Carmen V. Reynoso

Visalia, Ca ***** 714-***-****

SUMMARY

Experience medical biller and medical collector with background in pain management, skilled nursing, emergency room, chiropractic, and durable medical equipment. I have over 15 years of experience managing information in different database systems, verifying complex data, inputting figures into client database at a quick pace, and maintaining the confidentiality of sensitive material. I am a team player seeking a role offering increased responsibility.

EDUCATION

Wilshire School – High School 2005

American Career College 2007

Home Care Aid License# 751-***-**** 2018

EXPERIENCE

2020-02/ Current- Maximus SR Admin- Assessments

2019-12/ 2021- 08 County of Tulare- Patient Accounts Representative

Mental Health HHSA

Data Entry

HIPPA compliance

Documentation

Knowledge of HMO’s, Medicare, PPO, Workman’s compensation, and Medi-Cal

In-dept claims knowledge claims analysis and review specialist

A/R claim follow up

Resubmission of electronic claims and resolving EDI and clearing house issues

payment posting

assisted and worked closely with insurance eligibility verification, authorization team, payment posting, medical records and accounting team

2018-08 / 2019-12 Adventist health hospital- Patient Accounts Representative

Emergency Room

data entry

verifying demographic

setting up account for billing

insurance verification

eligibility verification

pre-authorization request start up process

2005-11 /2017-06 Caremeridian- Billing specialist and AR Collections

Oversaw daily billing department functions including medical billing, charge entry, payment posting and reimbursement department.

Experienced billing in mental health, acute care, and skilled nursing facilities

Claim follow up

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