Experience

Sonoma County Indian Health Project, Inc.

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Medical Biller

  • Jan 2020 - Present

  Collecting payments ftom health ins. Companies, billing 200 to 400 claims daily on both 1500 & UBO4 claim forms. Working aged reports and collecting aged payments. Billing Native claims to insurances that compensate for there services remdered, trival billing. Disputed claims wrotting appeals and collecting partial payments due to late billing/payment. Collecting payments ftom health ins. Companies, billing 200 to 400 claims daily on both 1500 & UBO4 claim forms. Working aged reports and collecting aged payments. Billing Native claims to insurances that compensate for there services remdered, trival billing. Disputed claims wrotting appeals and collecting partial payments due to late billing/payment.



Administrative Business Solutions

• Legal Services
• 1 - 100 Employee

• Physician Biller & Collector

  • Dec 2014 - Sep 2019

  Verifying patients insurance for physician exceptance. Creating appeal letters for collecting on/ disputing claims for payment. My massive duties are physician billing, completing patient intake forms, pt. scheduling, and commucating with wonderful Doctors about payments and mental health benefits. Great job that expanding rapidly. My dream. Verifying patients insurance for physician exceptance. Creating appeal letters for collecting on/ disputing claims for payment. My massive duties are physician billing, completing patient intake forms, pt. scheduling, and commucating with wonderful Doctors about payments and mental health benefits. Great job that expanding rapidly. My dream.



F.O.R.E (Foundation for Osteoporosis Research and Education)

• Medical Biller/Administrative Assistant

  • Jul 2012 - Feb 2015

  (VOLUNTEERING)Scheduled patient appointments. Assisted with collecting delinquent balances. Collected referrals, copied, scanned and e-mailed patient documentation to appropriate health care personnel and patients. Greeted patients and assisting in filling out demographics when they had complications (language). Worked with a clearing house called health fusion for billing various insurance companies. Also used MS outlook, word, excel applications. Followed up with other offices for paperwork to properly bill patients insurances such as pre and retro authorizations. Also helped with setting up for physician meetings/seminar



Hilltop Imaging

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Biller/ Liens/Collections

  • Sep 2014 - Oct 2014

  Billed Medicare, Private insurance, Workers Comp. and Personal Injury claims for payment. Collected lien agreements for personal injury cases from law firms and affiliated sources to support claims/cases. Followed up on delinquent accounts with pass due patient amounts. Corrected denied claims, EOB’s and dirty claims. Scheduled appointments upon received referral’s and patient walk-in. Answered questions pertaining to patient’s accounts, reports, and liens. Faxed reports, lien agreements, and supporting documents to health facilities and law office’s. Emailed documents to support lien dept. for PI claims. Submitted RFA’s for pre authorizations for service to be rendered. Also confirmed patient benefits prior to DOS.



Collection Specialist

• United States
• Spectator Sports
• 1 - 100 Employee

• Toxicology

  • 2013 - 2013

  Thoroughly investigated past due invoices and minimized number of unpaid accounts. Recorded and filed patient data in medical records. Corrected and resubmitted company claims as required by insurance companies. Assigned additional diagnosis codes based on specific clinical findings (PR2’s) in support of existing diagnoses. Prepared claims and all corresponding documentation for settlements offers per adjuster request. Consistently ensured proper coding, sequencing of diagnoses and procedures. Quickly responded to staff and client inquiries regarding CPT codes. Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Appealed payments, EOR’s, EOB’s, URD’s and denials and submitted refund requests for claims paid in error.