Detail-Oriented Medical Biller and Customer Service Specialist
Resume:
Genette Macias
Baldwin Park, CA *****
*******@***.***
Professional Summary
Detail-oriented Medical Biller with over 4 years of experience in claims processing, appeals, and payment posting. Skilled in customer communication, quality control, and administrative support. Adept at multitasking and building strong relationships. Seeking roles in customer service, billing, sales, or quality control to leverage organizational and problem-solving skills. Willing to relocate to: Irwindale, CA - Baldwin Park, CA - West Covina, CA Authorized to work in the US for any employer
Work Experience
Medical Biller
Hospice MD
August 2024 to February 2026
* Processed PPO/HMO and Medi-Cal claims for hospice services accurately and efficiently.
* Submitted corrected claims and filed appeals to resolve claim denials.
* Ensured all billing activities complied with current regulations and payer requirements.
* Maintained organized records of claims, appeals, and payment postings.
* Communicated with insurance companies to verify claim status and resolve issues.
* Collaborated with team members to improve billing workflow and reduce errors. Claims Representative
HospiceMD-West Covina, CA
July 2022 to July 2024
* Called payers to obtain and document status of medical claims.
* Posted payments after verifying claim resolution and accuracy.
* Left clear, detailed notes on each claim to support billing actions.
* Multitasked to increase productivity by utilizing all available resources.
* Supported billers by providing up-to-date claim information for timely follow-up. Administrative Assistant / Deli Manager
Grocery Outlet-Baldwin Park, CA
June 2021 to July 2022
* Managed deli operations and maintained positive relationships with vendors.
* Built product displays on end caps to increase sales visibility.
* Operated cash register and handled all end-of-night cash reconciliation.
* Stocked merchandise and ensured deli was organized and clean.
* Provided excellent customer service to shoppers and team members. Education
Medical Billing & Coding (Trade school)
UEI College-West Covina, CA
September 2021 to July 2022
High school diploma
C4L Academy-Irvine, CA
October 2021 to March 2022
Upper secondary education
Medical Billing & Coding (Trade school)
UEI College
Upper secondary education
Skills
Payment posting in medical billing systems Customer communication Passion for working with children Medical Billing Medical insurance appeals management Hand tools Medical claim corrections Inspection tools ICD-10 Appeals Decision making Basic math Medical billing processes Managed care Working with children Insurance claim appeals processing Computer skills Customer service Measurement
(quality control) Typing Medical claim appeals Computer operation Payment reconciliation for medical billing Sales and cash handling Medical coding Quality control inspection and measurement Mobile devices Organizational skills Claims documentation management Insurance medical billing Calibration Customer inquiry handling Phone communication Quality assurance within manufacturing Payment posting and reconciliation Sales Medical terminology Insurance Verification Attention to detail Communication skills Reproductive care Microsoft Outlook Medical Terminology ICD coding
Languages
• English
• Bilingual
• Spanish
Certifications and Licenses
Medical Billing Certification
October 2022 to Present
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