Medical Billing Insurance
Resume:
Rosa Tipismana
B.S,
*********@*******.*** (***) 483 - 6057
Professional Summary
Bilingual, efficient specialist medical billing with over 6 years of experience specializing in HIPAA compliance. Specialize in filing accurate claims, adjusting rejected claims and understanding insurance contracts, appeals, and EOBs. Additional expertise in quality control reimbursements, and implementing improved processes to enhance accuracy of business, billing and medical records departments. Certifications
• AAPC - Certified Professional Biller
STRENGTHS
Expert in all process of medical billing Rejected claims HIPAA Compliance Completing appeals ICD 10 coding MIPs Quality
HMOs and Medicare Medicaid CPT and HCPCS coding Problem Solving Medical records management
• Experience in all aspect of medical billing including filing claims, refund requests, re-filing rejected claims, completing appeals and adjusting underpayments.
• Committed to staying up to date with all insurance requirements, including the details of patient financial responsibilities, fee-for service, and managed care plans.
• Ability to communicate well both orally and through writing.
• Ability to adapt in a fast paced and time sensitive environment
• Capable of assisting the client with any issues with the billing.
• Excellent communication, collaboration, and presentation skills. Proven results-oriented problem-solving abilities.
Education
UNIVERSITY OF SAN MARTIN DE PORRES – LIMA, PERU JUL 1990-MAY 1996 NURSING
Work Experience
BETHESDA NEWTRITION AND WELLNESS SOLUTION MAR 2015- FEB 2021 BILLING SPECIALIST
Supervisor’s name: Loreto Albiol, MD
Address:
10215 Fernwood Road, Suite 630
Bethesda, MD 20817
Phone Number: 301-***-****
Hours per week: 40 hours
Yearly Salary: 47K
• Entered procedure and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnoses, and coded narrative diagnoses.
• Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
• Input medical data into billing system.
• Strict monitoring of Insurance appeals and Accounts Receivable balances through collection procedures
• Performed insurance verification, pre-certification, and pre-authorization.
• Responded to staff and client inquiries regarding CPT and diagnosis codes.
• MIPs Quality Measures.
• Provide Medical billing support and training to associates.
• Great customer service experience.
DR LORETO ALBIOL JAN 2013- FEB 2015
MEDICAL BILLING
• Checking insurances.
• Input and submitted claims to Medicare and private insurance.
• Collected, posted, and managed patient account payments.
• ICD-9 and CPT codes.
• EMR.
References
• Loreto Albiol, MD
Medical Director of Manor Care Potomac
• Assistant of Medical Director of Manor Care Potomac Pinky Singh, MD
• Diana Rapalo, RN
Bethesda Newtrition And Wellness Solution
Contact this candidate