Summary
Overview
Work History
Education
Skills
Timeline
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ALEJANDRA AHUMADA

Anaheim

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Overview

13
13
years of professional experience

Work History

AR accounts representative

Desert Valley Hospital
Victorville
04.2024 - Current
  • Managed client accounts to ensure satisfaction and retention.
  • Developed product knowledge to address customer inquiries effectively.
  • Coordinated communication between clients and internal teams for seamless service delivery.

Medical Billing and Collections Specialist (RCM)

Fulgent Genetics
Temple City
02.2022 - 04.2024
  • Delivered timely and accurate charge submissions.
  • Reviewed patient records for covid
  • Behavioral health claims

Inpatient Specialist

Sutherland Global
Torrance
02.2021 - 02.2022
  • Work with Medi-Cal accounts
  • Submitted appeals for underpayments and/or incorrect denials
  • Call insurance to follow up on status or provider disputes
  • Reviewing payments and making sure that we get paid at the contract rate

AR Representative

Radiology Partners
Santa Ana
02.2017 - 02.2021
  • Worked with Medicare/VA accounts
  • Obtained daily trends in regards to claims not getting paid
  • Successful at getting older accounts paid
  • Maintained above average in productivity

Insurances Verification Specialist

Americare Respiratory Services
Santa Ana
11.2012 - 02.2017
  • Obtained eligibility for Medicare and commercial insurances nationwide for DME
  • Talked to patients regarding eligibility
  • Helping billing department following up on claims
  • Verified eligibility for patients that were under a supply program subscription for their DME equipment

Education

High School Diploma -

Valencia High School
Placentia, CA

Skills

  • Organization and Time Management
  • Medical Report Preparation
  • Problem Solving
  • Calm and Professional Under Pressure
  • Familiar with most insurance web portals
  • Leadership Skills

Timeline

AR accounts representative

Desert Valley Hospital
04.2024 - Current

Medical Billing and Collections Specialist (RCM)

Fulgent Genetics
02.2022 - 04.2024

Inpatient Specialist

Sutherland Global
02.2021 - 02.2022

AR Representative

Radiology Partners
02.2017 - 02.2021

Insurances Verification Specialist

Americare Respiratory Services
11.2012 - 02.2017

High School Diploma -

Valencia High School

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ALEJANDRA AHUMADA