Insurance Medical
Resume:
OLGA ZUNIGA Phoenix, AZ *****
************@*****.***
OBJECTIVE
To pursue a challenging and rewarding medical billing career, that will utilize my skills and education
and contribute my expertise for your company.
EDUCATION
High Tech Institute Vocational, A.A. in Science in Medicine Medical Billing & Coding 2004-2005
SKILLS
• Insurance Verification • Denial
• Tims Software Program • Appeals
• Nextgen • Prior Auths
• Claim submitting • Dependable
• CMS (certificate of medical nesseititys) • Organized
• Claimtrack • Dedicated
• Patient/Ins collections • Responsible
• Roar
• Microsoft Office
• Universal
CAREER HIGHLIGHTS
Specialize in oxygen, nebulizer, peak sleep and pharmacy billing
• Responsible for the integrity, efficiency and effectiveness of our billing process to our
patients and their insurance provider.
AGENCY CONTRACTED ASSIGNMENTS
McKesson Dec 2013 to Jan 2014
Insurance Verification Specialist
• Insurance verifications • Initiated prior authorization
• Updating patient demographics • Input notes for doctor to read
• Collected copay structure from
insurance
Partners In Recovery Feb 2013 to Aug 2013
Billing Specialist
• Verified insurance coverage
• Update files of 300+ patients, using multiple websites
• Verify doctors codes to match Claimtrack
• Submit over 500 patient claims to Megellan with attached EOB’s from primary
insurance w/inclusion of denial code
• HCFA 1500 claims
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• Correct errors and resubmit claims, using an electronics data interchange
spreadsheet, comprised of 100+ patients
Scottsdale Healthcare Oct 2012 to Nov 2012
Billing Specialist
•
• Adjustments • Set up patient payment plans
• Post charges • Process returned mail
Pacific Pulmonary Services May 2006 – October 2009
Reimbursement Representative
• Manage 500+ patient accounts, to ensure accurate information
• Ensure timely submission of claims
• Trouble shoot insurance and patient issues
• Collections
• Assist with top prioritized issues
• Worked extra hours, if necessary to insure billing practices meet insurance guidelines
• Meet time sensitive submission of claims and bills related to patient accounts – billing,
collections, accounts receivable, medical record/filing
• Enter fills and box prescriptions
• Research each patient’s insurance coverage to determine services for patient
• Work with centers and reimbursement office, to ensure complete and rapid payment
for service contacting physician’s offices for recertification and other required paperwork
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