Medical Billing Service Representative
Resume:
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
*********@*****.***
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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