Medical Billing & Coding Specialist

TRACY A. RODRIGUEZ

303-***-**** • Aurora, CO • ****************@*****.***

Experienced medical billing and coding professional with a strong background in medical billing, coding, claims processing, patient accounts, insurance follow-up, payment posting, and credentialing. Detail-oriented and knowledgeable in medical terminology, ICD-9-CM, ICD-10-CM, and CPT.

CORE QUALIFICATIONS

• Medical billing, coding, claims processing, and accounts receivable

• Insurance eligibility and benefits verification; Medicare, Medicaid, HMO/PPO, and commercial plans

• Claim follow-up, resubmissions, denial and reimbursement appeals

• Payment posting, charge entry, EOB review, and patient account maintenance

• Medical terminology, ICD-9-CM, ICD-10-CM, and CPT

• Physician credentialing and re-credentialing

• NCICS – Certified Medical Billing and Coding Specialist

TECHNOLOGY

Microsoft Word • Microsoft Excel • GE Centricity Practice Solutions • Epic • Nextech • Lytec • athenahealth • CMHC • MED/S administrative systems

PROFESSIONAL EXPERIENCE

RCM Coordinator

LifeStance Health, Aurora, CO 09/2025–Present

• Research and resolve billing issues, including charge balancing, data entry, and coding.

• Follow up on outstanding insurance balances and resubmit claims as needed.

• Verify insurance eligibility and information and review EOBs for follow-up.

• Appeal claims involving timely filing or reimbursement issues.

• Post insurance and patient payments and maintain accurate patient accounts.

Data Entry / Payment Posting

Passport Health, Lakewood, CO 07/2020–03/2025

• Entered data for flu and COVID-19 vaccines.

• Performed payment posting and maintained accurate records.

Billing and Coding Specialist

Kalo Health, Denver, CO 09/2019–07/2026

• Research and resolve billing issues, including charge balancing, data entry, and coding.

• Follow up on outstanding insurance balances and resubmit claims as needed.

• Verify insurance eligibility and information and review EOBs for follow-up.

• Appeal claims involving timely filing or reimbursement issues.

• Post insurance and patient payments and maintain accurate patient accounts.

Billing / Coding Specialist

Transformation Skin & Body Solutions, Little River, SC 07/2019–09/2019

• Research and resolve billing issues, including charge balancing, data entry, and coding.

• Follow up on outstanding insurance balances and resubmit claims as needed.

• Verify insurance eligibility and information and review EOBs for follow-up.

• Appeal claims involving timely filing or reimbursement issues.

• Post insurance and patient payments and maintain accurate patient accounts.

Biller/Coder Manager

C.J. Tsamasfryos, MD, Denver, CO 08/2015–07/2019

• Research and resolve billing issues, including charge balancing, data entry, and coding.

• Follow up on outstanding insurance balances and resubmit claims as needed.

• Verify insurance eligibility and information and review EOBs for follow-up.

• Appeal claims involving timely filing or reimbursement issues.

• Post insurance and patient payments and maintain accurate patient accounts.

EDUCATION & CREDENTIALS

• Medical Insurance Billing & Coding — Everest College (formerly Parks College) — Aurora, CO

• Legal Secretary Certification — Everest College (formerly Parks College) — Aurora, CO

• Word Processing Coursework — University of Colorado — Boulder, CO

• NCICS Certification — Certified Medical Billing and Coding

Professional references available upon request

Contact this candidate