Medical Billing Insurance
Resume:
Mary Quilantan
Houston, TX 77086
713-***-**** cell
*****************@*****.***
I am a highly motivated professional with strong organizational skills and extensive business practice experience. With more than 10 years in the medical field, seeking a position as a medical coder and/or billing specialist position within a growth oriented organization that will present challenging opportunities allowing me to build upon my extensive experience in the healthcare industry. The ideal position would be within the Houston area with diverse and exciting career options within a single company and allowing me to maximize the value I can deliver to my employer over time.
PROFICIENT IN
Windows - MS Office - Microsoft Word –Medisoft- VeinSpec EMR - scanning – filing – email - typing (50 wpm) - Bilingual - accounts receivable – multi-tasking
EXPERIENCE
Texas Vein & Cosmetic Specialists; Houston, TX 1/2010-current
Medical Billing Administrator (for Dr. Michael Bardwil)
Check patients in/out
Collect co-pays, deductibles & coinsurance
Counsel patients on financial responsibilities based on their insurance benefits
Answer phones
Schedule appointments/surgeries
Data entry/scanning paper charts for EMR
Insurance verification and precertification
Prepare charts for next day’s clinic and confirm appointments
Manage account receivables
Maintain all billing aspects for accounts including charge entry, payment posting, refund analysis, electronic claims submission of Medicare, Medicaid, and commercial payor claims, electronic acceptance/rejection reports, electronic payment posting, review of CPT coding and ICD9 coding
Insurance claim follow up, reviewed payments for under paid contracted amounts
Prepare and submit written appeals on denied or underpaid claims
Houston Medical Records; Houston, TX 3/2008 – 1/2010
Medical Billing & Coding Specialist (for Jennifer Balbuena)
Manage account receivables for specialty physicians that include family practice and internal medicine
Maintain all billing aspects for accounts including charge entry, payment posting, refund analysis, electronic claims submission of Medicare, Medicaid, and commercial payor claims, electronic acceptance/rejection reports, electronic payment posting, review of CPT coding and ICD9 coding software
Execute monthly bank reconciliations and daily deposit worksheets
Insurance claim follow up, reviewed payments for under paid contracted amounts
Performed daily and monthly balances and closes and produced month end reports
Prepare and submit written appeals on denied or underpaid claims
Serve as liaison between physician practices and billing office
Solely responsible for billing out revenues of $240,000.00 and collection of said revenues of $98,000.00
Review medical records and compare to charges billed to insure all services provided are billed
Quilantan, Mary
Resume – page 2
Salazi Medical Clinic; Houston, TX 12/2002 - 3/2008
Front Office/Billing Coordinator (for Dr. Salimah Cumber)
General office and clerical duties
Answering busy phone lines/phone triage
Schedule patient appointments
Maintain doctor’s personal schedule
A/R collections
Analyzed accounts for underpayments of claims; compared contracted amounts to payments received to identify contract underpayments
Insurance verification/precertification/billing/coding
Posted payments and charges
Phoning refills or new prescriptions as authorized
Insurance claim follow up
Submitted appeals to insurance companies for identified underpayments
EDUCATION:
Texas School of Business
Medical Billing Specialist– 2002
Northbrook High School
High School Diploma – 2001
REFERENCES:
Available upon request
Contact this candidate