Adeline M. Quintiliano

** ****** ***.

Derby, CT 06418

203-***-****

ad041j@r.postjobfree.com

PROFESSIONAL SUMMARY

I am a motivated Medical Biller with extensive experience in healthcare terminology, billing, and coding. I possess exceptional skills in analyzing and validating patient information, diagnoses, and billing data. Moreover, I have consistently demonstrated accuracy and discretion in processing patient information. EXPERIENCE

Medical Billing Specialist

Optum 360/ United Healthcare Shelton, CT — October 2018 - August 2023

• Entered CPT codes and DX into OnBase and Working Centricity preprocessor, and performed test edits and charge entry.

• Followed up on electronic denials and processed refunds and billing resubmittals to insurance carriers.

• Conducted data entry of patient account records, including address and insurance information. Medical Billing Specialist

Ameripath Diagnostic Shelton, CT — 2006 - 2018

• Utilized comprehensive knowledge of medical billing processes and procedures to accurately code and submit claims for reimbursement.

• Analyzed and validated patient information, diagnoses, and billing data to ensure accuracy and compliance with insurance requirements.

Medical Billing Specialist

Neurological Specialist, p.c Stratford, CT — 2004 - 2006

• Conducted thorough research and investigation to resolve billing inquiries and discrepancies, providing exceptional customer service to patients and insurance companies.

• Collaborated with healthcare and insurance carriers to resolve claim denials and discrepancies, ensuring timely and maximum reimbursement.

Third Party Medical Rep.

Billing TRUMBULL, CT — 2003 - 2004

• Generated and analyzed reports to monitor and manage patient aging, identifying and addressing outstanding balances and delinquent accounts.

• Working at Medistar not only provided me with valuable experience in medical billing, but it also allowed me to grow both professionally and personally, gaining confidence in my abilities and expanding my expertise. Third Party Medical Rep

Dianon Systems Stratford, CT — 2000 - 2003

• Following up on electronic denials.Heavy telephone contact with customer and insurance carriers.Enter data entry on patient accounts.Verified insurance information and obtaining authorization.

• Utilized electronic billing systems and software to enter and update patient account information, including address and insurance details.

Customer Services Rep.

Milford Surgical/ Phils Pharmacy Milford, CT — JANUARY 1996-JANUARY 2000

• Managed customer supply orders for both wholesale and retail clients.

• Verified insurance information and obtained authorizations.

• Assisted pharmacists with customer prescriptions as a pharmacy technician.

• Entered supply orders and patient information accurately. Education

Bassik High School, Bridgeport, CT 1977-1981

• I worked as a Nurse Aid during my last year of high school at Golden Height Manor, a convalescent home.

SKILLS

• Data Entry • Microsoft Products; Windows, Word: Excel, Powerpoint, Onbase Centricity

• Bill Payment

• Medical Billing • Commercial and Private Insurance • Billing and Collection Procedures

• Claims Review/ Processing • Teamwork and Collaboration • Medicaid and Medicare Knowledge