End Cashier Service Representative

Margret M. Salamanca

Northridge, CA *****

818-***-****

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

OBJECTIVE:

A Certified Medical Biller and Coder seeking a medical billing and coding position that utilizes my skills and allow me to gain experience to grow professionally in a fast-paced work environment.

SKILLS:

•Medical Terminology

•Anatomy and Physiology

•ICD 10- CM Guidelines and Convention

•CPT Codes and Guidelines

•HCPCS/CPT Modifiers

•Surgical Procedure

•Claim Forms (CMS-1500)

•Medicare/Medicaid

•Private Payers (BCBS, UHC, Aetna, Humana)

•Type of Plans (HMO, PPO)

•Microsoft Office

•Waystar

•Translating a healthcare provider’s documentation of the patients into a series of numeric or alphanumeric codes

•Reading and analyzing patient’s record.

•Responsible for handling paperwork and claim documents.

QUALIFICATION:

•Flexible in performing and prioritizing a variety of duties.

•Excellent customer service representative who consistently meets or exceeds production service level.

•Bilingual (English and Tagalog)

EDUCATION:

Southern California Health Institute - Reseda, CA

Medical Billing and Coding Specialist Program November 2017

•Certified Professional Coder

•Certified Professional Biller

EMPLOYMENT HISTORY

TeamHealth – Appeals and Denials Resolution September 2018 – Present

•Logs, tracks, and process appeals and grievances

•Contact patients insurance to gather information, evaluate, respond to, and close appeals.

•Ensure that the claim reviews, reconsideration and appeals are documented properly.

Medi-Claim – Charge Entry December 2017 - August 2018

•Verifying insurance and patient eligibility

•Determining the correct codes for patient record

•Perform posting charges and completion of claims to payers in timely filing.

Topanga West Guest Home – Dietary Assistant March 2015 – September 2019

•Responsible for resident’s meal preparation during lunch and dinner.

•Responsible for proper cleaning and sanitation of workplace.

•Ensure rotation using first in and first out of perishable food and beverages

Seafoodcity Supermarket – Front-End Cashier May 2013 – August 2016

•Provide excellent customer service and responsible to their complaints and resolve problems

•Accept payments in cash, debit/credit cards and checks.

•Train new employees and other staff in customer service and cashier duties.

•Chosen by management to assist in successfully opening new branches such as Hawaii and Irvine.

Contact this candidate