Billing Specialist Medical
Resume:
VICTORIA A. AZURIN
***** ********* ******, *****, ** 91708
Contact No. : 240-***-****
****************@*****.***
Motivated medical insurance billing and coding specialist with over 10 years of experience in healthcare operation and management. Expertise in ICD9 and ICD10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable processing of high volumes of patient information to achieve revenue generation goals.
Professional Strength and Distinction:
● Well knowledge of ICD9 and ICD10 coding
● CPT and HCPCS coding
● Medical Terminology
● Commercial, HMO, Medicare and Medicare Advantage and Medicaid insurance
● Medical Billing
● Medical Records Management
● EOB analysis
● Patient Confidentiality
Professional Experience:
EMB Inc.
Fort Washington, MD
Billing Specialist, 06/2014 - 02/2023
Specializations:
EMB Inc. is a billing contractor company that provides different specialization which include:
1. Office Billing
2. Hospital Inpatient
3. Hospital Outpatient
4. Urgent Care
5. Cardiology
6. Sleep Medicine
7. Critical Care
8. Endocrinology
9. Skilled Nursing Homes
10.Psychiatry
11. Pulmonology
Work Responsibilities:
● Enter patient in the system
● Billing and coding using ICD9, ICD10, CPT, and HCPCS
● Appeal denied claims and calling insurance regarding problems in claims and the reason of denial
● Obtain medical information and authorization from the facility and doctor’s office
● Posting payments from the EOBs and sending statements to the patients
● Calling patients if need information to update some billing problems Balnath Bhandary Internal Medicine and Assoc.
Maryland Cardiology Center
Billing Specialist, 10/2005 - 06/2014
Work Responsibilities:
● Verification of health insurance if eligible or not
● Enter patient information in the billing system
● Get prior authorization to insurance if needed
● Assist in the clinical
● Billing insurance in timely manner
● Posting EOB payments
● Calling insurance for follow-up for unpaid claims and denial
● Appeals claims if denied and obtained medical records to support medical necessity for the procedure done
● Bill and calling patients for the unpaid account receivables. Education:
Certification in Medical Billing, Coding, and Medical Terminology Prince Georges Community College, MD
Finished 03/2006
Certification of Attendance in Medicare and Optum Seminars and Symposium Bachelor of Science in Business Administration
University of Manila, Philippines
Graduated 10/1982
References:
Elsa Augustin
Owner, EMB Inc.
Tel No. 301-***-****
Kay Solomon
Medical Biller, Balnath Bhandary Internal Medicine and Assoc. Tel. No. 240-***-****
Contact this candidate