Billing & Documentation Specialist 15+ Years Experience

Nutasha Funches

Phone: 813-***-**** Email: ********@********.**.*** or **********@******.*** Location: Tampa Bay, FL

Professional Summary

Detailoriented Billing & Documentation Specialist with 15+ years of experience in healthcare, insurance, and servicebased industries. Strong background in billing operations, document management, regulatory compliance, customer support, and crossfunctional communication. Known for improving accuracy, resolving discrepancies, and supporting teams through training, process improvements, and reliable problemsolving.

Core Competencies

Billing & Accounts Receivable

Document Management & Compliance (HIPAA)

Customer Service & Issue Resolution

CrossFunctional Team Support

Data Entry & Reporting

Process Improvement

Training & Mentorship

Scheduling & Medical Records

Strategic & Resource Planning

Professional Experience

Document Support Specialist

BioSpine, Tampa, FL 2022 – Present Manage documentation workflows, ensure compliance, and support clinical teams with accurate and timely record processing.

Maintain appointment schedules in NextGen and Epic.

Create and organize structured documentation folders for surgeries and injections.

Scan, archive, and secure patient medical records in compliance with HIPAA.

Upload finalized documents to Adobe and KDrive for accurate record retention.

Collaborate with National Medical on coding, audits, and record verification.

Assist departments with document inquiries and participate in weekly team meetings.

Division Billing Coordinator

Republic Services, Tampa, FL 2018 – 2022 Handled billing adjustments, payment posting, and customer account maintenance while ensuring accuracy and adherence to SOPs.

Researched and resolved routine and complex billing discrepancies.

Reviewed invoices for accuracy and coordinated with customers and internal teams to resolve issues.

Prepared manual billings for nonroutine arrangements and summarized supplemental billing data.

Identified and corrected billing discrepancies through system report reviews.

Posted cash receipts, resolved misapplied payments, and processed credit card transactions.

Assisted with customer account setup and provided training to less experienced staff.

Supported Accounts Payable functions including voucher approval, vendor inquiries, and monthly closings.

Contributed to special projects and crossdepartmental initiatives.

Billing Processor

Health Plan Services, Tampa, FL 2009 – 2018 Executed billing adjustments, payment posting, and customer account updates for healthcare clients.

Resolved billing questions and discrepancies, escalating complex issues as needed.

Reviewed invoices for accuracy and coordinated with customers and internal teams.

Prepared manual billings and summarized supplemental billing information.

Identified and corrected billing discrepancies through system reports.

Posted payments, resolved unidentified payments, and processed recurring credit card transactions.

Completed customer setup in billing systems and supported additional administrative tasks.

Claims & Benefits Representative

UnitedHealthcare, Tampa, FL 2006 – 2009

Investigated claims, determined coverage, and supported claim settlement processes.

Communicated with customers, agents, attorneys, and medical personnel to gather claim details.

Documented claim activities accurately and ensured timely followup.

Assisted supervisors with planning, analysis, and problemsolving.

Managed claim settlements within authority limits and ensured compliance with state regulations.

Recommended reserves and coordinated with external agents when needed.

Additional Experience

Humana, Kaiser, Cigna, Blue Shield of California, Florida Blue Various Billing & Customer Support Roles 2009 – 2018

Education

Hillsborough Community College – Web Development (In Progress, 2024 – Present)

Dental Institute of Tampa – Certified EntryLevel Dental Assistant (2009)

Leon C. King High School – High School Diploma (1999)

Technical Skills

Software: Microsoft Office (Word, Excel, PowerPoint, Access, Outlook)

Medical/Billing Systems: NextGen, Epic, SmartDocs, Adobe, EBridge, KDrive

Tools: IVR Systems, Data Reporting, Document Management

Compliance: HIPAA, State Billing Standards

Certifications & Additional Skills

CPR Certified

MultiLine Phone System Management

Strong Organizational & Time Management Skills

Resourceful ProblemSolving & Customer Support

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