Data Entry Medical Biller

Martha Moreno

Phone: 520-***-****

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

Profile

A hard working and dedicated individual, with proven work experience in various professions, seeking a long term employment opportunity.

PROFESSIONAL EXPERIENCE

Retina Associates Southwest PC – Medical Biller - July 2024 to March 2025

Work from the A/R list following up on claims

Call insurances to check claim status

Doing appeals or reconsiderations when necessary

Correcting claims and resubmitting with proper documentation

Received calls from patients taking payments or reviewing accounts with patients

Mesquite Pediatrics – Tucson, AZ – Medical Biller - January 2023 – June 2024

Called insurance for follow-ups, the status of claims

Did corrections and resubmitted to insurance

When necessary, did reconsiderations and appeals

Worked on an aging report

Submitted claims to secondary insurances

Concentra St. Mary’s*Tucson, AZ October 2021 – October 2022

Pharmacy Claims Specialist

●Worked on denials appealing claims

●Took calls from employers to receive payment for invoices

●Worked from the rebill report, to resend the claims

●Worked from the aging report, to resend the claims

Pima Pain Center * Tucson, AZ January 2020 – August 2021

Medical Records

●Sent authorizations for prescriptions

●Asked for approvals before sending records to pain management

●Sent requested records of patients to its corresponding destination

●Invoiced Lawyers when they requested records of patients

Alvernon Optical * Tucson, AZ * December 2018 – January 2020

Billing Specialist

●Print EFT’s/EOB’s to reconcile payments

●Called Insurances for claim status

●Billed the insurances

●Stamped incoming billing logs/eyeglass files

EDUCATION

Graduated 1994 • Nogales High School • Nogales, AZ

Graduated 1995 • Chaparral College • Certificate in General Office • Tucson, AZ

Graduated 2007 • University of Phoenix • Bachelor of Arts in Business Administration • Nogales, AZ Graduated 2015 • Brookline College • Billing & Coding • Tucson, AZ

●Microsoft Word, Excel, PowerPoint, Publisher, Outlook, Childplus, Internet faxing, answer multi-phone lines, printing, scanning and copying

●Effectively communicate and interact with individuals of all levels

●Work well in a high pressure environment, demonstrated accuracy, attention to detail and in a team environment, calling center with high volume calls.

●Bilingual English/Spanish fluent read, write, and speak

Contact this candidate