Medical Billing Customer Service
Resume:
Cynthia Gutierrez
San Antonio, TX *****
**********@*****.***
Professional Summary
CYNTHIA GUTIERREZ
**** ******** ***** *** *******, TX 78245 Phone: 210-***-**** **********@*****.***
Medical Billing and Coding Specialist
Motivated healthcare professional with over 15 years of experience in the medical collections/insurance industry seeking a long term career that will allow me to grow within a successful organization. I am a team player who also works well as an individual, posing a can do attitude. I am able to adapt to changing environments, and my effective communication and clerical skills coupled with my attention to detail make me a great asset for any organization.
Credentials include:
NAHP: Registered Medical Billing & Coding Specialist AHA: CPR/AED Certified
Skills Summary
ICD-9- ICD-10/CPT-4 Coding I Electronic Medical Records Third Party Billing Excellent Customer Service Medical Law & Ethics General Office Skills Proficient in Windows Based Billing programs Filing/Organization of Medical Records A/R Stream Reports EOB
#readytowork
Authorized to work in the US for any employer
Work Experience
Biller/Collector - Billing Dept
Best Practice Billing-San Antonio, TX
July 2015 to Present
Responsibilities:
Working all outstanding A/R reports for all commercial and government payors as well as worker's comp. Currently bill/collect for several specialists that include, pain management, orthopedic surgery, anesthesia, ST and OT.
• Entering all charges from previous day and sending all claims electronically for payment. Posting all copay and/or check payments as well as EOB payments that are direct deposit. Makes bank deposits daily and keeps record of daily deposits for accurate payment posting. Verifying benefits and eligibility for required authorizations as well as calling insurance to verify deductibles; if any.
Filing appeals for outstanding denied claims with no authorization, medical necessity, etc. Posting all patient phone and/or mail payments as well as any ACH and/or paper checks from insurance payors paid on accounts. Mailing monthly invoices for each patient with outstanding balances and/or making payment arrangements with them to stop further collections. Making any adjustments/write-offs when necessary and or applying to patient or insurance credits to open balances. Running necessary revenue reports to check for any billing errors through EDI system available and correcting any errors. Making necessary claim corrections on Availity and other provider portals. Resubmitting claims electronically and follow up on payments and/or denials.
Long periods on the phone with all insurance payors on a daily basis with excellent customer service. Accomplishments
Being a positive collector and collecting any outstanding revenue. Pain management, orthopedic, anaesthesia physicians. Knowledge in Advanced MD
MOMS, Bright Tree, and Practice Perfect.
Lead Medical Collector
Retina Associates of South TX-San Antonio, TX
October 2013 to July 2015
Responsibilities
Working all outstanding A/R reports for all commercial and government payors. Filing appeals for outstanding denied claims with no authorization, medical necessity, etc. Posting all patient copays and other monies paid on their account. Mailing monthly invoices for each patient with outstanding balances and/or making payment arrangements with them to stop further collections. Making any adjustments/write-offs when necessary and or applying patient or insurance credits to open balances. Running necessary revenue reports to check for any billing errors through EDI system available and correcting any errors. Making necessary claim corrections on Availty and other provider portals. Resubmitting claims electronically and follow up on payments and/or denials. Long periods on the phone with all insurance payors on a daily basis with excellent customer service. Accomplishments
Being a positive collector and collecting any outstanding revenue. Medical Collector
Texas Healthcare Solutions-San Antonio, TX
March 2010 to October 2013
Responsibilities
Working all outstanding A/R reports for all commercial and government payors. Filing appeals for outstanding denied claims with no authorization, medical necessity, etc. Posting all patient copays and other monies paid on their account. Mailing monthly invoices for each patient with outstanding balances and/or making payment arrangements with them to stop further collections. Making any adjustments/write-offs when necessary and or applying patient or insurance credits to open balances. Running necessary revenue reports to check for any billing errors through EDI system available and correcting any errors. Making necessary claim corrections on Availty and other provider portals. Resubmitting claims electronically and follow up on payments and/or denials. Long periods on the phone with all insurance payors on a daily basis with excellent customer service Insurance Lead Collection Specialist
UNIVERSITY PHYSICIANS GROUP-San Antonio, TX
January 2000 to February 2010
Working all outstanding A/R reports & Billed all claims to various clients electronically using Availity and Practice Insight clearinghouse. Contacted insurance clients to settle account issues and/or payment claims Kept customer billing information up-to-date with appropriate notations on patient’s accounts. Assisted other Collectors with any calls to appeal claims by phone and or appeal letters by mall. Education
High school or equivalent
Skills
• Medical Coding
• CPT coding
• Medical Insurance
• ICD-9
• Accounting
• Medical Billing
• CPT Coding
• Medical Records
• Pain Management
• Medical coding
• Medical terminology
• DME
• Medical Collection
• Hospital Experience
• ICD-10
Contact this candidate