Medical Billing & Coding Specialist with 13+ Years
Resume:
Maria Ribeiro
781-***-**** ****************@*****.*** 215 Prospect St., Brockton, MA 02301
Professional Summary
Experienced Medical Billing and Coding Specialist with over 13 years in healthcare billing, claims processing, and account reconciliation. Skilled in ICD coding, payer compliance, and revenue cycle management. Proficient in healthcare systems including NextGen and Epic. Multilingual: fluent in English, Cape Verdean Creole and Portuguese. Seeking a position to leverage expertise and contribute to organizational success.
Core Competencies
Medical Billing & Coding (ICD)
Claims Processing & Appeals
Accounts Receivable Management
Insurance Verification & Eligibility
Customer Service Excellence
Microsoft 365: Word & Excel
Healthcare Systems: NextGen, Epic
Multilingual: Cape Verdean Creole & Portuguese
Certifications
HIPAA Compliance Training
Medical Billing & Coding Certificate – Healthcare Training Center (Completed 2011)
Professional Experience
CPA Medical Billing – Medical Biller
09/2024 – Present
Manage aged accounts approaching timely filing denials.
Verify eligibility via payer websites and direct communication.
Update patient accounts for prompt re-billing.
Resolve rejected claims (1–90 days old).
Identify and process credit balances; ensure accurate refunds.
Initiate payer appeals in compliance with guidelines.
Brockton Neighborhood Health Center – Billing Clerk
11/2011 – 08/2024
Maintained accurate accounts receivable systems to maximize cash flow.
Processed routine claims and initiated collection actions on aging balances.
Ensured timely input of encounters and cash collections; reported errors for correction.
Entered cash receipts into practice management system; reconciled EOBs and deposits.
Reviewed claims for coding accuracy and compliance with insurance requirements.
Education
Healthcare Training Center – Medical Billing & Coding Certificate (02/2010 – 06/2011)
Brockton High School – High School Diploma
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