Medical Billing Revenue Cycle

HENRY CASTILLO

North Las Vegas, NV

808-***-**** ************@*****.***

Objective: Seeking part time remote employment that aligns with my qualifications. HEALTHCARE ADMINISTRATION MEDICAL CODING PATIENT ACCOUNTS Medical Coder and Navy Veteran with 10+ years of experience in healthcare administration, medical billing, coding compliance, and patient account management. Expertise in ICD-10, CPT, and HCPCS coding systems, denial management, insurance follow- up, and provider education. Improved claims accuracy, reduced denials, and streamlined revenue cycle processes to maximize reimbursements. Committed to delivering quality, detail-oriented work in a part-time healthcare setting.

• Revenue Cycle Management

• Insurance Denial Resolution

• Provider Staff Education

• Patient Account Reconciliation

• Healthcare Administration

• Bilingual Tagalog

RELEVANT SKILLS

Medical Billing and Coding Compliance

• Applied ICD-10, CPT, and HCPCS codes to patient records, which improved claim approval rates and reduced denial rates by up to 15%.

• Maintained and updated coding edits (LMRPs, MUEs, CCIs) for hospital and physician billing; ensured compliance with Medicare, Medicaid, and private payer guidelines.

• Educated providers on proper code usage, which contributed to improved documentation and claim acceptance. Insurance / Denial Management

• Managed denial queues and performed follow-up reviews to resolve discrepancies, securing reimbursement on previously denied claims.

• Liaised with insurance companies to clarify coding disputes and expedite payment processing.

• Reduced average claim resolution time by streamlining follow-up processes. Healthcare Administration / Patient Accounts

• Posted medical charges, payments, and adjustments accurately for multiple specialties, ensuring timely revenue posting.

• Maintained lockbox operations and reconciled accounts to ensure accuracy in patient and insurance billing.

• Credentialed non-participating providers to expand billing capabilities and improve patient access to care. PROFESSIONAL EXPERIENCE

Straub Clinical and Hospital Honolulu, HI Nov. 2012 – Dec. 2023 Medical Coder

• Maintained hospital and professional billing coding edits for multiple service lines; ensured compliance with national coding guidelines.

• Collaborated with providers to correct coding errors, which improved claim acceptance rates and reduced payment delays.

• Conducted insurance follow-up calls to resolve outstanding claims, which contributed to revenue recovery. EDUCATION CERTIFICATIONS

Associate of Science in Medical Office Administration Hawaii Business College, Hawaii Certified Professional Coder Kapiolani Community College, Hawaii LPN Certificate Lee College, Baytown Texas

Other relevant work history and references available upon request Technical Competencies

Software: Microsoft Office Suite 365, EPIC, IDX

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