Emma Espinal

Medical Billing Specialist

Address Kissimmee, FL 34758

Phone 407-***-****

E-mail advg5q@r.postjobfree.com

Competent Medical Billing Specialist with 16 years of experience in handling a wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.

Skills

Bilingual in English and Spanish

Excellent writing and communication skills

Ability to work independently and collaboratively

Proficient in data entry

Work History

07/12 - Current

Medical Billing Specialist

OB-GYN Of Greater Orlando, LLC, Orlando, FL

Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

Reviewed patient records, identified medical codes and created invoices for billing purposes.

Communicated with insurance providers to resolve denied claims and resubmitted.

Prepared billing statements for patients and verified correct diagnostic coding.

Located errors and promptly refiled rejected claims.

Communicated effectively and extensively with other departments to resolve claims issues.

Identified and resolved patient billing and payment issues.

Posted payments and collections on regular basis.

Delivered timely and accurate charge submissions.

Reviewed patient diagnosis codes to verify accuracy and completeness.

Collected payments and applied to patient accounts.

Liaised between patients, insurance companies and billing office.

Prepared accounts with past due balances and transferred those cases to collection agency.

Evaluated patients' financial status and established appropriate payment plans.

Posted and adjusted payments from insurance companies.

01/10- 07/12

Medical Billing Specialist

Dr. Hunter, Winter Garden, FL

Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Reviewed patient records, identified medical codes and created invoices for billing purposes.

Communicated with insurance providers to resolve denied claims and resubmitted.

Located errors and promptly refiled rejected claims.

Submit billing data to the appropriate insurance providers.

Resolve denial instances.

Posted charges and payments from both insurances and patients.

08/09- 01/10

Medical Billing Specialist

Allergy, Sleep, And Lung Care, Lehigh Acres, FL

Responsible for posting payments, write offs, research underpayments, overpayments, and discrepancies on accounts.

Daily contact with insurance companies to resolve any denials.

Maintain account demographics.

Basic knowledge of ICD-9 and CPT codes.

Review all claims for accurate information before filing them electronically.

Prepared billing statements for patients and verified correct diagnostic coding.

Precisely evaluated and verified benefits and eligibility.

Evaluated patients' financial status and established appropriate payment plans.

06/2007 - 06/09

Medical Billing Specialist

Rochester General Health Systems, Rochester, New York

Responsible for maximizing reimbursement for inpatient hospital stays, outpatient services, and physician billing rendered.

Timely filing of claims.

Examined patient’s insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Identifying and preparing adjustments and write offs.

Follow up on denials, daily contact with insurance companies, review accounts for misapplied payments, incorrect contractual adjustments, or discrepancies and take corrective actions.

Maintain patient demographics data and make any necessary changes if needed.

Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.

Located errors and promptly refiled rejected claims.

Education

01/04 - 05/06

Associate of Applied Science: Accounting

Rochester Business Institute - Rochester, NY

01/95- 05/97

Associate of Applied Science: Business Administration

Monroe Community College - Rochester, NY

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