Medical Biller - Coding & Claims Specialist
Resume:
CONTACT
Address : Lomita, CA *****
Phone : +1-562-***-****
Email : ********@*****.***
SKILLS
• Information requests
• Claims review
• Balance reconciliation
• Medical coding
• Collection calls
• Medical billing technology
• Medical claims submission
• Disability claims process
• Billing and collection procedures
LANGUAGES
English
Full Professional
Hindi
Professional Working
Gujarati
Native or Bilingual
PROFESSIONAL SUMMARY
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
EXPERIENCE
Patient Care Coordinator, 04/2024 to 06/2025
Southland Physical Therapy - Lomita, CA
Medical Biller, 03/2024 to 07/2025
BioHorizion Medical - Lomita, CA
Office Assistant, 05/2023 to 11/2023
Skin DEVA - Lomita, CA
• Delivered excellent patient experiences and direct care. Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
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Applied administrative knowledge and courtesy to explain procedures and services to patients.
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• Engaged with patients to provide critical information. Patient Intake o Verifying Eligibility, Checking Authorizations o Collecting, HMO/PPO (Providence, HOAG, Altamed, Anthem, Memorial, Etc..) Administrative duties (Faxing, Scanning, Etc..)
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• Reviewed patient diagnosis codes to verify accuracy and completeness. Reviewed patient records, identified medical codes, and created invoices for billing purposes.
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Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
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• Filed and updated patient information and medical records. Send out CMS -1500 Claim forms. Conduct Ins Verifications & Authorizations. Send out Appeals & perform Claim Corrections. Input Data into EMR Systems. Worked with ICD-10-CM, HCPCS Codes.
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Prepared and edited documents to produce precise, accurate and professional communication.
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Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
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• Coordinated and scheduled meetings and appointments. Kept office supplies well organized and sufficiently stocked, placing orders promptly to replenish materials before depleted.
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Maintained Office Scheduling & event calendar. Created, maintained, & entered information into databases. Answered, screened, & directed phone calls to the appropriate departments.
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BHUMI BRAMBHATT
Pharmacy Internship, 11/2022 to 01/2023
Tormed Pharmacy Compounding Center - Lomita, CA
THREADER/CASHIER, 05/2019 to 11/2020
SHIBURI THREADING - Lomita, CA
Front Desk Agent, 08/2025 to 09/2025
Hyatt Place - Franklin, TN
:Guest Check-In
Greet guests warmly upon arrival.
Confirm reservation details and identification.
Assign rooms and issue room keys.
Provide hotel information, amenities, and check-out times. Handle early check-ins if rooms are available.
:Guest Check-Out
Process payments and verify bills.
Collect room keys or key cards.
Ask for guest feedback and ensure satisfaction.
Handle express or late check-out if applicable.
Reservations Management
Accept bookings via phone, email, or online systems. Modify or cancel reservations as needed.
Record guest preferences and special requests.
Maintain up-to-date availability and room inventory.
:Handling Guest Inquiries & Requests
Respond to questions about hotel services, facilities, and local attractions. Process wake-up calls, transport requests, or maintenance needs. Coordinate with relevant departments (housekeeping, engineering, concierge).
:Complaint Handling
Listen actively and empathize with guest concerns. Apologize professionally and take corrective action. Escalate serious issues to management when needed. Follow up to ensure resolution and guest satisfaction.
• Analyzed problems and worked with teams to develop solutions.
• Sorted and organized files, spreadsheets, and reports.
• Prepared project presentations and reports to assist senior staff. Participated in workshops and presentations related to projects to gain knowledge.
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Collect laboratory specimens, log them & prep for testing. Clean/sterilize instruments & dispose of contaminated supplies. Prepared & Administered Medications to patients as directed by the physician. Managed front office admin work, scheduled patients. Explained treatment procedures, medications, diets & physicians' instructions to patients. Conduct quality control checks, ensuring compliance with& safety regulations.
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Mounted attachments such as relieving or tracing attachments to perform operations such as duplicating contours of templates or trimming workpieces.
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Replaced dull or inefficient equipment parts to enhance machinery performance and improve production yields.
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Increased production standards by minimizing production failures and promoting efficient setups.
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Checked orders to define necessary attachments and equipment needed for each job, set up machines and calibrate settings.
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Provided customer service to all clients opening and closing the salon, Processing cash and credit transactions, eyebrow threading and waxing, leading henna design artist for contracted clients, cleaning and organizing salon products, and placing orders for additional salon products,scheduling and following up clients' appointments
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:Billing & Payments
Generate accurate guest bills (folio).
Process cash, credit card, and room charge payments. Handle refunds or disputed charges.
Maintain records of all transactions.
:Coordination with Other Departments
Communicate room status with housekeeping.
Alert maintenance of technical issues.
Work closely with security for guest safety and incident handling. Pass important messages or items between departments.
:Front Office Administration
Update the guest management system (PMS).
Balance cash drawer at shift end.
Prepare daily activity reports for management.
Ensure accurate shift handovers.
:Loyalty Program Assistance
Enroll guests into the hotel's loyalty or rewards program. Explain benefits, tiers, and offers.
Encourage guest participation and upsell membership perks.
:Safety & Emergency Procedures
Follow proper emergency protocols (fire, medical, evacuation). Assist guests calmly during incidents.
Report suspicious activity or security concerns.
Know location of emergency equipment.
EDUCATION
Diploma in Medical Billing, 2024
American Career College - Ontario, CA
Diploma in Medical Assisting, 2024
Northwest Collage - Long Beach, CA
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