Medical Billing Office

CYNTHIA GARZA

** ***** **. ********, ** ***** 207-***-**** ****************@*****.***

Professional Summary

Attentive, task-focused and responsible medical billing and coding professional with superb attention to detail and service-oriented sensibilities seeking challenging and rewarding opportunities in the healthcare industry.

Consistently strives to deliver the highest standard of quality service.

Impeccable attention to detail with focus on thoroughness and accuracy.

Deftly handles multiple job functions simultaneously while maintaining a high quality standard.

Possesses an ability to adapt to new situations and learn new processes with ease.

Skilled at all front office administrative job duties and types 57 WPM.

SKILLS SUMMARY

Soft Skills: Highly Efficient, Dedicated, Loyal, Patient, Caring, Punctual, Motivated, Communicator, Active Listening

Technical Skills: Electronic Health Records (EHR), Electronic Medical Records (EMR), Greenway PrimeSuite, Word Processing, MOSS, MediSoft, CLAIMS, Cerner, Xclaims, Typing: 57 WPM

Clinical Skills: Medical Billing, Medical Coding, ICD-9-CM, ICD-10-CM, HCPCS, CPT 2012, Managed Care (HMO, PPO, and POS), Government Payers, Third Party Payers, Centers for Medicare and Medicaid Advantage MSP, CMS 1500, CMS 1450 (UB-04), Tricare, EOBs, Meaningful Use, HIPAA Compliance, SuperBills, Medical Terminology, Disease Processes, Anatomy & Physiology, Rural Community Health Billing, Critical Access Hospital Billing, Claims Denials, Payment Posting, Ancillary Claims

Administrative Skills: Worker’s Compensation, Payment Posting, Revenue Cycle Management, Scheduling, Insurance Verification, Insurance Billing Procedures, Insurance Claim Processing, Practice Management, Medical Office Procedures, Co-Payments, Deductibles, Co-Insurance, Reimbursement Methodologies, Fee Schedules, Inpatient & Outpatient, Physician, Facility Billing, Administrative Support

WORK EXPERIENCE

Central Maine Medical Center – Lewiston, Maine 2012-2018

Medical Billing

Enters data electronically to process charges, payments, claim denials, ancillary claims and adjustments.

Responds to patient inquiries and needs by editing, canceling and rescheduling appointments as necessary according to business standards.

Documented hospital inpatient and outpatient billing and claims using Xclaims software.

Prepared and submitted clean claims to various payer types both electronically and by paper.

Physicians’ Professional Management Group Perse Technologies – Lewiston, ME 2005 – 2006

Patient Accounts Representative / Accounts Receivables

Assisted patients in obtaining services, understanding policies and making health care decisions.

Coordinated communication between patients, family members, medical staff, administrative staff, and regulatory agencies and referred patients to appropriate health care services or resources.

Entered patient information into database, processed medical charges and posted insurance payments.

Managed accounts receivable and kept track of payments.

Additional Experience

Home Depot – Auburn, ME 2006 – 2012

Store Associate / Cashier

Greeted customers in a professional manner as a direct contact representing the company.

Recommended and assisted customer in locating merchandise within the store.

Computed sales prices and totaled purchases, processed cash and credit payments using a point of sales computer system.

Maintained knowledge of current promotions, policies regarding payments and exchanges, merchandise on hand and security practices.

Education

Ultimate Medical Academy

Health Science – Medical Billing and Coding / Associate of Science, 2012 (GPA 3.79)

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