Medical Billing

ALENA PEREZ

*** ********** ******, *******, ** 95380

Email: ***********@*****.***

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

EXPERIENCE October 2019 – Present

Warehouse Associate, Amazon

Handle various warehouse activities using strict guidelines. Expected to understand aspects of production; adhere to strict safety, quality, and production standards. Receive products using radio frequency scanners, relocate products using forklifts or pallet jacks. Inspect products for defects and damages. Trained in picking, sorting and packing. In a timely manner pull and pack merchandise from a multi-level mezzanine to fulfill orders. Ensures orders are handled timely and efficiently and customer’s service standards are upheld. Perform additional production duties as needed: stow product, ensure inventory accuracy, and unload/load trucks at or above the rate expectation for each task. Keep warehouse clean and organized daily;

January 2018 – May 2019

Patient Accounts Collector, Golden Valley Health Centers

Maintain confidentiality pertaining to patient care. Maintain telephone etiquette with patients, third parties, and public which reflect an image of dependability, competence, firmness and politeness. Demostrates cooperation/teamwork by participating in achieving team goals as well as departmental goals. Demostrate knowledge of insurance payer types, i.e. financial class and insurance carriers. Demostrates knowledge of proper coding and processing of in-coming explanation of benefits and remittance advice from payers. Demostrates good judgement and decision making on claims follow-up. Ability to process the required number of claims per work week. Competenly produces open aging items reports for follow-up accounts balances over 120 days in accounts receivable. Competently corrects failed claims edits. Demostrates ability to re-open failed claims daily. Competently writes off account balances exceeding specific programs bill limitation. Demostrates ability to determine account credit balances and the proper correction process. Demostrates ability to coordinate patient payment plans and follow-up. Demostrates working knowledge of electroinc claims submission and electronic remittance download. Demostrates self-motivation to work independently with minimal work instruction and assist in other job duties assigned.

June 2016 – July 2017

Medical Billing Specialist, MedAmerica

HIPPA Compliance and Quality Assurance. Performs data entry. Responsible for billing insurance claims in a timely and accurate manner. Contacts insurance companies and patients regarding outstanding accounts. Performs pre-verifications with insurance companies to determine where to send claim, via the phone or by running on-line eligibility.

Determines and assigns financial classification (mini-coding). Receives patient calls and resolves them in a professional manner leaving the caller with a positive impression of MBSI. All documentation of patient interactions must be in a concise and professional manner. Re-processes denied claims and appeals underpaid claims.

Must utilize critical thinking skills to determine if payer is in violation of contract terms or legal obligation to pay. May be expected to research payments to patient accounts following appropriate payment posting procedures. Performs miscellaneous duties as assigned including but not limited to pulling documents from filing cabinets or boxes in the warehouse, photocopying documents and logging and attaching of documents

April 2004 – 2014 and January 2015 – December 2015

REMOTE MEDICAL BILLER, American Medical Reponse/Centrex Revenue Solutions

HIPPA Compliance and Quality Assurance. Patient Advocacy. Insurance eligibility and verification (Private pay and Government pay). Billing and coding patient reports. Patient account management. Coding and Claims submission. Accounts Receivable

EDUCATION SAN JOAQUIN VALLEY COLLEGE, Modesto CA

Certification/Associates

Currently studing for Medical Billing and Codding

ANDON COLLEGE, MODESTO CA

DIPLOMA

• Studied for Medical Office Specialist

• 3.5 GPA

• Excellent attendance

VALLEY OAK HIGH SCHOOL, OAKDALE CA

DIPLOMA

• Studied for Medical Office Specialist

• 3.5 GPA

• Excellent attendance

SKILLS

• Types 65+ WPM/10-key

• MS Word/Excel

• Medical Office procedures

• Insurance Billing

• Medical terminology

• Data Entry

• NextGen

• Use of electric forklift

• Use of scanner

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