Experience

MEDCOR Revenue Services

• Medical Billing Specialist

  • Nov 2016 - Present



Planned Parenthood of Orange and San Bernardino Counties

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Medical Billing Specialist

  • Oct 2015 - Oct 2016

  Review claims data, for AR collections including submitting CIFS and appeals reviews RADS. Ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.Handle information about patient treatment, diagnosis, and related procedures to ensure clean claim submit.Responsible for several different coding systems, including Level 1 HCPCS and Level 2 HCPC Compile billing, and payer documentation to create… Review claims data, for AR collections including submitting CIFS and appeals reviews RADS. Ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission.Handle information about patient treatment, diagnosis, and related procedures to ensure clean claim submit.Responsible for several different coding systems, including Level 1 HCPCS and Level 2 HCPC Compile billing, and payer documentation to create training documents.Use computers to read and organize charts.Ensure healthcare facilities are reimbursed for all procedures.Collect, post, and manage patient account payments.Responsible for submitting claims to insurance within corporate charge posting lag.Process payments from insurance companies follow up on claim submissions to determine batch acceptance, rejection, or denialResearches, correct, resolve, resubmit and appeal denied claims/services. Correspond with insurance companies to resolve the issue.Communicate with RCM leadership about payer updates, changes, and requirements.Review delinquent accounts and call responsible parties for collection purposes.Sort and file paperwork from health plans, patient charts, and payment correspondence.Communicate with payers, insurance companies, health plans & medical groups regarding unpaid claims. Show more Show less



OC Urgent Care

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Assisting

  • Oct 2014 - Dec 2014

  Provide excellent customer service, verify insurance plans and copayment.Obtain patients medical history and vital signs. Prepare patients for examinations and treatments. Assist physicians during examinations and treatments. Perform routine laboratory tests, phlebotomy, EKG’s, and administer injections. Authorize drug refills and provide prescription information to pharmacies.



Industrial Orthopedics

• United States
• Information Technology & Services

• Medical Billing & Coding

  • Jan 2013 - Apr 2013