Medical Billing & Collections

Francisco Diaz

***** ********* **. #**■ North Hollywood, CA. 91605 ■310-***-****

Objective:

Application of teamwork and chemistry that produces an effective positive force to maximize office revenue.

Summary of Qualifications:

oBilingual, fluent in English and Spanish

oProficient in multiple practice management systems and EMR’s, EOB’s, CPT, ICD-10, HCPCS.

oHighly detail oriented with excellent communication skills

oStrong collection skills

oExperience with HMO, PPO, POS, Medicare, DME, and Worker’s Compensation insurances with a strong sense of knowledge of the rules and regulations unique to each insurance type.

Employment History:

Los Angeles Orthopaedic Institute Billing Dept.

Sherman Oaks, CA 5/14/2015-1/13/2017

oPaper Claim Billing

oElectronic Billing via Office Ally

oExtracting Medicare/DME ERA’s & resubmission of corrected claims

oPosting manual & ERA payments

oFollow-up Collections of both Insurances* patients

oWork Comp. SBR Appeal Filings

RFA Filing: Initial & Retroactive

Lee Orthopaedic Institute

Glendale, CA 8/9/2011-05/11/2015

oBiller/Collector

oAdministrator

oCredentialing and Re-Credentialing for all current Physicians

oAccounting/ Banking with Deposits as well.

oAccounts payable

oPatient grievance solutions with both office and the insurance company.

oPatient auditing

oCharge and payment entry

oInitiating authorization request and following the authorizations process from start to finish

oClaims follow up and appeals specialist with a strong sense of passion.

oMaking insurance and patient collection calls – with collection of monies captured.

Answering phones and scheduling appointments as needed

MK Diamond

oInventory control

oShipping and receiving - Supervisor

Frame Factory (Glendale Galleria)

oStore Management in a retail setting

oInventory control

oExpert customer service representative

Direct Patient Solutions

-Shipping & Receiving Supervisor

-Purchasing and Inventory Control

Rent-A-Center

-Credit Department Assistant Manager

-Delivery, Sales/Customer Service

Education:

Glendale Career College 2011

-Medical Office Specialist (Billing and Coding)

-Graduated With Honors

University of Southern California

-HIPPA Privacy Education Program

References Upon Request

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