Medical Office Staff
Resume:
Marlena Ortiz
***** ******* ** ****** ***** CA **840 • 951-***-**** •
***************@*****.***
SUMMARY
I want to contribute to an organization that can use a hard-working professional with a reputation as a fast
learner who works well with others and is known for strong mentoring, planning, training, and leadership
skills.
EXPERIENCE
Medical Billing Manager
aMAYZing Kids
February 2014 – Present Lake Forest
Responsible for the full revenue cycle of a pediatric rehabilitation clinic; front office and back office. Assist
all therapists with instructions on how to report the correct services in their reports so all claims will be
clean when submitted. Verification of benefits and eligibility on new and continuing patients; posting of all
payments from insurance and patients; create and execute standard operating procedures (SOPs).
Provide written and verbal appeals for authorization and claim denials; audit patient accounts and
insurance payments to insure the correct payments have been received and posted correctly.
Residential Appraisal Processor
Bayside Appraisals
July 2002 – October 2013 San Leandro –Telecommute
Input residential appraisals into Wintotal system. Retrieve and attach property county records and history
reports for all properties related to the appraisal report; calculate the age and price range needed for
comparable. Contact escrow offices and title companies for any and all missing documentation needed
for the completion of the appraisal. Schedule in-house inspections; update all lenders with status updates
of appointments and reports.
Quest Partner Support Specialist
Kareo
February 2012 – March 2013 Irvine
Assist clinicians and their office staff with setting up their practice management system and ensure they
are able to set up patient appointments, ability to send clean claims, provide guidance and instructions on
how to posts insurance and patient payments and the ability to send patient's their statements. Provide
support to the clinicians and their office staff with working their clearing house rejection reports and
insurance denials and providing them the tools they need to resolve these issues and appeal or re-bill
their claims. I provide live two-hour webinar training for practices; I show them how to set up their
Care360 Practice Management and provide them with the tools they need on how to start using the
practice management successfully, assist with setting up their electronic connections with insurance
payers and clearinghouses, review their clearinghouse reports and provide guidance on how correct the
error, post payments and provide assistance on how to correct ill posted payments. I provide written and
verbal instructions on all aspect of my duties.
Billing & Collections, Cash Posting Specialist
LabCorp / Integrated Oncology / Accupath Diagnostic Laboratories
November 2002 – February 2012 Irvine
Post payments, denials and adjustments from insurance and patient payments.
Collect payments and communicate with Medicare, Medicaid, Patient, and all commercial insurances;
send written and verbal appeals. Customer services skills, answer phones, post denial, adjustments and
payments.
Edit in-coming requisitions for billing all types of insurances; obtain all information for clean claim
submission. Data entry and authorization verification. Full cycle revenue.
Administrative Assistant / Eligibility Specialist
Physician Care of California
August 2002 – November 2002 Santa Ana
Responsibilities included answering phones, setting up and maintaining office contracts for shareholder
as well as provider relations. Quoting of all benefits and eligibility for five different hospitals. Sorted and
logged all incoming claims and mail.
Medical Biller
Encompass Medical Billing
June 2002 – July 2002 Colton
Responsibilities included verifying eligibility and demographics. Manually completing the HCFA-1500
form. Completed 180 hours of my externship.
SKILLS & EXPERTISE
Medical Biller Medical Citrix Software Xifin Software
o
HCPCS Manuals Managed Care Citrix Online Training
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Medical Collector ICD-9 / CPT coding Computer Literate
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Medical Front Office Basic Human Anatomy Ten Key by Touch
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Medical Terminology Workers Compensation Microsoft Office
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Care360 EHR & PM Medicare / Medicaid Microsoft Outlook
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Third Party Billing Web PT Kareo Practice Management
o
EDUCATION
University of Phoenix
Bachelor of Science, Health Administration
2009 – 2011
University of Phoenix
Associates of Arts, Health Administration
2007 – 2009
Four-D Success Academy
Certificate, Medical and Dental Billing and Health Claims Examining
2001 – 2002
Contact this candidate