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Medical Billing Customer Service

Location:
Yonkers, NY
Salary:
57000.00
Posted:
November 07, 2022

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Resume:

Luz “Lucy” N. Bonilla 646-***-**** *********@*****.***

Yonkers, NY 10705

MEDICAL INSURANCE SPECIALIST

Dutiful, determined professional with more than 15 years’ experience in healthcare field and special expertise in medical billing and collections. Engage excellent knowledge of medical terminology as well as superior critical thinking and assessment skills to secure authorizations, code and submit claims, and respond to denials. Adept in multitasking and prioritization within fast-paced, patient- driven settings. Bilingual in English and Spanish. AREAS OF EXPERTISE

Medical Billing

Revenue Cycles

Claims Coding

Denial Investigation

Issue Resolution

Collections Processes

Account Reconciliation

Administration

Patient Relations

Cross-Team Coordination

Insurance Authorizations

Documentation & Records

Customer Service

Software

NextGen Epic

QuickBooks

Microsoft Office

Property Manager

EDUCATION

Lehman College, Bronx, NY

College Coursework, Pre-Dental

SERVICE

Volunteer for Yonkers Hispanic Culture

Foundation, 2016 – Present

PROFESSIONAL EXPERIENCE

Old Iron Management, LLC, Bronx, NY 2019 – 2021

Property Manager

● Oversee property management office while managing monthly invoicing for 60+ tenants, collecting rents, tracking payments, and reconciling accounts.

● Promoted positive relations with diverse tenants while responding to issues; leveraged Spanish language fluencies to translate documents and relay information. White Plains Medical Services, Harrison, NY 2018 – 2019 Authorization & Referrals Coordinator

● Followed protocols for securing insurance referrals as well as authorizations for medications, scans, and procedures, including MRI, CT, PET testing.

● Proactively followed up on outstanding insurer issues to minimize delays.

● Recognized as top producer in department across all metrics; selected to train new hires based on stellar performance.

ENT & Allergy Associates, Tarrytown, NY 2002 – 2017 Hearing Aid Coordinator

● Worked directly with patients and audiology team to assess hearing aid benefits, submit insurance approvals, and coordinate fittings.

● Diligently handled processing of all accounts receivable reporting for audiology claims, and processed patient refunds to rectify overpayments.

● Excelled in newly created role requiring excellent communication and coordination skills. Operations Representative

● Supported daily administrative processes in close coordination with COO.

● Spearheaded projects to migrate patient data following acquisition of area practices. Surgical Collections Collections Representative

● Facilitated collections processes for surgical and other claims, utilizing billing systems to enter CPT codes and modifiers and submitting claims to insurers.

● Ensured timely submission of appeals in response to denials, adjusting CPT codes or providing additional documentation as warranted.

● Produced past due account reports for submission to patient billing teams.



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