Medical Biller
Resume:
BRENDA JIMENEZ
Buena Park Ca 90621
562-***-**** E-mail: *******@*****.***
OBJECTIVE
To obtain a position at a facility that will benefit from my training, education and
experience. The enclosed resume will provide you with an overview of my qualifications,
but the opportunity of a conversation or meeting would be greatly appreciated.
EDUCATION
2014- Present Santa Ana College
Law Enforcement, Santa Ana CA
2008 Medical Billing/Office Management Program
Newbridge College, Santa Ana CA
High School
2008 Haster Site, Garden Grove CA
AREA OF SKILLS AND KNOWLEDGE
Typing/10 key
PC Literate
Medical Front Office/Microsoft Word/Excel
Records Organization and Management
Medical Manger Software
Payment Posting and Claim Entry
ICD-9, CPT-10 and Medical Terminology
HMO, PPO, W/C, Medical, Caloptima, Medicare & Private Insurances
Online Claim Submission & ERA
HIPAA Compliance/ Protocols
Charge Entry, Data Entry
Admitting, Auditing, Analysis
Insurance and Patient Aging
Insurance, Medical, Caloptima and Medicare Verification
Skylab/ Ligolab /LabDaq / Daqbilling/ MD Suite/CNG/Brightree
Fluent in Spanish & English
Multitask, Excellent Communication Skills, Hard Worker, Team player, Friendly &
Organized, Excellent Interpersonal Skill, Excellent Phone Skills
Receptionist
QC/Quality Control
EXPERIENCE
Town & Country Manor Santa Ana CA
Food Server 3/2008-8/2008
Provided customer service assisting and serving
Responsible for hospitality services
Prepared food trays to HHC patients
Verified orders on color coded menu cards
Obtained record of special orders for patients
Collected and stacked dirty dishes on cart & returned cart to kitchen
Central Medical Laboratory Cypress CA
Medical Biller 01/2011-04/2012
Maintained payment records of all patients
Made payment arrangements and collected past due accounts
Verified benefits for private Ins, Medicare, Medical, CalOptima & W/C
Daily aging
Data Entry
Qc requisition forms
Faxed lab reports to physicians
Answering patient/doctor calls
Submitted online claims and billed electronic claims
Filed appeals when appropriate to obtain maximum reimbursement
Precision Diagnostic Laboratory Inc. Garden Grove CA
Medical Biller 05/2009-06/2012
Maintained payment records of all patients
Made payment arrangements
Claim data entry and posted eobs
Verified Benefits for Private Ins, Medicare, Medical, CalOptima & W/C
Qc requisition forms
Receptionist
Consistently f/u on unpaid claims utilizing monthly aging reports
Filed appeals when appropriate to obtain maximum reimbursement
Answered patient/doctor calls and faxed results to physicians
Submitted online claims and billed electronic claims
Filed appeals
Americare Respiratory Services. Santa Ana CA
Medical Biller 01/2013-05/2014
Maintained payment records of all patients
Made payment arrangements and collected past due accounts
Verified Insurance Eligibility; Medicare, Medicaid, Private Ins
Processed; Billing for Catheter, Cpap, Bipap & supplies
Checked benefits, Copayment, Ded and Coinsurance
Data Entry and Posted Upgrade fees
Verified Pre existing and waiting periods
Verified Pt does not have previous cpap or Bipap with different provider
Verified Pt was not in a HHC & SNF
Verified Sleep Study and H&P notes
Charged Upgrade Fee & created new sales order
Answered patient/doctor calls
Faxed documentation to physicians
Verified patient was compliant with pap machine (Mc & Private ins)
Obtained Pre Authorization for catheters
Extended Rentals of pap device & filed appeals
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