Billing Specialist Claims

Martha Moreno

Phone: 520-***-****

***********@*****.***

Profile

A hard working and dedicated individual, with proven work experience in various professions, seeking a long term employment opportunity.

PROFESSIONAL EXPERIENCE

Concentra St. Mary’s*Tucson, AZ October 2021 – October 2022

Pharmacy Claims Specialist

Work on denials appealing claims

Take calls from employers to receive payment for invoices

Work from the rebill report, to resend the claims

Work from the aging report, to resend the claims

Pima Pain Center * Tucson, AZ January 2020 – August 2021

Medical Records

●Sent authorizations for prescriptions

●Asked for approvals before sending to records to pain management

●Sent requested records of patients to corresponding destination

●Invoiced Lawyers when they requested records of patients

Alvernon Optical * Tucson, AZ * December 2018 – January 2020

Billing Specialist

●Print EFT’s/EOB’s to reconcile payments

●Called Insurances for claim status

●Billed the insurances

●Stamped incoming billing logs/eye glass files

Southwest Human Development • Phoenix, AZ • February 2017–March 2018

Data Assistant

●Intake of info parents living in the service areas.

●Send weekly reports to Managers and Teachers

●Doing updates in children’s accounts

●Enrolling and terminating children

●Checking the attendance of children

Arizona Rheumatology • Phoenix, AZ • July 2016–January 2017

Billing Coordinator

●Call insurances on follow ups of claim status

●Verifications of patient’s eligibility

●Corrections of claims and submit them

●Answer patient’s questions of their account

Child Parent Centers*Tucson, AZ*April 2008-May2016

●Prepared administrative reports and assisted with attendance reports

●Responsible for organizing and monitoring files

●Assisted with registrations for children

●Reviewed and answered questions and correspondence

●Excuted daily operations of general office duties

●Assisted center manager with center projects

EDUCATION

Graduated 1994 • Nogales High School • Nogales, AZ

Graduated 1995 • Chaparral College • Certificate in General Office • Tucson, AZ

Graduated 2007 • University of Phoenix • Bachelor of Arts in Business Administration • Nogales, AZ Graduated 2015 • Brookline College • Billing & Coding • Tucson, AZ

●Microsoft Word, Excel, PowerPoint, Publisher, Outlook, Childplus, Internet faxing, answer multi-phone lines, printing, scanning and copying

●Effectively communicate and interact with individuals of all levels

●Work well in a high pressure environment, demonstrated accuracy, attention to detail and in a team environment, calling center with high volume calls.

●Bilingual English/Spanish fluent read, write, and speak

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