Medical Billing Data Entry

Wendy Velasquez

626-***-**** *********@*****.***

PROFILE SUMMARY

A competent, committed and knowledgeable Healthcare Administrator with strong experience in overseeing daily administrative functions and ensuring compliance.

Medical billing and coding specialist with over 5 experience in health operations management, billing, and coding. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.

CORE QUALIFICATIONS

● Knowledgeable in healthcare administration as well as strong knowledge of medical terminology

● Creative and strong problem-solving skills to handle issues related to staff and administrative duties

● Bilingual in English and Spanish

● Strong organization and prioritization skills as well as ability to handle multiple tasks simultaneously and within tight deadlines

● Highly skilled in analyzing and validating patient information, diagnoses, and billing data.

TECHNICAL PROFICIENCIES

● ICD-9 and ICD-10 Coding

● Review records for completeness, accuracy, and compliance with regulations

● Knowledge of administrative and clerical procedures

● Strong data entry skills as well as ability to maintain high level of confidentiality of sensitive information

● Medical Records Management

PROFESSIONAL EXPERIENCE

Medworks, Covina CA,

●Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.

●Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered.

●Accurately input procedure and diagnosis codes into billing software to generate invoices.

●Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.

●Follow up on past due invoices and delinquent accounts to reduce the number of unpaid and outstanding balances.

●Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.

●Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.

EDUCATION

High School Diploma

Palmdale High, Palmdale High,CA

Medical Insurance Billing and Coding Certificate

Graduated from Medical Insurance Billing and Coding program with a 3.9 GPA

North-West College, West Covina, CA

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