**** **** ****** ****** ****: 210-***-****
San Antonio, Texas 7207 Home: 210-***-****
**************@***.***
Linda Arredondo
Education:
College of Health Care Professions Current On-Line Student
Health Care Management Bachelor’s Degree Program
College of Health Care Professions July 2015 – March 2017
Health Care Management AAS
San Antonio College
Insurance Adjuster Workers Compensation Course June 2001
HR Generalist Certificate Courses:
Human Resource Development Sept 2000
Federal Employment Law Nov 2000
San Antonio College of Medical & Dental Assistants Aug 1990
Registered Medical Assistant (RMA)
San Antonio College July 1985
GED
Experience:
Kolawole A. Odulaja, M.D. April 2010 – Dec 2012
Physician Credentialing Specialist (Home Based)
Performed credentialing services that consisted of CAQH provider enrollment, Texas Standardized application enrollment, Medicare & Medicaid enrollment, hospital privilege enrollment, managed care provider enrollment and network plan enrollment. The process of credentialing also involved proof of current status of the following: Basic and/or Advanced CPR, Medical License, DEA, DPS, and proof of Medical Liability.
Everest Institute Nov 2008 – Dec 2009
Insurance Billing Coding Instructor
Taught ICD-9, CPT, and HCPCS medical coding, anatomy and physiology, medical terminology, and insurance billing fundamentals to students in Insurance Billing and Coding Program
.
Career Point College Aug 2007 – Nov 2008
Medical Coding Instructor
Taught ICD-9, CPT, and HCPCS medical coding to students in Medical Assistant & Medical Office Specialist Programs.
Christus Santa Rosa Hospital Nov 2006 – Aug 2007
Patient Registrar Emergency Department
Performed patient registration to Emergency Department patients that also involve insurance verification and copayment collection.
San Antonio College of Medical & Dental Assistants June 2005 – Nov 2006
Medical Office Special Instructor
Medical Assistant Instructor (Administration & Insurance)
Taught medical administrative and basic insurance fundamentals to students in the Medical Assistant Program. In addition, also taught ICD-9, CPT, and HCPCS medical coding, anatomy and physiology, medical terminology, and basic insurance billing fundamentals to students in Medical Office Specialist Program.
2303 West Travis Street Cell: 210-***-****
San Antonio, Texas 78207 Home: 210-***-****
**************@***.***
Linda Arredondo
Experience:
Medical Reimbursement Services Sept 2000 – June 2005
Claim Specialist / Patient Accounts
Obtained and reviewed anesthesia and operative reports, monitored and maintained patient accounts, and submitted appeals to insurance carriers for appropriate contract reimbursement with anesthesia and operative reports attached to justify services performed. Performed medical transcription of medical reports as a special projected assignment; (prn basis).
Fernando T. Avila, M.D. Jan 2003 – May 2003
Physician Credential / Billing Coordinator
Performed credentialing services that consisted of renegotiating provider managed care plans and network contracts, maintained proof of physician’s current status of: Medical License, DEA, DPS, and Medical Liability. Reviewed anesthesia and operative reports to assign proper medical codes for insurance claim submission.
Tejas Anesthesia, P.A. Nov 2000 – Sept 2002
Claim Specialist / Patient Accounts
Obtained and reviewed anesthesia and operative reports, monitored and maintained patient accounts, and submitted appeals to insurance carriers for appropriate contract reimbursement with anesthesia operative reports attached to justify services performed.
Star Anesthesia, P.A. Feb 1998 – Sept 2000
Claim Auditor
Obtained and reviewed anesthesia and operative reports, audited and submitted appeals of greater complexities to insurance carriers for appropriate contract reimbursement with reports attached justifying medical services performed. Reviewed and prepared refunds and resolved outstanding account issues. In addition, performed medical transcription as a special project assignment.
San Antonio Orthopaedics Group, P.A. Aug 1997 – Feb 1998
Account Representative
Reviewed operative reports, monitored patient accounts, and appealed accounts for appropriated contract reimbursement.
Anesthesia Booking Services Sept 1996 – Aug 1997
AR Reimbursement Representative
Performed daily payment posting, prepared deposits, and updated balance sheets.
University Hospital System / Correctional Health Care Service June 1994 – April 1996
Bexar County Adult Detention Center – Medical Support Office
Clinic Coordinator
Scheduled county inmates to appropriate university health clinics based on medical necessity and medical reports. Ordered and received medical supplies for two adult dental and medical infirmaries. Participated in special interdepartmental organization projects.
Bexar County Adult Detention Center – County Government May 1993 – June 1994
Inmate Billing Clerk
Participated in the establishment of the Bexar County Inmate Billing Department. Billed inmates for medical, dental, and pharmacy services based on provider medical documentation.
2303 West Travis Street Cell: 210-***-****
San Antonio, Texas 78207 Home: 210-***-****
**************@***.***
Linda Arredondo
Experience:
Medical Office of: Dec 1990 – Jan 2003
Heng H. Oei, M.D.
Kiem Ko, M.D.
Medical Assistant / Front & Back Office / Physician Credentialing
Front and back office medical assistant duties, reviewed anesthesia and operative reports to assign appropriate medical codes for insurance billing. Provided medical transcription of medical reports. In addition, performed physician credentialing services that consisted of maintaining current medical licenses, DEA, DPS, and proof of medical liability.
Medical Office of: Internship
Willie R. Roof, M.D. July 1990 – Dec 1990
Howard W. Crawford, M.D.
John C. Russell, M.D.
Medical Assistant / Front & Back Office
Performed front desk duties that consisted of: patient registration, establishment of new patient charts, and medical chart and documentation filing. In addition, back office duties consisted of: exam room preparations and assisting physician in patient exams.
Skills:
ICD-10 CM / CPT / HCPCS Coding
Transcription
10 Key Adding Machine (by touch)
Typing (65 wpm)
Microsoft Word
Excel
Northern Medical Accounts System
MSI System
Medical Manager System
Medical Accounts Receivable System
Millbrook System
MOMS