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Billing/Appeal Specialist

Location:
San Antonio, Texas, United States
Posted:
April 03, 2018

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Resume:

Monica Alva

ac40ur@r.postjobfree.com

210-***-****

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

210-***-****

Professional

Helen Gomez

Billing Specialist

512-***-****

Professional



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