Resume

Wanda Pena

**** ****** **** **.

Elmendorf, Texas 78112

zkbk9t@r.postjobfree.com

210-***-****

Summary of Experience

8+ years of Billing/Coding

10+ years of Customer Service

Experience

HCA-San Antonio Pediatric Specialist of Texas ( Formerly Methodist-Texas Transplant Inst.)

11/18/2006- April 14, 2011

Customer Service/Physician Biller/Coder/Payment Poster/EDI claims submission

Duties:

Printing daily clinic schedules to ensure all tickets received, review for accuracy, query physician for further information as needed, assigning ICD-9 & CPT codes as needed, entering charges in MOMS/E Clinical Works system, running end of day reports to balance entry, submitting claims electronically, working account with open insurance/patient balances, posting patient payments and insurance payments arriving via lockbox to patient accounts.

Medical Clinic of Houston

2005- 2006

Office Team Temporary (Robert Half )

Houston, TX

Cashier/ Charge Entry

Duties:

Customer Service/Collecting co pays and percentages from patients.

Entering charges and payments in system

Printing and mailing out itemized statements to patients

Home Insurance Solutions of Texas 2004-2005

Houston, Texas

Customer Service Representative

Duties:

Customer Service/Processing policy change endorsements, insurance payments and underwriting requests

Customer notifications of cancellation notices

Customer quotations for home owners and automotive rates

Focal point for follow-up customer renewals

Administrative functions: clerical filing, notification letters, and filtering incoming calls

Healthcare Resolution Services 2003-2004

San Antonio, Texas

Certified Medical Coding Specialist

Interfaced with medical physicians to obtain detailed procedure documentation

Assigned detailed and accurate medical codes using CPT and ICD-9 manuals

Translation of codes for outpatient office visits

University Health System 2002-2003

San Antonio, Texas

Outpatient Medical Coding Specialist

Translated medical documentation records using ICD-9 and CPT manuals

Coding for acute care, X-rays, renal dialysis, physical and occupational therapy

Quality checks and corrective actions for rejected and changed codes

Allstate Insurance Claims 1997-2001

Houston, Texas

Claims Processing Specialist

Customer Service/Processing and issuing payments for personal injury and medical claims

Obtained pertinent information for medical billing from customer and medical providers

Customer care point of contact

Bert Williams Insurance Agency 1991-1997

Pleasanton, Texas

Licensed Insurance Sales

Quoting Automotive rates and processing sales

Implementing policy change requests and financial payments

Responsible for underwriting issues and discrepancies

Office assistant

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