Billing Representative Medical
Resume:
Margarita De Anda
Wichita, KS *****
***************@*****.***
Authorized to work in the US for any employer
Work Experience
Document Imaging
Wesley Medical Center - Wichita, KS
July 2020 to Present
• Prepare medical records and loose documents for scanning
• Scan and Index medical record documents into HPF/MPF
• Perform a paper document to PC screen quality control validation to ensure that all documents associated with each record have been scanned
• Facilitate daily maintenance of scanning equipment and Assist with post -scanned document retention Billing Representative
AMS LABORATORIES - Wichita, KS
October 2018 to February 2020
Confirmed insurance coverage, Determined necessity for pre-authorization. Communicated with patients and practitioners regarding financial responsibility and insurance coverage Maintained detailed documentation in the patients account record of all billing activities Researched analyzed and reconciled Medicare/Medicaid billing and reimbursement practices
Billing Representative
Lifewell Behavioral Wellness - Phoenix, AZ
January 2018 to August 2018
Prepared insurance claims and invoices for electronic and paper base submission Entered payment denials, co- payments, etc. into the EHR system, both electronically and paper Worked on weekly claims report including but not limited to: Bill in error, Unbilled claims, and Pre bill reports Researched insurance and AHCCCS enrollment issues
Electronic Health Records Technician
Mountain Park Health Center - Phoenix, AZ
March 2017 to January 2018
Scanned Medical Records into ECW system (E Clinical works) Completed medical request from patients Physicians and other agencies Recorded proper identification and medical release forms when medical records were requested Worked on faxes from various facilities
Resource Staff Support
Rio Salado Behavioral Health Systems - Phoenix, AZ March 2014 to February 2017
Assisted with any and all audits relating to Rio Salado Researched and corrected service tickets
Maintained file system
Performed routine and varied clerical duties
Administrative Assistant
Sodexo - Garden City, KS
September 2013 to February 2014
Performed routine clerical duties
Prepared issued and sent out receipts, Bill's, policies, invoices as well as other various statements Received counted and deposited cash as needed
Photo copied complying information for new hires
Health Records Clerk
Discovery - Garden City, KS
September 2011 to August 2013
Completed release of information request submitted by patients, attorneys, and other health care facilities Met deadlines in a timely manner
Recorded and filed patient data
Demonstrated knowledge of HIPPA Privacy and Security Regulations Patient Care Technician (PCT)
St. Catherines Hospital - Garden City, KS
October 2008 to November 2011
Read and recorded Patient vitals
Completed and submitted clinical documentation
Support duties such as setting up for Patient deliveries and for new born circumcisions Cared for mother and new born
Education
Certificate of Completion in PCT
Garden City Community College - Garden City, KS
August 2008 to October 2008
Certificate of Completion in Medical
Apollo College - Phoenix, AZ
January 2000 to September 2000
High school Diploma
Casa Grande Union High School - Casa Grande, AZ
September 1987 to May 1991
Skills
• Familiar with 10 key, Scanners, Fax machines and Multi phone lines, knowledge of billing / claims procedures and practices, Knowledge of computer software including MS Word and Excel, Familiar with ICD-9 and ICD-10 codes, Familiar with medical terminology
• Medical Office Experience (10+ years)
• eClinicalWorks (3 years)
• Medical Billing (3 years)
• CPT Coding (5 years)
• EMR Systems (5 years)
• Insurance Verification (10+ years)
• Medical Records (10+ years)
• Data Entry (10+ years)
• HIPAA (10+ years)
• ICD-10 (5 years)
• Microsoft Office
• Administrative Experience
• Multi-line Phone Systems
• English
• Microsoft Word
• Medical Coding
Assessments
Electronic Health Records: Best Practices — Completed May 2020
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use. Full results: Completed
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
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