Medical Billing Customer Service
Resume:
Manuela Baca-Wilson
***********@*****.***
PROFILE
AR specialist with 17 years of experience, including customer service, accounts receivable, payment-posting, appeals, status calls, and invoicing clients. Strengths include: attention to details, task prioritization, communication, customer service, working in teams and independently, taking initiative. Self-motivated, dedicated fast learner with strong interpersonal skills. SUMMARY OF QUALIFICATIONS
● Billing ● Patient Statements ● Portal Implementation
● Eligibility ● Rejections ● Transmitting Claims
● Collections ● Denials ● Appeals
● Med-Informatics ● Microsoft Office Tools ● ECW
● Medi-Soft ● Athena ● Aprima Software
● HCHB software ● Zirmed ● Availity
EXPERIENCE
Elara Caring, Addison, TX June 3, 2019-Present
Nationwide high quality home-based care
Billing Specialist
● Used HCHB software
● Billed UB04, CMS 1500 claim forms, and private pay invoices
● Utilized Waystar to work rejections, denials, and upload appeals
● Researched and resolved payment discrepancies
● Managed major AR Payer BCBS
● Made patient calls to update patient information needed for claims processing EXPERIENCE CONT’D
Aprima Medical Software Inc., Richardson, TX April 19, 2018 - May 3, 2019 Nationwide leading provider of electronic record (EHR) and practice management (PM) software AR Specialist
● Used Aprima medical software
● Worked appeals, collections, reports
● Contacted patients to resolved unpaid balances and took incoming patient calls
● Took payments, set up payment plans, mailed invoices,
● Looked up LCD diagnosis,
● Utilized Super coder for cross-reference on procedures Family Care Medical Center, Carrollton, TX October 21, 2017 - April 2018 Locally owned family care medical center
Billing Dept.
● Used Medi-soft software
● Interacted with patients, explaining benefits and balances due
● Entered charges, appeals, collections, AR reports, medical records, ERA posting.
● Made status calls
● Took patient incoming calls, posted patient payments, mailed statements Coast to Coast Computer Products,Simi Valley, CA July 2016 - July 2017 A nationwide leading brand name ink toner and IT supplier Sales Rep
● Sales rep, administrative, customer service, data entry, ink and toner sales
●Nationwide calls, formal pricing, quotes, taking orders, credit card payments Sonterra Cardiovascular Institute, San Antonio TX November 2014 - September 2016 Cardiovascular institute, specializing in cardiovascular disease Medical Billing
● Used Athena software
● Resolved billing errors
● Corrected rejections and worked denials.
● Checked for posting accuracy
● Found payer trends
● Checked patient eligibility
● Added new patient demographics to update for billing purposes when needed
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EXPERIENCE CONT’D
TFB Practice Management, San Antonio, TX March 2010- November 2014 Billing solutions performing medical and consulting Medical Billing/AR-Collections
● Added charges
● Worked collections
● Worked AR, claim corrections, and rejections,
● Transmitted claims,
● Worked appeals
● Posted payments
EDUCATION AND CERTIFICATIONS
Ashworth College Aug 2020-present
Working towards a Bachelor’s degree in Business Administration CPR Certified Dec 2018- Dec 2020
Ogle Cosmetology School June 2015-June 2016
Attained Cosmetologist License
Career Point Institute, San Antonio, TX Aug 2003 - May 2004 Medical Secretary Certification (800 hrs.)
International Business College, Lubbock, TX 1989-1990 Attained computer secretary certification
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