Medical Billing and Coding Specialist

Liane Gutierrez

956-***-**** - ******@*****.***

**** ******* **. *******, ***** 78599

PROFILE My name is Liane G.Gutierrez, I recently graduated from South Texas Vocational Technical Institute practicing in Medical Billing and Coding. I have over 19 years of medical experience. I consider myself a dedicated worker and someone who always strives to work well with others and take the initiative. I am now looking forward to continuing my career in a new capacity as a professional medical and billing specialist.

SKILLS ● Day sheet balances supported documented patient load, procedures, charges, and diagnoses,

● Insurance aging, patient account aging follow-up, and resolution,

● Hands-on experience in abstracting medical records for coding compliance and medical necessity,

● Strong understanding of the appeals process, claims tracking, and follow-up,

● Data Entry

● Familiar with E-Clinal Works/KanTime EHR/Leading Reach

● Knowledge in reading, understanding and filling out Superbills,

● Experience with insurance verification and daily patient intake,

● Work well under pressure and able to complete deadlines,

● Bilingual/Spanish

● Excellent attention to detail and able to establish rapport well with others

● Dedicated, responsible, prudent, conscientious and compassionate

● Strong communication skills and able to adapt to changing environments EDUCATION South Texas Vocation Technical Institute: Medical Billing and Coding (1600 N. Westgate Dr. Ste 400 Weslaco, Tx 78599)

April 2026

University of Texas at Brownsville/Texas Southmost College: Licensed Vocational Nursing Program (80 Fort Brown St.Brownsville, Tx 78520) December 1997

Texas State Technical College: Emergency Medical Technician-Intermediate Program (1902 N. Loop 499, Harlingen, Tx 78550)

May 1994

Harlingen High: Basic Diploma (1201 Marshall Ave,Harlingen, Tx 78550) May 1992

EXPERIENCE Tri-County Healthcare Nursing and Therapy Services: Medical Billing and Coding Externship in Harlingen, Texas

March 17,2026 -April 16, 2026

● Verify patient insurance via insurance portals when available

● Verify patient insurance for eligibility and benefits by phone

● Initiate and obtain required prior authorizations from insurance plans

● Perform posting of payments to patient accounts/medical records.

● Factored patients financial responsibility after deductible limits, coinsurance, and if applicable patients copays.

● Did secondary billing manually

● Worked on claims denials and how to correct/work them for reimbursement and to maintain a healthy revenue cycle.

Knapp Medical Center Hospital: Outpatient Licensed Vocational Nurse

(Weslaco,Texas )

May 2008 - May 2013

● Review all incoming physician orders for accuracy and hospital compliance guidelines.

● Obtained telephone and verbal orders as needed from physician’s

● Contacted insurance companies to initiate or follow-up on missing required prior authorizations for certain outpatient procedures to be performed.

● Communicated daily with various physicians medical offices for missing orders (not faxed and or patient did not hand carry order either) Wellmed Medical Management Family Practice: Licensed Vocational Nurse Telephonic Triage/Diabetes Care Coordinator/CHF Disease Management Program

(San Antonio, Texas)

May 2003 - September 2007

● Answered incoming triage phone calls for family practice physicians and assessed walk-in clinic patients

● Delegated work in nursing station to medical assistants as per office protocol guidelines

● Completed call backs to patients, pharmacies, hospitals, etc. as directed by primary care physicians.

● Administered allergy injections, utilized phlebotomy skills prn, gained IV access, administered IM/SQ medications Prn, refilled Rx medications

● Performed arterial brachial index testing on diabetic patients enrolled in the DM disease management program along with DM visual inspection of lower extremities/feet.

● Reinforced RN clinic education related to disease process and made monthly follow-up calls reminding patients of signs/symptoms of heart

● attack, stroke, and CHF. Utilized electronic medical records for patient documentation.

Harlingen Family Practice Dr. Edward Oorjitham: Licensed Vocational Nurse

(Harlingen,Texas)

March 2000 - September 2002

● Utilized nursing skills daily as delegated by the physician

● Triaged incoming patient calls and also walk-in patients

● Refilled patients prescription medications and or other new prescriptions as per physicians orders

● Vitalized all patients upon entrance to the exam room, administered injections Prn as per physicians orders. Assisted Physician with minor surgeries as needed

CERTIFICATIONS HIPAA Certified: STVT April 2026

OSHA Certified: STVT April 2026

BLS#000123: STVT April 2026

Medical Billing and Coding Program Ambassador of the Month January 2026.

GPA of 4.0 February 202*-**-**** (Length of MBC Program)

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