Medical Billing & Authorization Specialist

Noemi Torres

Fresno, CA Phone: 559-***-**** Email: ***********@*****.***

Professional Summary

Detailoriented medical billing and authorizations specialist with extensive experience in insurance verification, claims followup, patient account management, and payment posting. Skilled in working with government and commercial payors, resolving account issues, and delivering clear, supportive communication to patients and providers. Known for strong work ethic, accuracy, and the ability to learn quickly in fastpaced environments.

Core Skills

Medical Billing & Coding (ICD10)

Insurance Verification & Eligibility

Prior Authorizations

Accounts Receivable & Collections

Payment Posting & Adjustments

Claim FollowUp, Appeals & Denials

Patient Account Review & Refund Requests

Scheduling & Front Office Support

Microsoft Word & Excel

CPR+ & Medical Manager Software

Data Entry & Documentation Accuracy

Professional Experience

Cardiovascular Associates — Collections / Accounts Receivable Specialist

Fresno, CA April 2022 – May 2026

Managed patient accounts, including overdue balances and payment resolution.

Posted payments, adjustments, and maintained accurate financial records.

Communicated with patients regarding balances, Auto Pay, and HSA reports.

Updated insurance information and billed primary and secondary payors.

Verified eligibility, checked claim status, and prepared A/R reports.

Identified accounts for collections, bad debt, or special review.

Processed patient refunds and assisted with account corrections.

Coordinated with providers to discharge patients for noncompliance when required.

Paragon Healthcare — Authorization Clerk

Plano, TX March 2021 – April 2022

Verified insurance eligibility and benefits for home infusion therapy.

Obtained prior authorizations for treatments and medication dosing.

Entered patient demographics and managed documentation in CPR+.

Used ICD10 coding and billed workers’ compensation and commercial insurance.

Ensured accurate and timely authorization processing to support patient care.

Michael L. Krueger, DO — Medical Biller / Authorizations

Fresno, CA July 2017 – March 2021

Entered charges and completed electronic billing.

Performed claim followup, appeals, and denial resolution.

Verified eligibility and benefits for cardiology services.

Managed patient statements, calls, and account reviews for collections.

Obtained authorizations for cardiology tests and procedures.

Worked aging reports to ensure timely insurance reimbursement.

Education

High School Diploma Roosevelt High School — Fresno, CA

Professional Strengths

Strong work ethic and reliability

Teamoriented and collaborative

Quick learner with excellent attention to detail

Organized, efficient, and adaptable

References

Available upon request.

Contact this candidate