Medical Billing & Coding Specialist with HIPAA Expertise

Tasnuva Nargis

631-***-**** ️ *.***********@*****.***

Professional Summary

Detail-oriented and quality-focused professional with extensive experience in medical administrative support. Skilled in managing complex assignments, reconciling accounts accurately, and maintaining strict patient confidentiality. Proficient in medical billing, coding, insurance claims processing, and electronic health records systems.

Core Competencies

Medical Billing & Coding (ICD-10, CPT, HCPCS)

Insurance & Claims Processing (Medicare, Medicaid, Commercial Payers)

HIPAA Compliance & Patient Confidentiality

Electronic Health Records (EHR) Systems

Microsoft Office Suite (Word, Excel, Outlook)

Payer Portal Navigation

Epic, Meditech, OneBase, Availity, Quadax

Professional Experience

Insight Global – Jacksonville, FL

Insurance Collector / Follow-up Representative

Reviewed EOBs and ERAs to identify discrepancies and denial reasons.

Followed up with insurance carriers via phone and portals to resolve outstanding claims.

Corrected and updated claim information for resubmission per payer policies.

Managed daily A/R work queues, prioritizing aging and high-value accounts.

Researched payer rules and denial trends for process improvements.

Documented all claim actions and communications accurately.

Collaborated with internal teams to resolve complex claim issues.

RevMD / Annuity Health Partners – Westmont, IL

Medical Billing and Insurance Follow-up Specialist (03/2015 – 07/2025)

Verified patient demographics, eligibility, authorizations, and benefits.

Processed claims accurately based on PPO, HMO, and Managed Care guidelines.

Utilized EPIC, ICD-9/10, CPT coding, and medical terminology.

Ensured compliance with laws and regulations for ambulance service claims.

Corrected claim errors and resubmitted denied claims to maximize reimbursement.

Communicated effectively with clients and insurance providers to resolve billing issues.

ACE Dental – Lombard, IL

Medical Billing Specialist (04/2013 – 03/2015)

Verified insurance eligibility and patient data for claims processing.

Submitted claims and followed up on unpaid claims for timely payments.

Reviewed billing edits and corrected claim information.

Ensured compliance with HIPAA guidelines and insurance regulations.

Assisted patients and providers with billing inquiries and resolutions.

Education & Certifications

Certification in Computer Application Technology – CET, Chicago, IL (2015)

Diploma in Business Administration – City College, Khulna, Bangladesh (2007)

Additional Skills

Strong analytical and problem-solving abilities

Excellent attention to detail and organizational skills

Ability to work independently and collaboratively in fast-paced environments

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