Medical Billing Specialist

• Aug 2016 - Present

Insurance Collection Specialist

• Sep 2015 - Jul 2016

Submit claims with Medical records, work zero pays, call payers representatives for denials, work with patients to assist in missing demographics/Insurance updates. Designate, add INS, and coordinate of benefits per facesheet/eligibility by medicare determination or Medi-Cal with qualified aid code. Re-bill, adjust and or transfer balances between payers based on Explanation of Benefits (EOB). Switch different systems from proprietary system depending on the required accounts receivable objective. Identify and resolve claim errors such as cpt, dos, dx, modifier rendering/referring phys, charge deletion on cms-1500 forms. Show less

Reconciliation Specialist

• Sep 2014 - Sep 2015

Manage Revenue Cycle Service Daily Deposit Report, Prepare and Match Insurance and Patient payments with Explanation Of Benefits. Update spreadsheets for Individual Regions by payments or Electronic File Transfers. Upload EOB's from clearinghouse and retrieve necessary information for Remit Posters to apply in Patient account level. Identify patient if he/she is an EA patient or a third party entity. Coordinate and provide log reports to third party for billing services. Manage Revenue Cycle Service Daily Deposit Report, Prepare and Match Insurance and Patient payments with Explanation Of Benefits. Update spreadsheets for Individual Regions by payments or Electronic File Transfers. Upload EOB's from clearinghouse and retrieve necessary information for Remit Posters to apply in Patient account level. Identify patient if he/she is an EA patient or a third party entity. Coordinate and provide log reports to third party for billing services.

Reconciliation Specialist

• Jun 2014 - Sep 2014

Manage Revenue Cycle Service Daily Deposit Report, Prepare and Match Insurance and Patient payments with Explanation Of Benefits. Update spreadsheets for Individual Regions by payments or Electronic File Transfers. Upload EOB's from clearinghouse and retrieve necessary information for Remit Posters to apply in Patient account level. Identify patient if he/she is an EA patient or a third party entity. Coordinate and provide log reports to third party for billing services. Manage Revenue Cycle Service Daily Deposit Report, Prepare and Match Insurance and Patient payments with Explanation Of Benefits. Update spreadsheets for Individual Regions by payments or Electronic File Transfers. Upload EOB's from clearinghouse and retrieve necessary information for Remit Posters to apply in Patient account level. Identify patient if he/she is an EA patient or a third party entity. Coordinate and provide log reports to third party for billing services.

Medical Billing Rep

• Oct 2013 - Dec 2013

Prepares and submits clean claims to various insurance companies either electronically or by paper using our filing system. Answers questions from patients, clerical staff, insurance or Attorney staffs. Identify and key in appropriate dates/codes for specific medical claim case this includes. Prepares, reviews submission of claims with appropriate reports for preparation of insurance mailings. Post payment and calculate balance for Office Manager using MediSoft & OfficeAlly. Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. Show less

Medical Office Assistant-Externship

• Apr 2013 - May 2013

Developed X-ray films (this includes removing x-ray frame from room, placing it in a dark room in able to use a flash card to print patient information into the film, feeding the film to the printer and placing process films in the view board for physician review), manage and organize x-ray and patient files in alphabetical order. Assist Physician and office manager in placing patients in private rooms. Assist in placing patients in therapeutic bed. Shred important documents such as EOB, Physician reports, and any confidential reports that have been scanned to company server. Show less

Sales Service Representative-Facility Services

• Apr 2010 - Sep 2012

Provide route service, pick-up and delivery of facility services products such as floor mats, dust mops, hygiene supplies, and other ancillary products. Drive company vehicle in chronological order to and from customer stops with specific delivery instructions in lifting, carrying and walking clean or soiled products in and out of customer accounts. Respond to customer inquiries and requests, route cash handling and pro-active problem solving. Additional responsibilities include growing the existing route, by sales of additional items from our product line and catalogs. Build a rapport between the Service Managers, Customer Service, Accounts Receivable, Floor Productions, Sales Reps and Customers we service. Show less

Service Training Supervisor-Sanis

• Dec 2007 - Apr 2010

Provide route service, pick-up and delivery of facility services products such as floor mats, dust mops, hygiene supplies, and other ancillary products. Drive company vehicle in chronological order to and from customer stops with specific delivery instructions in lifting, carrying and walking clean or soiled products in and out of customer accounts. Respond to customer inquiries and requests, route cash handling and pro-active problem solving. Additional responsibilities include growing the existing route, by sales of additional items from our product line and catalogs. Build a rapport between the Service Managers, Customer Service, Accounts Receivable, Floor Productions, Sales Reps and Customers we service. Show less

Sanis(Deep Clean) Sales Service Representative

• Jun 2004 - Dec 2007

Provide route service, pick-up and delivery items from Facility Services product line, such as floor mats, dust mops, hygiene supplies, and other ancillary products. Drive and route a company vehicle to and from numerous customer stops throughout the day, lift, carrying and walking products into and out of customer accounts. Ensure customer satisfaction based on request and inquiries pro-actively solve problem. Developed sales increase and manage cash handling on route.

Assistant Service Sales Representative Uniform

• Dec 2003 - Jun 2004

Assist lead service representative in picking-up and delivering of uniforms and facility services products such as floor mats, hygiene supplies, and other ancillary products. Daily lifting, carrying and walking clean products into and out of customer accounts. Safely drive company vehicle to and from customer sites throughout the day. Coordinate stops in Chronological sequence. Unload truck in end of day and Pre-Organize truck for next day service.

PC Support Technician

• Feb 2002 - Dec 2003

On-Call service Technician that provides Homedepot PC terminal replacement. Replace Monitors, Desktop towers, and Network cable re-routing. Initiate software network installation. Remove outdate terminals by placing and packaging to pallets with shipping label materials for recycling. On-Call service Technician that provides Homedepot PC terminal replacement. Replace Monitors, Desktop towers, and Network cable re-routing. Initiate software network installation. Remove outdate terminals by placing and packaging to pallets with shipping label materials for recycling.

Security Officer

• Aug 1997 - Aug 1999

Stationed at Metro Plaza building( 3 structural building downtown) San Jose. Secure premises and personnel by patrolling property; monitoring surveillance equipment; inspecting buildings, access points; permitting entry. Assist Fire dept, Police in building access in case of emergency. Activate alarms in case of emergency. Assist building maintenance in electronic garage gate access. Prevents losses and damage by reporting irregularities; informing violators of policy and procedures. Assist in creating, providing and deleting access card per request of building managers. Completes reports by recording observations, information, occurrences and surveillance activities; interviewing witnesses. Contributes to team effort by accomplishing related results as needed. Show less

Security Officer

• Aug 1996 - Aug 1997

Stationed at Mountain View. Secure premises and personnel by patrolling property; monitoring surveillance equipment; inspecting buildings, access points; permitting entry. Assist Fire dept, Police in building access in case of emergency. Activate alarms in case of emergency. Assist building maintenance in electronic garage gate access. Prevents losses and damage by reporting irregularities; informing violators of policy and procedures. Relieve lobby receptionist and duties. Completes reports by recording observations, information, occurrences and surveillance activities; interviewing witnesses. Contributes to team effort by accomplishing related results as needed. Show less