Insurance Specialist Medical Billing

ANGELA HERNANDEZ

Rockwood, MI *****

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

313-***-****

To obtain a position within a professional organization where I can utilize my customer service skills, outgoing people skills, and demonstrate my commitment to perform quality work. In short, I am looking to establish that I am willing to go the extra mile, whether the task is big or small, to prove my dedication within an exciting and challenging industry. Focused and meticulous Medical Billing and Coding Specialist with an extraordinary eye for detail and a strong customer service ethic. Adept at working independently or as part of a medical office team. Able to handle extremely high volumes of paperwork quickly and accurately.

· Pleasant demeanor

· Excellent work ethic

· Efficient problem solver

· Great organizational skills

· Professional telephone skills

· Efficient cash handling skills

· Maintain professional appearance and attitude

· Able to make prompt decisions and think on my feet

· Willing to accept direction / instructions while maintaining focus on a task

· Ability to effectively communicate with people using a diplomatic approach Work Experience

(Bartender)

Celly’s Bar & Grill - Trenton, MI

September 2021 to Present

· Recommended food and drink choices to customers based on remembered preferences

· Ability to adapt to different personalities through the shift

· Able to focus and be flexible in any situations during shift

(Bartender)

JP’s Waterfront Bar & Grill - Gibraltar, MI

March 2021 to Present

· Kept track of bar tabs and transferred open tabs to waitstaff

· Customer Service

· Stocking and Inventory

· Stayed up-to-date on latest mixology trends, bar equipment and sanitation standards

· Team Work

· Maintained knowledge of bar and menu options to prepare drinks and make food recommendations

(Receptionist/Manager)

Krave Salon Inc.

February 2011 to Present

· Cross sell products / services to clients

· Maintain and balance cash drawer

· Perform Clerical tasks / Admin tasks / Generate operational reports

· Answer multiple phone lines

· Use Salon Iris Computer System to make appointments Trenton,MI (Assistant Manager)

Hat Trick Bar & Grill

January 2017 to March 2020

· Excellent Multitasker

· Placed weekly liquor orders and performed weekly liquor count, maintaining adequate inventory

· Problem solving for employees and customers

· Operated cash register and POS system for transactions and made proper change for cash transactions

· Balanced daily registers and generated sales reports for management

(Medical Billing Account Manager):

Physicians Billing Management Inc - Allen Park, MI October 2015 to January 2017

· Accounts Payable/Receivable

· Communicate with Insurance Companies

· Exceptional computer system skills

· Outstanding organization and prioritization abilities

· Ensured document and code accuracy for all submitted billing statements.

· Maintained and updated required billing information paperwork.

· Reviewed bills for any issues or discrepancies.

· Ensure claims are entered and submitted with 48 hours of receipt.

· Accurately apply payments to patient accounts.

· Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.

· Insure accuracy of insurance claims. Verify correct ICD-10 and CPT codes for a variety of specialties.

· Demographics.

· Assign ICD-10 to physicians diagnosis and insure correct level of service and various other CPT codes.

· Retrieve Electronic Remittance Advice (ERA's)

· Send secondary claims upon processing of primary insurance.

· Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions

(Medical Billing Coordinator, Insurance Specialist) Artisan Cosmetic & Reconstructive/Hand Surgery, Dr. Raj Gupta M.D. - Taylor, MI January 2014 to October 2015

· Accounts Payable/Receivable, Collections

· Board Surgeries, Communicate with Insurance Companys

· High skills in multitasking in a high-pressure work environment

· Exceptional computer system skills

· Outstanding organization and prioritization abilities

· Ensured document and code accuracy for all submitted billing statements.

· Maintained and updated required billing information paperwork.

· Reviewed bills for any issues or discrepancies.

· Provided front-desk clerical assistance as required.

· Ensure claims are entered and submitted with 48 hours of receipt

· Accurately apply payments to patient accounts

· Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts

· Insure accuracy of insurance claims. Verify correct ICD-9 and CPT codes for a variety of specialties

· Set up new patient accounts

· Assign ICD-9 to physicians diagnosis and insure correct level of service and various other CPT codes

· Set-up practice management software for submission of electronic claims to clearinghouse. Work with clearinghouse to resolve file compatibility issues

· Retrieve Electronic Remittance Advice (ERA's)

· Send secondary claims upon processing of primary insurance.

· Monthly processing of Patient statements. Answer and resolve patient billing inquires

· Follow up on Insurance and patient aging. Re-submit insurance claims as necessary. Knowledgeable in timely filing restrictions

· Insure office practices are in compliance with HIPAA regulations Wyandotte Alarm Company (Central Station Alarm Monitor) January 2013 to September 2013

· Customer Service / Phone Operations

· Central Station Monitoring of Alarms

· DOD Certified

· Troubleshoot problems with Residential / Commercial customers

· Write up service tickets

· Use of MicroKey Computer system to monitor alarms

(Receptionist/Teller/Member Services)

Downriver Community Federal Credit Union

March 2005 to December 2010

· Process Teller transactions for members

· Perform on an on-going basis (cross selling of products and services to customers)

· Responsible for keeping an itemized account of hours worked

· Help members apply for loans (house, consolidation, personal, auto)

· Used NADA (National Automobile Dealers Association www.nada.org)

· Provide general information on services and Performed clerical tasks

· Receive, process, and open new member accounts to include sub-accounts / Detroit Athletic Club (Certified Banquet Server)

February 2008 to February 2008

– Seasonal

· Fine dining setup with service team

· Assist in management of team members

Education

Diploma

Detroit Business Institute - Riverview, MI, US

Medical Insurance Specialist

Baker College - Allen Park, MI, US

Business Administration

Henry Ford Community College

Skills

• Experienced with Windows XP 7, Microsoft Word, Microsoft Excel, Microsoft Access, Blue Cross Blue Shield Insurance,Total Health Care, HAP, Epic System Oakwood and Wyandotte Hospital, Medware Medical Software, computer knowledge, switchboard/telephone, and key calculator.

Contact this candidate