Medical Billing & Coding Specialist Resume Summary

VERONICA VALDEZ

Fulshear, TX ***** 281-***-**** **************@*****.*** WWW: Bold Profile

Detail-oriented medical office professional with extensive experience in correcting and resubmitting claims, preparing patient charts, and reviewing health records to accurately identify diagnosis codes for billing. Proven ability to analyze and manage medical record information effectively, facilitating prior authorizations from insurance companies to ensure timely payment. Strong understanding of medical laws and ethics, coupled with proficiency in various medical software applications. Committed to delivering compassionate care while thriving in fast-paced environments, with a strong desire for continuous growth and success in a challenging role.

• Achieved HIPPA by completing Compliance with accuracy and efficiency.

• Experience with billing procedures • Proficient in Outlook

• Experience with multiple browsers • E-Clinical familiarity

• Presentation software proficiency • Proficient in Microsoft Word and WordPerfect

• Knowledgeable in medical terminology • EHR

• Athena familiarity • All Scripts

• Payer Path • Medi-Tech

• Novitas CMS Portal • Availity

Medical Billing & Coding Specialist, 08/2018 - 12/2025 Katy Internal Medicine & Associates – Katy, TX

• Input of office charges from 12 Providers on daily basis

• Accurately entered procedure codes, diagnosis codes and patient information into billing software. Professional summary

Accomplishments

Skills

Work History

Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables

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Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.

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• Post patient payments on accounts, moving credit balances etc

• Collected payments and applied to patient accounts.

• Evaluated patients' financial status and established appropriate payment plans.

• Identified and resolved patient billing and payment issues.

• Precisely completed appropriate claims paperwork, documentation and system entry.

• Processed and submitted medical claims to insurance companies, ensuring compliance with regulations.

• Reviewed patient accounts for accuracy, identifying discrepancies and resolving billing issues promptly.

• Communicated with insurance providers to resolve denied claims and resubmitted.

• Posted and adjusted payments from insurance companies. Medical Office Assistant, 10/2016 - 01/2018

Physicians of Katy – Katy, TX

• Office Assistant Referral Administrator.

• Accurately collected personal, billing and medical details for [100] patients per day.

• Scheduled, rescheduled and handled cancelled appointments for patients. Interacted with all necessary partners throughout the establishment including physicians, nursing staff, technicians, and medical assistants.

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• Greeted each patient pleasantly

• Reviewed and sent medical records to other physicians upon request.

• E-Clinicals -

• All Scripts

• Payer path

• EMR

• Managed front desk operations, ensuring efficient visitor check-in and appointment scheduling.

• Developed and maintained filing systems, improving document retrieval efficiency for staff.

• Responded to inquiries from callers seeking information.

• Provided clerical support to company employees by copying, faxing, and filing documents. Expedited invoice processing for improved cash flow by accurately tracking expenses and submitting documentation promptly for payment approval.

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Administrative Assistant, 05/2016 - 07/2016

Office/Team Severn Trend – Katy, TX

• Negotiated pricing with vendors regarding wholesale billing and marketing procedures.

• Received and routed business correspondence to correct department or staff member.

• Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.

• Opened and properly distributed incoming mail to promote quicker response to client inquiries. Continually sought methods for improving daily operations, communications with clients, recordkeeping, and data entry for increased efficiency.

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GED: 01/1998

Clear High - Webster, Texas

English

Full Professional

Spanish

Native or Bilingual

Tia Grant -Supervisor @ Katy Internal Medicine. Phone #832-***-**** email# **********@******.*** Angelica Vidal - Front Office @ Katy Internal Medicine. Phone #346-***-**** During the role of Billing & Coding Specialist I took every year OSHA & HIPPA Compliance Tasks and received Certificates.

Education

Languages

References

HIPPA Compliance & Osha Compliance

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