Dynamic, exacting, and cheerful professional offering extensive skills in medical office operations, billing, and coding. Adept in office protocols, training programs, medical administration, insurance, scheduling, transcription, hazardous materials, environmental controls, sanitation, and coordination with other offices and providers. Solid communication and interpersonal skills.
Medical Terminology Regulatory Compliance Insurance Verification
HIPAA OSHA Confidentiality Electronic Medical Records (EMR) Data Entry
ICD-9 CPT-4 HCPCPS MS Office Medisoft SOAP
Bilingual English / Spanish
Medical Support Assistant - Career Center of Texas El Paso (2009)
Medical Insurance Billing & Coding - Center for Employment Training (2008)
Professional Experience (all positions in El Paso, TX)
Jose M. Ruffler, MD, 01/2010 - 02/2012
MEDICAL ASSISTANT / BILLER / CODER
Utilized automated systems and coordinated with insurance providers to verify coverage, prepare all coding/billing forms, and troubleshoot problems with reimbursement. Prepared and submitted insurance claims to commercial insurance carriers and Medicare and Medicaid.
Supported all aspects of medical office administration and operations. Functioned as receptionist, administrative assistant, and file clerk. Answered phones, relayed messages, and updated appointment calendar. Translated Explanation of Benefits (EOB) to patients.
Accomplishment: Selected to train, mentor, and supervise externship students.
Physician's Imaging and Vein Care Clinic 12/2009 - 01/2010
MEDICAL BILLER / RECEPTIONIST
Provided professional representation and maintained patient customer service standards in performing a broad-range of front- and back-office reception and administrative support duties.
Posted bills for insurance payment and records after treatment. Received, processed, and accepted payments, ensuring completeness, accuracy, and consistency.
First Horizon Medical Center 03/2008 - 10/2008
MEDICAL BILLING CLERK / RECEPTIONIST
Communicated with insurance companies, medical providers, and patients to ensure Quality of Reimbursement, verify accuracy of data, resolve documentation issues, and fix problems with Tricare, Medicare, Medicaid and other claims.
Completed coding in ICD-9, CPT-4, and HCPCS; registered new patients; updated insurance data; and scheduled appointments.
North East Cornerstone Pediatrics 09/2009 - 10/2009
MEDICAL ASSISTANT EXTERN
Gained practical, hands-on experience in medical office operations, administration, and customer service. Greeted and received patients, performed data entry, organized and clean exam rooms, set up and sterilized instruments, etc.
Enforced quality control, compliance, and pain management strategies in the administration of pediatric immunizations, nebulizer treatments, infant catherizations, urinalysis, etc.
Cardiology Care Consultants 09/2013- 09/2014
Medical Receptionist/ Billing Clerk
Processed patients upon arrival. Took responsibilities such as answering phones and taking messages and directing them to proper recipient. Verified insurances such as commercial, medicare and Medicaid, Tricare. Very knowledgeable in most insurances, submitted insurance claims electronically to most insurance, obtained authorization for certain procedures that required it . Worked with collections.
Mt. West Health center / Priority Urgent care 11/2014- CURRENT
Medical Receptionist/Medical Insurance- Patient Biller
Processed patients upon arrival .Verification of health insurance benefits for both family practice and urgent care. Multi task in answering phones, taking messages and attending to the patient’s needs, medical records, Worked with CMS 1500 health insurance claim form submitting claims electronically to various insurances,follow upon insurance denials, verify insurances.Obtained claim status, appeals. Followed up on patient accounts making sure claims are paid in timely manner and mailing out patient statements .