Customer Service Insurance
Resume:
Paula Gutierrez
***** **** ******* ***** - ******, TX 77338
*****************@*****.*** - 281-***-****
To Obtain employment as a Medical Billing and Coding Insurance Specialist utilizing knowledge of Medical
Terminology, Insurance policies and extensive knowhow of CPT and ICD9 coding techniques. Friendly,
enthusiastic and positive.
WORK EXPERIENCE
Billing Collection
Nova Health Care - Houston, TX - January 2014 to Present
Responsibilities
Running aging reports and working as supervisor assigned.
Refiling Workers Comp Insurance Claims as needed along with documentation required.
Write off’s / adjustments / closing open claims / payment posting
Work electronic claim rejections / resubmit electronically once info been corrected
Handle Incoming Correspondence collection letters /follow-up.
Communicate with companies that are directly billed and follow up on past due accounts.
Verify Workers Compensation statuses using different Insurances online system.
Skills Used
Able to meet dead lines.
In depth knowledge of preparing appropriate claim documents.
Very flexible,Teamwork.
Billing Dept / Accounting
GEO TRANSPORT - Humble, TX - 2008 to Present
Manage daily routine correspondences,paperwork and financial accounts.
Bookkeeping record and manage office information system
Handle all Billing Inquiries and deposits
Review invoices for accuracy, Payroll.
Billing Insurance Collections ( Temp)
E-cardio Diagnostics - Houston, TX - October 2013 to January 2014
Responsibilities
Follow-up of aging Accounts Receivable BlueCross BlueShield Insurance claims.
Process claims that are denied through appeal or reprocessing procedures
Research and resolve Incorrect payment,In/Out of- Network benefits levels, Deductibles co-Insurances and
copay's, EOB rejections and other issues with outstanding accounts.
Process paper and electronic claims.
Maintained all BCBS patient account balances within required time frame.
. Accurate apply payments to patient accounts.
. Resolve claims problems with insurance carriers & patients on the phone.
Accomplishments
Efficient in obtain complicated claims information.
Assist another department in obtaining payments from patients who speak Spanish.
Skills Used
• Ability to work in fast-paced environment and multi-task
• Function well independently and as team member; adapt at creative problem-solving.
. Dedicated to maintaining strict patient and company confidentiality.
Medical Billing Representative / Insurance Collections
Houston Medical Records - Houston, TX - July 2012 to September 2013
Responsibilities
Handle all kind of health insurance claims including private, Medicare and Medicaid claims.
Complete insurance and other claim forms.
Follow up on insurance claim denials, exceptions, or exclusions.
Respond to inquiries from insurance companies, patients and providers.
Make necessary arrangements for medical records request, completions of additional information requests,
etc.. as requested by insurance companies.
Posted payments accurately to payment accounts.
Maintains medical records and correspondence files.
Prepares and transmits patients bill
Accomplishments
Resolve inactive accounts, Obtain payments for corrected claims, Appeal claims for additional payments.
Skills Used
Outstanding ability to interpret insurance explanation of benefits, superior multitasking skills.
Beauty Advisor / Customer Service
SHISEIDO COSMETICS - Houston, TX - 2002 to August 2012
Renata Kotyzova
Contact Phone: 281-***-****
_ Beauty advisors assisting customers in makeup and skin care selections and participate in special events
promotions, represent one of our prestigious cosmetics lines.
( Dillard's, Macy's, Nordstrom, ).
Medical Billing and Coding Externship
Memorial Hermann NE/ Dr. Suseela Atluru OBGYN - Humble, TX - March 2012 to April 2012
Responsibilities
Verified Hospital Insurance benefits various Health Insurance companies, including private and Medicaid.
Completed daily superbills.
Completed request for authorizations from insurance companies efficiently.
Scheduled appointments and entered patient data into chart as well as reason for visit.
Updated well woman charges and modifiers for every visit.
Updated Insurance carrier information into patient database.
Posted payments accurately to payments accounts.
Skills Used
Outstanding ability to interpret insurance explanation of benefits,
Medical office administration, Microsoft Office,Medical Front desk, Great customer service provided.
EDUCATION
MEDICAL BILLING AND INSURANCE SPECIALIST DIPLOMA in Medical Billing and
Coding Specialist
Texas School of Business - Houston, TX
2011 to 2012
North Harris College - Humble, TX
2006 to 2007
SKILLS
Proficient in various Medical Software, E-clinical,Centricity,Realmed,P2P Link, Encoder Pro, Medisof,
Microsoft Office, CMS 1500 form proficient,Bilingual: English and Spanish, Type 50WPM, Teamwork,Highly
motivated personality with positive approach.
ADDITIONAL INFORMATION
A person with Skills, Hardworking, Good attitude, Positive and Responsible
Contact this candidate