Medical Billing Data Entry

Sandra Acosta -Warzynski

Medical Biller and Coding Professional

Certified Medical Coding and Biller

Medical Billing and Coding

PCI College - Los Angeles, CA

Work Experience

Billing Specialist

South Palm Orthopaedics - Delray, FL

May 2021 to Present

•Responsible for entering Physical and occupational therapy daily charges.

•Prepare surgery operative reports and forward to billers.

•Enter new patients’ demographic information, update address or insurance. Information.

•Post and managed insurance and patients’ payments.

•Utilizes EHR to file medical records, documents etc.

•Obtain elective surgery authorizations.

•Process requested medical records from insurance companies

•Verify insurance eligibility .

•Process cash and credit card payments.

•Follow up on outstanding claims within cycle period.

Insurance Representative

Holy Cross Hospital - Fort Lauderdale, FL

February 2020 to May 2021

oVerify Insurance Benefits

oVerify ins Insurance authorizations

oMake outbound phone calls to doctors’ offices to resolve any issues with the authorizations.,

oCpt codes ICD10

Patient Care Assistant

Contract (Regent Park Nursing Home) - Aventura, FL August 2019 to February 2020

Pick up Patient medical records from nurse station.

Pick up Patient from their room and take it to doctor’s office for an appointment.

When Doctors appointment is finished, I return with patient to Nursing home

Medical Coder and Biller Tri-City Medical Center - Vista, CA February 2017 to 2018

Insurance/ Patient Billing - total claims process, resolves NCCI edits

Coding - Ensures accurate coding for physicians’ diagnosis and procedures, assigns proper modifiers based on guidelines. Maintains accurate and complete EMR's.

Audits/Compliance - claims follow up, rebilling, collections, quotations. Translates to Spanish patients.

Utilizes EHR for any documentation needed to support claim.

Scheduler

Pinnacle Imaging Diagnostics - Miami, FL 2014 to 2014

•Scheduling appointments

•Obtain Authorizations

•Check Patient Eligibility

•Answer Phones

Billing Coordinator

Jeffrey P. Bernicker M.D Medical Corp - San Diego, CA 2005 to 2011

•Responsibilities encompassed all aspects of client and insurance billing

•Negotiated claims, received, and posted payments

•Processed data related to client depositions and surgery

•Managed billing, re-billing, and bi-weekly deposits

Skills

•Medical Billing

•Medical Insurance

•Medical Coding

•CPC

•DME

•Data Entry

•ICD-9

•CPT Coding

•ICD-10

•Medical Collection

•Medical Office Experience

•Microsoft Office

•Excel

•Accounts Receivable

•Accounts Payable

•Hospital Experience

•Insurance Verification

•EMR Systems

•Microsoft Excel

•Clerical Experience

•Medical Terminology

•Customer Service

•Microsoft Outlook

•Medical Records

•Anatomy Knowledge

•HIPAA

•Experience Administering Injections

•Medical Scheduling

•ICD coding

•Medical receptionist

•HCPCS

•Phone etiquette

•Documentation review

•Auditing

•Patient care

•Ten key calculators

•Medicare

•Laboratory experience

Certifications and Licenses

Medical Billing and Coding

November 2013 to Present

Assessments

Medical Billing — Proficient

October 2019

Understanding the procedures and forms used for medical billing. Full results: Proficient

Attention to Detail — Completed

October 2019

Identifying differences in materials, following instructions, and detecting details among distracting information.

Full results: Completed

Electronic Health Records: Best Practices — Completed

October 2019

Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Completed

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