Mary Quilantan

***** **** ******* **

Houston, TX 77086

713-***-**** cell

acwl17@r.postjobfree.com

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