Billing Specialist Store Manager
Resume:
Stephanie Avalos
Dallas, TX *****
*************@*****.***
Professional Summary
Dedicated Medical/Dental Billing and Insurance Specialist committed to implementing comprehensively organized billing and documentation policies. Adept at the analysis and interpretation of medical documentation, coordinating with medical providers to ensure care, and preparing and submitting claims to insurance companies. Also can be a detail-oriented store manager with 10+ years of experience creating cost-effective management solutions and marketing initiatives. Seeking to lead a team of employees to improve store processes, boost sales, and modernize store procedures. Authorized to work in the US for any employer
Work Experience
Corporate Billing Specialist
Beacon Oral Specialists-Dallas, TX
July 2024 to Present
• Knowledge of working with Fee Schedules and/or State Rules for Out of Network payments
• Specialized with Credentialing issues for all providers in all 52 offices
• Work 40~50 accounts daily
• Research/audit patient accounts for further payment or adjustments
• Work correspondence daily
• Perform other duties as assigned
• Phone patients and insurance for payment or payment arrangements
• Calculate billing unties and reimbursement amounts
• Contacted insurance for pre-authorization for oral surgeries.
• Completed unapplied payments to patient charts
• Researched remits for proper payment posting
Billing Specialist
Mountain View Urgent Care/ Mental Health Facility-Anchorage, AK May 2019 to June 2024
• Completed appropriate claims paperwork, documentation and system entry,
• Identified and corrected inconsistencies, deficiencies and discrepancies in medical documentation.
• Maintained updated knowledge of coding requirements.
• Filed and followed up on third party claims.
• Coded Observation/Inpatient Physician Services and daily office visits
• Perform qualitative analysis of records to ensure accuracy, consistency and correlation of recorded data.
• Researched questions and concerns from providers and provided detailed responses.
• ICD-10, CPT knowledge
Team Leader/Supervisor
Walmart-Garland, TX
November 2014 to June 2020
• Managed storefront-related services, including repairs and enhancements, to improve the overall customer experience
• Scheduled, trained, and mentored employees, using feedback to improve onboarding effectiveness
• Monitored inventory levels to re-stock customer favorites and trending items, increasing sales revenue
• Resolved customer complaints with an overall 88% success rate Finance & Admin Manager
Ortiz Concrete Inc-Dallas, TX
July 2011 to November 2014
• Sequenced the work of all trades so that a quality product was consistently delivered within the confines of the project schedule.
• Approved materials on the project and facilitated project coordination resulting in more efficient use of material.
• Completed project closeout including creation of trade contractor’s punch list items and proper submission of closeout documents, meeting all deadlines.
• Strengthened communication skills through regular interactions with others.
• Worked effectively in fast-paced environments.
• Gained strong leadership skills by managing projects from start to finish. Education
College in Billing and insurance
Remington College-Dallas Campus - Garland, TX
August 2010 to May 2011
Skills
• Retail Sales
• Retail Management
• Time Management
• Store Management Experience
• Merchandising
• Documentation Review
• CPT Coding
• Medical Coding
• Medical Billing
• ICD-9
• Data Analysis
• Accounts Receivable
• ICD-10
• Insurance Verification
• Anatomy Knowledge
• Medical coding
• Medical terminology
• Medical collection
• Microsoft Office
• Insurance verification
• Medical billing
• Communication skills
• ICD coding
• HCPCS
• Medical office experience
• Medical records
• EMR systems
• HIPAA
• Dental terminology (1 year)
• WinOMS (1 year)
• Athenahealth (5 years)
• RevAPP (1 year)
Languages
• Spanish - Fluent
Certifications and Licenses
Medical Coding Certification
Certified Professional Coder
Medical Billing Certification
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