Medical Customer Service

Nornacis JusinoCruz

**** ****** ***** **. ********* FL, 34747 407-***-**** **************@*****.***

Objective

Seeking a position as a Physician Coder/Medical Biller where I can utilize my extensive medical office operation and system experience, strong organizational abilities, demonstrative quality communication skills and customer service.

Experience

FREELANCE CODER/MEDICAL OFFICE ASSISTANCE VARIOUS 12/2013 – 3/2016

Audit documents for accuracy of codes based on established billing guidelines and completeness of charges/diagnoses by Physicians. Audit patient information in IMBS to determine if adjustments are valid; process additional approvals if required. Educate physicians with any change in Coding Guidelines.

Act as liaison between medical facilities and insurance carriers, assist with claims and denials. Process physician and insurance alterations. Regular use of ICD-9-CM, CPT-4 diagnostic and procedural codes, DRG and APC assignment analysis.

Process registrations, Check In/Out, Insurance Verifications, and Referral Authorizations.

PHYSICIAN CODER ORLANDO HEALTH ORLANDO HEALTH 5/2011 – 9/2013

Reviews medical record and codes physician’s services utilizing CPT and ICD 9 in Pediatric Orthopedics, Endocrinology, Palliative Care, Genetic, Rheumatology, Gastroenterology, Physiatrist, Cranio-maxiofacial Dental and Adult Family Care.

Verified billable physician services by auditing physician documentation.

Maintained a minimum of 90% accuracy and higher.

INTERNAL MEDICINE CODER AMERICAS MEDICAL CENTER 12/2003 – 5/2011

Negotiate Insurance contracts, ensure insurance company pays proper amount billed

Control financial aspects including but not limited to petty cash, office supply expense accounts, customer credit lines, credit accounts with vendors. Process Accounts Receivable and Accounts Payable.

Skills & Abilities

Knowledge of Medical Billing, Medical Terminology, Medical Pharmacology, Medicare and Medicaid billing requirements, HIPAA and other applicable regulations associated with medical billing and collections.

Several software’s

COMMUNICATION

Bilingual: English and Spanish

Education

ASSOCIATE OF SCIENCE 2006 EVEREST UNIVERSITY

Major: Medical Billing

TECHNICAL DEGREE 1991 PONCE PARAMEDICAL COLLEGE

Major: Respiratory Therapy Technician

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