Medical Billing Case Worker

Maria Fernandez

Hialeah FL *****

Phone: 786-***-**** Email: *********@***.***

Professional Profile

15+ years’ experience in office management, medical insurance, billing and coding

Office Manager with over 15+ years of experience providing administrative support to up to staff members. Adept at organizing meetings, managing inventory, training and supervising staff, and implementing office processes and procedures that expedite work and significantly save costs.

Core Competencies:

Medical Billing and Coding

Conflict Resolution

Delegation

Customer Service

Professional Experience

Cost Control / Resource Optimization

Standard Operating Procedures

Supervising others

Professional Experience

Occupational Medical Center

Office manager & Billing & Coding, August 2004 - Present

Identifies and resolves billing queries/problems..

Evaluates and resolves personnel and systems problems

Possess time management skills and be able to multi task.

Manages and directs the activities and results of the Medical Billing team.

Oversees and supervises medical billers regarding productivity, accuracy, and professional development

Provides direction and oversight to help improve operations, decrease turnaround times, streamline work processes, and work cooperatively to provide quality seamless customer service.

Manages customer accounts and inquiries.

Oversees and ensures accuracy of coding; codes services provided utilizing CPT and ICD-9 coding.

Posts payments and applicable credits to accounts while maintaining balance sheets.

Researches and processes refund requests and overpayments.

Prepares specialized reports and closes month ends for facilities.

Prepares correspondence and/or collection letters.

Communicates with payees to answer questions and provide additional supporting documentation.

Unity Health Care

Medicaid Coordinator, Feb 2002 - August 2004

Financial Interview for Medicaid application process

File Medicaid application/conversions

Follow up with case worker

File fair hearing and attend if necessary

Budget corrections if necessary

Enrollments in mandatory MLTC plans

Educate families about income payments and requesting signatures

Discuss with Private Patients finance options

Guardianship petition when necessary

HMO disenrollments, MLTC enrollments

Additional experience as Store Manager in a different industry.

Education and Credentials

Accounting/Management (1997)

Florida National College Hialeah Campus

Contact this candidate