Billing Specialist Medical
Resume:
Veronica T.
Hernandez
********@****.***
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
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