Medical billing

Ofelia Garcia

Cell #: 832-***-**** Home 713-***-****

**********@*****.***

Objective:

To obtain a position as a bilingual medical billing and coding specialist, where my knowledge as well as my skills of reconciling insurance and resolving account related concerns can be utilized. I have over 5 years experience using Eclinicalworks (ECW).

Billing and Coding Expertise

• ICD-9 Coding • CPT-4 Coding • Regulations • Outpatient/Inpatient Physician Coding

Skills:

Bilingual in English/Spanish. Experience using the following Eclinicalworks, MediSoft Patient Accounting Software, Emdeon clearinghouse,Word, X-Link, DOCS Exchange, Cmed, and Kareo.

Able to perform charge review, claim submission, claim follow-up, payment posting and patient

statements

Proficient in assigning appropriate medical codes to diagnosis and services

Work Experience:

Dr. Alfredo Huerta/Georgina Loya’s office February 2/2011 – 8/30/16

Medical Billing and Coding Specialist

• Performed day to day functions associated with coding, abstracting and revenue cycle

• Code records by following prescribed coding standards such as ICD-10 and CPT

• Assign appropriate medical codes to all diagnosis and services

• Follow up with insurance companies on claims not paid within 30 days

• Review physician notes and obtain necessary clarifications where necessary

Texas Automated Practice Management 03/09-3/10

• Entered Charges for Internal Medicine Doctor, Family Practice Clinic, and Chiropractor into billing system Medisoft

• Correcting and resubmitting claims rejected from clearinghouse (Availity)

• Called insurance companies on unpaid claims for Chiropractor, Internal Medicine, and Family Practice

• Appealing and submitted corrected claims to insurance companies

• Review statements with patients and answering any questions they have regarding balances

• Data entry (patient demographics and insurance information)

PRS 11/07-09/08

Account Manager/ Medical Biller

• Cpt and Icd9 coding for a Gastroenterologist

• Correcting and resubmitting clearinghouse rejections

• Submitting electronic and paper claims to insurance companies

• Posting insurance payments to patients accounts

• Calling insurance companies on unpaid claims

• Appealing denied claims

• Reviewing statements with patients and answering any questions they had

• Data entry (patient demographics and insurance information)

Dr. Roger Mcneill’s Office 08/05-11/07

Receptionist/Billing Specialist Tomball,TX

• Check in and out patients

• Collect co-insurance, co-payments, and deductibles

• Post payments to patient accounts

• Insurance Verification and Pre-certification

• Answered multiple phone lines

• Scheduled appointments and entered patients demographics in CMED

• Responsible for the CPT AND ICD9 coding for all the in office patients

Hope Digestive & Liver Clinic of Houston 03/03-06/05

Receptionist/Medical Assistant Houston,TX

• Responsible daily to open and close the clinic.

• Responsible for accounts receivable and payable.

• Scheduled appointment and logging in of patients.

• Answered phone calls, order supplies, send out letters and medical information to patient.

• Took patient’s vital signs (height, weight, temperature, blood pressure).

• Called in to pharmacy for patient medication and educating patient on the administration of the medication.

Education:

Remington College 11/02-09/03

Medical Assistant Program Houston, TX

Received Medical Assistant Certificate

GPA 3.62

Additional Capabilities

• Excellent written and verbal communication skills

• Highly motivated personality with positive approach

• Proven ability to speak in a confident and assertive manner

• Exceptional telephone etiquette

Contact this candidate