Data Entry Medical Billing
Resume:
Rocio Livera
Mountain View, Ca. 94041
(650)335–8297
Skills:
Medical billing, Accounting, Data Entry, Microsoft Office, Excel, PowerPoint, Written and verbal communication, Team player, HIPPA Compliance, Ability to work independently, Bilingual in Spanish
Experience:
Igenex
Appeals and Grievance
February 2021- January 2024
•Reviewed explanation of benefits received with payment to ensure it was paid according to contract
•Appealed denials according to contract
•Verified all Medicare accounts
•Verified eligibility
•Post Payments
Rehab Billing Solutions
Claims Specialist
November 2015 - June 2020
•Scan medical records and any correspondence attach to accounts
•Attach all required documents for workers comp claims
•Follow up with worker comp adjusters
•Enter charges
•Post payments
•Appeal denials accordingly
•Call doctors or patients if there were any issues with the claim
•Check claim status either online or over the phone depending on payer
•Reconcile cash
•Research and correct discrepancies as needed
•Calculate estimates, management fees, and performance fees
•Communicate with payers and administrators to resolve any issues
Fremont Surgery Center
Accounts Receivable
September 2012 - November 2015
•Gather all information together to attend Workers Compensation lien hearings
•Attach all required documents for workers comp claims
•Scan documents in accordance to how the insurance expected the documents
•Appeal denials according to contract
•Reconcile cash collected at time of service
•Research and correct discrepancies as needed
•Compute portfolio performance
•Calculate estimates, management and performance fees
•Follow up with insurance to make sure claims were paid on time either online or over the phone
• Used Microsoft Excel to create spreadsheets to keep track of insurances and patient balances
•Worked on third party liability accounts for Workers Compensation and IPAs
El Camino Surgery Center
Accounts Receivable Lead
April 2009-September 2012
•Gather all information together to attend Workers Compensation lien hearings
•Scan documents in accordance to how the insurance expected the documents
•Appeal denials according to contract
•Reconcile cash collected at time of service
•Research and correct discrepancies as needed
•Compute portfolio performance
•Calculate estimates, management and performance fees
•Follow up with insurance to make sure claims were paid on time either online or over the phone
• Used Microsoft Excel to create spreadsheets to keep track of insurances and balances for assignment
•Prepare information for collection agency
• Look over claims and resubmit them after confirming transmission errors with the payer
• Meet with doctors to get all correct information for claims
• Report delinquent accounts
• Assist with system upgrades and implementation
• Perform daily batch of audits and deposits
•Reconcile all payments and correct any discrepancies as needed
•Calculate estimates, management fees, and performance fees
•Worked on third party liability accounts for Workers Compensation and IPAs
Education:
De Anza College:
Accounting-2012
Medical Billing and Coding-2010
Silicon Valley College:
Administrative Medical Assistant-2007
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