Medical Billing and Coding Specialist Resume Title
Resume:
March **** to October 2023
Kimberly Santana
HOUSTON, TX 77036
713-***-**** • *************@*****.***
Objective
motivated and a quick learning individual seeking a medical billing and coding position where I can apply my knowledge of ICD-10, CPT, and HCPCS coding systems to ensure accurate claim processing and reimbursement.
Work Experience
Medical billing specialist
Clarius medical group
create claims and Data scrub 300-350 claims per week in ECW assigned proper DX Code to Procedure per LCD Guidelines worked AR and ERA Denials daily
pulled reports for Dr to get reimbursement amount per request verified Insurance
assigned proper modifiers as needed
called to check claim
status
corrected any claim rejections
sent corrected claims and/or claim disputes
Clinic Coordinator/Billing Representative
Auspicious Laboratory Inc. - Houston, TX
• Monitor and organize daily activities of The Covid Clinic.
• Direct staff of 6 employees to ensure smooth flow of incoming patients.
• Assist clients with any issues they have with their account.
• Correct errors in lab system. Verified insurance and posted payments to customers account.
• Handled any concerns or problems within the Covid Clinic.
• Email patient correct reports within timely manner. Provide exceptional customer service.
• Post payments daily from er system.
January 2017 to January 2020
January 2014 to January 2017
January 2011 to June 2014
2005 to 2005
Client Liason
SpectraCell Laboratories
Client Liason
SpectraCell Laboratories - Houston, TX
• Assist clients with ordering of test and supplies - trained clients on testing and collection methods.
• Updated information in system- emails results, corrected any errors and assisted with any billing or charge
questions.
Collections Representative
BestCare Laboratory Services - Webster, TX
Collections Representative
BestCare Laboratory Services -
Webster, TX
• Collected on all insurance claims, filed appeals posted payments.
• Back up front desk, billed lab charges to appropriate Insurance Medical Collections Specialist
US Anesthesia Partners (GHA) - Houston, TX
US Anesthesia Partners (GHA) - Houston, TX
2011 to June 2014
• Data entry all Anesthesia info to computer reviewed anesthesia concurrences for time errors, and other billing
issues.
• Updated and verified insurance
• Worked aging report
• Called insurance companies do you have claims repossessed under RAPL benefits and/or under
• Payment errors billed patients where applicable
References
Education
CERTIFICATE in Medical Billing & Coding
Everest Institute-Southfield - Houston, TX
College in Nursing
Other Activities
Contact this candidate