Maria Rodriguez

MEDICAL INSURANCE SPECIALIST

CAREER OBJECTIVE

Experienced, licensed medical billing and coding manager with 18+ years of experience in leading healthcare companies. Eager to provide your company and its customers with the best solutions for sustained improvements in performance and profitability. Knowledge of EOB, Redetermination forms, POS, Payment Tracer & amp; COB

PROFESSIONAL EXPERIENCE

AR Representative-Insurance Follow Up

Claim Analyst

Member Service Representative

Insurance Eligibility Verifier

E go/Brault Practice Solutions, San Dimas, CA

June 2015–Nov 2021

Ensured that accounts are accurate and ready to be assigned to collection agency.

Made sure patients are not balanced billed in error.

Ran weekly reports, gather data and accounts with all insurances to review balances and make proper adjustments if needed.

Followed up with the agencies with patient payments when required

Assisted with patient services calls with special handling clients. Eligibility Specialist

Appealed, for underpayments, for non-participating providers, timely filing, non-emergent services

Patient Support Services

Intermedix A.K.A Marina Medical Billing Cerritos, CA 90703

Oct 2005–May 2016

Answered patient inquiries, insurance inquires and assist with Attorney requests

Submitted appropriate appeals to denied claims

Billed, Re-bill insurance and updated accounts accordingly

Medical Billing – Coder- Insurance Follow up

Marina Medical Billing

Cerritos, CA 90703

Oct 2005–May 2016

Verified patient eligibility with various insurance carriers

Accurately verified various Doctor signatures, and billed over 250+ charts daily

Commercial, Government, and Workers’ Compensation

Follow up on unpaid claims, obtain and review EOBs, as needed

Abstract patient demographics and insurance information from the Hospital portal

Reviewed and forward accounts to collections, if applicable

CONTACT

Phone

562-***-****

Email

ad2tth@r.postjobfree.com

Address

9911 Beach St. Bellflower, CA 90706

EDUCATION

Compton High School,

CA June 1989

RELEVANT SKILLS

Office Operations

Accounts payable

Medical Billing and Insurance Coding

HIPAA Laws

Communication Skills

CPT and ICD-10 Codes

EBO Correspondence

Microsoft Office

Knowledge of various Insurance policies

Medical Terminology

65 WPM

References available upon request

MR

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