Medical Billing Data Entry
Resume:
DEYSI TORRES
**** ********* ** ****** ** ***** * 323-***-**** * aduln8@r.postjobfree.com
PROFESSIONAL SUMMARY
Knowledgeable Medical biller with an eye for detail and commitment to accurate work. Bilingual professional with expertise submitting medical claims to insurance carriers. Seeking a new position where a strong work ethic and exemplary time management skills will be appreciated. SKILLS
WORK HISTORY
Medical Billing Specialist, 12/2011 to 02/2020
California Business Bureau Inc. – Monrovia, CA
Internship Student, 06/2011 to 09/2011
AEGIS AMBULANCE SERVICE INC – Monrovia, CA
EDUCATION
Certificate: Medical Billing and Coding, 06/2011
Northwest College - West Covina, CA
● MS Office in Microsoft
● MS Office suit (Word, Excel, Outlook)
● Data entry/Data analysis
● Medical terminology expert
● Account receivable management
● Payment posting
● Appeal letter/ Retro Auth submissions
● Billing and Invoicing
● UB-04/CMS 1500 Claims
● ICD-9/ICD-10 HCPC
EPIC, MEDITECH EHR, MEDISOFT, MS400,
AS400A/AS400B
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● Researched CPT and ICD-9/ICD-10 coding discrepancies for compliance and reimbursement accuracy. Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
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● Communicated with insurance providers to resolve denied claims and resubmitted by paper or electronic.
● Reviewed patient records, identified medical codes and created invoices for billing purposes. Oversaw all billing for Medicaid PCA, waiver and skilled claims, Medicare, Commercial and Private pay clients.
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Orchestrated day to day operations of the billing department, including medical coding, payment posting, account receivable and collections.
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Complied with all HIPAA Privacy and Security Regulations to protect patient medical records and information.
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● Analyzed complex Explanation of benefits forms to ensure carriers were charged correctly.
● Trained all new employees.
● Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs.
● Delivered clerical support by handling range of routine and special requirements.
● Answered incoming telephone calls, took down messages and provided information.
● Sorted and organized files, spreadsheets and reports. DEYSI TORRES
DEYSI TORRES
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