Medical Billing

YILMARIE MELENDEZ

** ****’s Ln., Troy, NY *****- 518-***-**** - *****************@*******.***

Career profile & Highlights

Reliable and ambitious medical professional with documented experience working in the capacity of a technical/patient care associate seeking career enhancement opportunities in the healthcare industry.

Trained in medical billing and coding and backed by in-depth knowledge of patient care techniques.

Remarkable front- office administrative skills coupled with stellar customer services capabilities.

Conscientious with a consistent desire to provide optimal patient satisfaction.

Communicates effectively with patients and medical personnel and expertly manages time in a multi-task environment.

Bilingual- Spanish & English

KEY MEDICAL SKILLS

CODING SKILLS – IDC-9-CM, HCPCS,CPT and introduction to ICD-10-CM

ADMINISTRATIVE SKILLS- Health insurance claims processing, medical office procedures including scheduling appointment, verified insurance, collecting co-payments, payment posting, office management, computerized billing and coding and customer service.

MEDICAL COURSE- Medical terminology, Anatomy and Physiology and HIPAA.

COMPUTER SKILLS- Greenway Prime Suite HER, Microsoft Office, Word and Excel, data entry, QuickBooks, spreadsheets and 10 key.

CLAIMS PROCESSING- Government payers, Medicare, Medicaid and Tricare, third-party payers, UB-04, Worker’s Compensation and managed care, including: HMO, PPO AND POS.

EDUCATION

Ultimate Medical Academy- Tampa FL 12/2013

Associate in science Degree- Medical Billing and Coding

Enhanced knowledge base includes: research and writing skills, Analyzing and Solving Issues, Business communications, Accounting for Managers, Biology and Sociology.

Diploma- Medical Billing and Coding

Skills acquired through extensive training:

Analyzing and Coding surgical procedures and diagnosis using ICD-9-CM & CPT codes.

Collaborating across collections/billing departments to ensure billing-related issues are resolved.

Assisting in the maintenance of medical charts and/or electronic health records (EHR) systems.

Verifying insurance and eligibility, and submitting claims to carious insurance companies electronically.

PROFESSIONAL EMPLOYMENT

Albany Medical Center- Albany, NY 2008-2010

St. Peter’s Hospital/SPARC 2010-PRESENT

Technical Care Associate/Patient Care Associate

Performed numerous healthcare-related duties, including monitoring vitals sign and medication, administering bedside and personal care and providing ambulation and personal-hygiene assistance.

Completed all duties in accordance with established methods, techniques and recognized standards.

Updated and maintained patients clinical information within their medical record, while relaying changes in patient conditions to the physician.

Oversaw records management, medication administration and direct patient care.

Maintained open communication other medical staff to ensure appropriate and continuous patient care.

SENIOR INFORMATION ASSOCIATE AT SPARC (ST.PETER’S)

Performed numerous of healthcare- related duties, such as verifying insurances for benefits, collecting copays, scheduling intake appointments and referrals.

Multi-task with phone call and patients issues.

Collecting or faxing Medical Records.

Maintained open communication with staff and patients, in and out of the clinic.

Completed all duties in accordance with established methods, techniques and recognized standards.

Contact this candidate