Medical Billing Customer Service
Resume:
Marina Esquivel
Arlington, TX **001
****************@*****.***
Objective: A visionary of what is possible for the future of your company and a diligent worker striving to make that future a
reality. Accepts all challenges as invitations to learn something new, is self-motivated to complete all assigned tasks as
immediate as possible and demands perfection from the jobs performed. A truly determined worker, maintaining unyielding
concentration on the tasks at hand allowing all jobs to be completed in a swift and productive manner.
Education:
Iverson Business School & Court Reporting. Medical Records Coder/ Claims Technician 03/04 Arlington, TX.
Summary of qualifications:
• Misys, Nextgen, Navicure, Gateway, Availity
• Claims Processing Practice- gain knowledge of the proper way to file insurance claims in compliance with the
requirements of the payer.
• Electronic Medical Payment Posting and Manual Posting of Explanation of Benefits.
• Reimbursements
• Aetna, Bluecross Blueshield, Cigna, Humana, Humana Tricare, Medicare, Medicaid, Commercial Insurance,
• Medical terminology-acquired prefixes and suffix used in medical field.
• Anatomy & Physiology
• Disease process 1&2
• Medical records/coding- ICD-9-CM, CPT and HCPS2004
• Insurance Claim Processing- instructed in Medisoft Office Software to accurately process patient information, as well
as Insurance claims.
Experience:
04/2012-02/2014- Family HealthCare Associates
Medical Billing Specialist
• Download Remits From Gateway to Nextgen
• Medical Billing, Claims, Appeal Denials, Manuel Posting Of Explanation of Benefits and Patient Refunds. Appeal
claims through Availity
• Electronic funds Transfer From Gateway
• Customer Service with patients and Insurance Companies.
08/2011- Current – Glaucoma Consultants of Texas
Medical Billing Specialist
• Electronic Health Records – NextGen navigation
• Check In/Check Out, collect co-payments
• Insurance Verifications, Collections and Payment Posting in Navicure
• Answer multiline phones, screen and rout calls accordingly
• Scheduling New Patients to maximize clinic growth
• Handle antagonistic situations tactfully
• Translate for doctors or staff for Spanish speaking patients
• Recall process for past due appointments
02/07- 03/2011 - Kaner Medical Group/Medical Management Company
Medical Billing Specialist
• Front Desk- Misys Software, check in, check out, scheduling appointments, taking co-payments, collections pass due
balances.
• Billing department- NexGen Software, insurance posting, EMR. ERA, Navicure downloads, collections, financial
adviser consultant.
• Posting manual payments from commercial insurance, receiving personal payments on patient accounts, taking
payments over the phone, contract with city of Bedford and Haltom, in charge of scheduling appointments for
employees
• Schedule patients who may or may not have insurance and give company discount.
• Insurance Verifications, claims processing, filing claims, EOB, Patient demographics, patient intake, explaining patient
insurance benefits.. Handled all Manage Care Collections.
• Translate for Spanish speaking patient for the Doctors, and the communications center.
REFERENCES AVAILABEL UPON REQUEST
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