Medical Billing Customer Service

Cristina Romero

**** ***** ** **** *, Downey, CA 90241 213-***-****

*********@*****.***

Objectives

To continue building on my career within managed care, utilizing my education and previous experience in providing outstanding customer service and claim expertise skills. Skills

-Fluent in English and Spanish -Able to read medical claims (UB04 and CMS 1500)

-Proficient in Microsoft Word and Excel -Strong knowledge in CPT, HCPCS, and ICD-10 CM coding

-Efficient in Data entry (10-key) -Insurance billing, EMR, and ECW clinicals

-Medical Terminology and Anatomy -Well organized, hard worker, and dedicated team player Experience

La Verne Medical Group

Medical Biller March 2021 – Current

Preparing, reviewing, and transmitting claims using billing software.. Following up on unpaid claims within the standard billing cycle time frame. Reviewing patient bills for accuracy and completeness and obtaining any missing information.

AME Medical Group and Urgent Care

Senior Billing Consultant July 2019- March 2021

Billing and collections for all locations. Insurance verification and authorization for services provided. Responsible for setting up patient payment plans and work on patient account collections. Sending out monthly collection letters to collect on past due balances.

United Health Group

Provider Relations Representative September 2007- November 2018 Responsible for serving as a mentor to claims projects as well as providing subject matter expert support to processors, load-balancers, trainers, supervisors, and managers. Provide additional support for specific claim or provider issues, working with Adjustments, High dollar QA, Provider and Hospital advocates. Tenet Healthcare

Account Specialist January 2006- September 2007

Respond to all correspondence, communication and/or verbal inquiries from all relevant parties. Document and work collection accounts. Maintain and organized unit to handle high volume claim issues. PacifiCare Health Systems

Customer Service Associate May 1999- January 2006

Customer service associate to research and audit claims. Handle high volume of claims to determine eligibility and payer liability.

Education

Downey Adult School Downey, CA Medical Billing and Coding 2019 Warren High School Downey, CA Graduated 1994

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