Veronica T.

Hernandez

630-***-****

adv1jf@r.postjobfree.com

Aurora, IL 60506

SUMMARY

Accomplished Billing Specialist offering well-honed account management experience. Leverages excellent organizational and problem-solving skills to maintain billing and increase account collections. Collecting, posting and managing account payments. Independently handles billing needs and administrative functions. Reviews contracts and other documents to bill correct amounts.

SKILLS

Self-motivated Extremely organized

Data management Project

management

Budgeting and finance Strong verbal

communication

Medical Billing and Collections

Billing Dispute Resolution

Audit Procedures

Accounts Receivable Expertise

Medical Transport Billing

Verbal and Written Communication

Account Posting

Billing Data Verification

Error Revision

Billing and Invoicing

Discrepancy Resolution

Deadline Adherence

Team Collaboration

Spreadsheet Tracking

Microsoft Office

EXPERIENCE

Billing Specialist

Naperville, IL

Symetria Recovery/ Jan 2020 to Current

Grouped and create claims from charge codes in KIPU software to transfer to CMD clearinghouse.

Completed efficient drop and bulk filing to maintain well-organized and easily accessed systems.

Processed and sent invoices, adjustments and credit memos to customers. Performed insurance verification daily.

Submitted claims to insurance companies.

Trained new team members on company policies and billing systems to keep team operations productive and efficient.

Submitted claims to insurance companies.

Revenue Cycle Management Specialist

Aurora, IL

DAS Health/DAS Talent LLC, MECS Billing Services LLC/ Sep 2005 to Oct 2019 Performed all full cycle billing functions for multiple physician offices across specialties Worked claims for Medicare, Medicaid and commercial payors including BCBS, Aetna and Humana (HMO/PPO/MCO)

Called insurance companies to follow up on open and denied charges Confidently and adeptly handled claim denials and/or appeals Corrected rejected claims and resubmitted to insurance Balanced charges and posted payments daily (electronically and manually) Verified patients' eligibility and claims status with insurance companies via payor sites and Availity

Entered charges, payments and ERAs into Medisoft

Researched questions and concerns from providers and provided detailed responses Maintained strict patient and physician confidentiality Utilized CPT, ICD-9, ICD-10 (including modifiers) coding principles, government regulation, protocols and third-party requirements regarding billing Utilized various coding books, procedure manuals and on-line encoders to update/correct medical coding

Submitted electronic/paper claims documentation for timely filing Responded to correspondence from insurance companies Posted and adjusted payments from insurance companies Reviewed and resolved claim issues captured in edits at the clearing house Printed and reviewed monthly patient aging report and solicited overdue payments Prepared billing correspondence and maintained database to organize billing information

Ran monthly reports for physicians that show total charges and payments for current month

Interacted with providers and other medical professionals regarding billing and documentation policies and procedures

Answered patient calls (English and Spanish speaking patients) Office Manager/Medical Assistant

Aurora

Aurora Medical Clinic/ Jan 1997 to Oct 2005

Managed office (front and back)

Helped Physicians with minor office procedures

Balanced daily monies and kept inventories

Contacted insurance companies to confirm eligibility and benefits Interpreted for Spanish speaking patients

Billed insurances

Obtained referrals and pre-authorizations for patients EDUCATION AND TRAINING

Certificate: Medical Billing

Stratford Career Institute Jan 2006

LANGUAGES

Fluent in Spanish and English

LANGUAGES

English:

Full Professional

Spanish:

Full Professional

Contact this candidate