Cell: 209-***-****

Email: ad33q8@r.postjobfree.com

Career Objective

A flexible and highly motivated individual who handles pressure well and is willing to make a lasting contribution in the fields of Medical Billing and Coding, Customer Service and Administrative Support. Able to work in a team or on an individual basis and is very organized with a friendly and calm disposition.

Summary of Qualifications

Twenty plus years In-depth exposure to jobs related to Medical Insurance Billing and Coding, Account Receivable and Negotiate Insurance fee schedule.

Three years – Medical office Supervisor Oversee employees' performance, provide guidance, support, identify development needs, and manage the reciprocal relationship between staff and the organization so that each is successful.

Obtain prior authorization of patient medication.

Coordinate patient education on how to take and administer medication.

Key Competencies:

Efficient and multi-tasked person

Ability to work in a multi-cultural setting/environment

Team Player - eager to take on challenges and work as part of a team

Strong interpersonal skills - optimistic, enthusiastic, and outgoing

Ability to adapt in a fast-paced and challenging work environment

Outgoing and very friendly

Positive attitude

Experiences

The Arthritis Center Office Manager /Medical Assistant/Medical Biller and Coder February 2001 to present Pleasanton, California

Coordinated and oversee scheduling, supervising, and development of front office receptionists.

Planned and executed staff training and meetings.

Assist in the back office procedures, etc. IM and subQ injection, office procedures and patient education training.

Attends to/assists patient in their medical needs such as vital signs, wound dressing.

Knowledgeable of emergency procedures as set by the Company.

Performs office routine duties such as office maintenance, responding to emails, and assisting in the proper handling the patient medical needs.

Directly handles Insurance contracts, company operations, prior authorization and more.

Billing:

Medical billing and coding

Perform posting charges

Perform completion of claims to payers

Conduct duties in a professional and timely fashion

Submit billing data to the appropriate insurance providers

Process claims

Send invoices and account updates to clients

Keep an accurate record of client accounts and outstanding balances

Receive, sort, and track incoming payments.

Validate debit accounts to ensure the credibility of payments.

Issue receipts for received payments.

Resolve denial instances

Achieve maximum reimbursement for services provided

Do Medicare reviews

Private Insurance reviews

Conduct audits

Process account receivable

Process account payable

Run monthly statements

Collect payments

Appeal insurance denials

Appeal under code claims

Kronos Front desk Receptionist Pleasanton, California

Answers and directs phone calls in a courteous and professional manner

Greets residents, visitors and vendors with a smile.

General typing, filing and monitoring of office supplies.

Trivalley Physician Supervisor Pleasanton, California

Direct, supervise and evaluate work activities of medical assistants, clerical, service, maintenance, and other personnel. Maintained communication between physician and medical staff.

Coordinating staff schedules, monitoring the performance of employees and the facility, and ensuring compliance and achievement of departmental goals.

Manages the day-to-day workflow of clinical staff.

Education

Guagua National College, Pampanga Philippines.

Earned a Bachelor of Science Major in Elementary Education

Andon College, Stockton, California. Graduated

Medical Assistant, Certified Phlebotomist, and EKG Tech Certification

License Vocational Nurse

CRA (Certified Research Associate)

Computer Literacy

MS Word, Excel, Office Works, Outlook and Expertise in World Wide Web

References available upon request

Leonie Q. Pena

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