claims, documentation for timely filing
BILLING SPECIALIST
November 2015 – October 2017
Davila Pharmacy San Antonio, Texas
Complete appropriate claims, paperwork, documentation and system entry, thoroughly research newly identified diagnosis to expand skills and knowledge, adeptly manage a multi-line phone system and pleasantly greet all patients, verify patients' eligibility and claim status with varies insurance companies and their websites, diligently file and followed up on third party claims, correctly code and bill medical claims for various insurance companies, research CPT & ICD-10 coding discrepancies for compliance and reimbursement accuracy, resourcefully use various coding books, procedure manuals and on-line encoders, update patient financial information to guarantee accuracy, submit electronic/paper claims, documentation for timely filing
MEDICAL RECEPTIONIST/ MEDICAL CODER and BILLER
October 2014 - November 2015
Family Clinics of San Antonio San Antonio, Texas Scheduled appointments and registered patients, assisted in the maintenance of medical charts and/or electronic medical records, prepared patients charts accurately and neatly for the clinic, maintained strict patient and physician confidentiality, accurately selected the proper descriptive code when more than one anatomical location was indicated, verified patients' eligibility and claim status with varies insurance agencies, adeptly managed a multi-line phone system and pleasantly greeted all patients
CERTIFIED NURSING ASSISTANT (CNA)
September 2012 – July 2014
Baptist Medical Center San Antonio, Texas
As a CNA my job duties were to do vital signs, accu-checks, maintain intake and output records, re-position patients every two hours, keep incontinent patients clean and dry and data entry.
EDUCATION
Medical Billing and Coding,
November 2013 – July 2014
Kaplan College San Antonio, Texas
Certification, Nurses Aide,
February 1998 – February 1998
H&H Associates, Inc San Antonio, Texas
Certification, Medical Assistant,
October 1993 – July 1994
Everest College San Antonio, Texas
CERTIFICATION
Certified Nurse Assistant
April 1998
H&H Associates, Inc
NRCCS
January 2015
National Association of Health Professionals
LANGUAGES
Spanish
REFERENCES
Sandra Torres
Billing Manager
210-***-**** ext. 6240
Professional
Maria Jimenez
Billing Specialist
Professional
Helen Gomez
Billing Specialist
Professional
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