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Medical Billing and Coding Specialist

Location:
Linden, NJ
Posted:
January 04, 2015

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Resume:

Yadira Martinez Torres, CCS

*** ********** **, ******, ** 07036

Cellular: 908-***-****

E-Mail: acg8sa@r.postjobfree.com

Objective:

Experienced Medical Biller and Coder seeking a position where I can

utilize my skills in successful insurance correspondence, claims

processing, appeals, invoicing and ICD-9, ICD-10/CPT-4 coding concepts.

I am a determined and focused individual with strong work ethics.

Professional Experience:

2010-2014- ASA Medical Billing Services, LLC, West New York, NJ ~ Medical

Billing Specialist

5 years' experience in Electronic remits and Manual posting, processing

medical payments with Medicare, Medicaid and Commercials Insurances.

Responsible for new patient data entry, verified insurance eligibility.

Payment application and preparation of appeals letters. Collections.

Processed claims, billing and EOB's, Assign ICD-9-CM, ICD-10 and CPT codes

for hospital, physician practices, and nursing home, house call and home

health certifications.

2009-2010- Lafayette Chiropractic, Newark, NJ ~ Medical Billing Specialist

Responsible for new patient data entry

Payment application and preparation of appeals letters

Processed claims, billing and EOB's, Assign ICD-9-CM and CPT codes

2004-2008 - Goya Foods Inc., Secaucus, NJ ~ Billing Clerk

Data entry. Applied credit memos and debits to customer accounts as needed

Prepared and reviewed invoices and billed customers.

2002-2004 - Retail Travel Services, Newark, NJ ~ Customer Service

Inventory maintenance, filed and organized documents on system

Shipping and receiving merchandise

1987-2001 - Commerce & Gastronomy Inc, Camaguey, Cuba ~ Gastronomic

Specialist

F & B management (Specialist)

Performed diet menus for the customer

Additional Qualifications:

NRCCS-Nationally Registered Certified Coding Specialist

NTHS-National Technical Honor Society

Bilingual in English and Spanish (verbal and written)

OSHA and HIPAA trained / NCICS eligible

Education:

2008-2009 - Sanford-Brown Institute, Iselin, NJ

Medical Billing & Coding Program, Deans List GPA 4.0, Perfect Attendance

. Medical Law & Ethics with a concentration on HIPAA and Medicare

Compliance

. Primary, secondary and tertiary claims processing

. Commercial, private and government insurance guidelines

. Aggressive and tactful collection practices

. Microsoft Office, Medisoft software, Vitera Intergy, E-Clinical,

Meditec

. Procedural and Diagnostic Coding

. Human Anatomy and medical terminology

. Manual and Electronic claims submission

Clinical Externship-Lafayette Chiropractic Center-Newark, NJ

Hired after completion of 180 hours of hands on training which included:

billing, EOBs, appointment scheduling, arbitration cases, new patient data

entry, payment application and preparation of appeal letters.

1992-1995 - Institute Antonio Maceo, Camaguey, Cuba

Bachelor's Degree in Accounting



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