Medical Billing

RAPHAEL CORTEZ

*** ********* ** #*** ******, TX *5217

914-***-**** ***********@***.***

MEDICAL BILLER/COLLECTOR/AR/CREDENTIALING/REFUND SPECIALIST

Experienced in multi-physician medical private practice and Facility. Expert in Costumer service, Medical Billing/Collections, AR and Credentialing.

Skills include:

- Office Management - Medical AR Specialist - Medical Billing & Coding - Collector

- Surgical Coordinator - Third Party Billing - Provider Credentialing - Refund Specialist

Education

Certified Medical Biller, 2001

High School Diploma, Francis Lewis High School Fresh Meadows, NY 1989-1992

Queens College, English Classes – Flushing, NY 1992

Professional Experience

Autozone – Dallas, Texas

Driver/Sales Counter Person, 04/15-Present

Responsible for the delivery of auto parts to other stores and shops by using company vehicles. Responsible for the look up of parts using computerized system face to face and/over the phone.

Cash handling, Stocking, Costumer Service and Cleaning Up on the daily basis.

Christus Health – Irving, Texas

Medical Refund Specialist, 05/15-08/15

Responsible for the processing of refunds to Insurance companies and patients.

Responsible for collecting documentation and the upload to support refunds.

Answered phone calls from patients and insurance companies regarding inquiries about check refunds.

Axis Neuromonitoring – Plano, Texas

Certified Medical Biiler/OON Collector/AR Specialist, 12/14-03/15

Collected Out of Network Payments for IONM on performed Neuro, Skull Base and Spinal Surgery.

Billed, Followed up and Appealed Professional and Technical claims to Commercial and Manage Care Insurance Companies.

Requested approvals for surgical procedures, payment fees and collected benefits for all surgeries on the daily basis.

Fedex – Hutchins, Texas 09/14-12/14

Dock Worker,

Responsible for loading and unloading of packages from trucks. Responsible of sorting out packages using computerized scanners.

MMTP Corp Beacon, NY

Certified Medical Biller/Collector, 12/01-08/14

Serve as a key member of Independent Contractor Medical Biller Company who specialized in busy Healthcare Settings or Medical Private Practices for the proper handling of medical billing and collections for many doctors. Assisted MDs with the daily function of office by handling administrative duties that allowed them and staff to focus on health care concerns of their patients. Responsible for Data Entry, Charge Entry, Billing, Transmission, Collections and Payment Posting as well as follow ups and appeals of denials on the daily basis.

The New York Eye & Ear Infirmary New York, NY

Patient Registrar/Admitting, 06/01-07/03

Registered inpatient, outpatient and emergency admissions of patients on the daily basis. Collected and data-entered patient demographics, Pre-testing or special orders from Private Doctor’s offices by using Facility’s computerized system (Meditech).

Assisted MDs and/or patients with translations, money collecting for Self Pay Patients and the creation of new accounts and/or charts previous to date of procedure in Facility.

Liberty Helicopter Tours – New York, NY

Ticket Seller/Concierge, 01/00-07/01

Helped tourist with directions with Hotels, Airports and Transportation. Costumer Service interaction in different locations. Drove company vehicles to collect ticket sellers in various locations throughout the City of Manhattan.

Collected money and drop deposits sold on the daily basis.

References Upon Request

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