Amy AGUIRRE
San Diego
Summary
Medical Biller with 7 years of experience specializing in rheumatology and podiatry billing across multi-location clinics (San Diego & El Centro). Skilled in charge entry, coding review, payment posting, appeals, and denial management. Known for accuracy, strong patient communication, and the ability to work independently in hybrid and remote environments. Experienced in credentialing, payor enrollment, and contract review. Efficient Medical Biller known for exceptional productivity and task completion speed. Skilled in medical coding, insurance verification, and claim processing. Excel in time management, problem-solving, and adaptability to ensure smooth billing operations and patient satisfaction.
Overview
8
8
years of professional experience
Work History
Medical Biller / Charge Entry Specialist - Hybrid (Remote + On-site)
San Diego Arthritis Medical Clinic
San Diego
01.2018 - Current
- Reviewed charge entry data from both practice locations with high accuracy.
- Entered charges, payments, adjustments, and corrections in Practice Management system.
- Conducted rheumatology and podiatry coding reviews using CPT, ICD-10, and modifiers.
- Managed podiatry billing along with specialty-specific requirements.
- Coordinated authorizations for ancillary services and office visits, including injections and therapies.
- Obtained, tracked, and uploaded prior authorizations into Athena EMR, ensuring documentation accuracy.
- Scheduled authorizations one week in advance to prevent treatment delays.
- Verified insurance eligibility and benefits daily to support clean claims.
Credentialing Assistant - Contract (Remote)
Sunity Billing
01.2024 - 01.2025
- Completed credentialing projects for multiple providers, including CAQH maintenance, Letters of Intent, and payor enrollment applications.
- Reviewed contracts for accuracy and alignment with negotiated terms prior to provider onboarding.
- Communicated with insurance payors to track application status and resolve delays.
- Successfully completed all assigned credentialing contracts will be requested again for future enrollment projects as needed.
Education
High School Diploma - National City, CA
Sweetwater High School
National City, CA01.2009
Skills
- Customer service
- Appeals processing
- Payment posting
- Copay collection
- Patient support
- Podiatry billing
- Rheumatology billing
- Insurance knowledge
- Athena experience
- Remote work
- Contract review
- Credentialing
Languages
Spanish
Native/ Bilingual
Timeline
Credentialing Assistant - Contract (Remote)
Sunity Billing
01.2024 - 01.2025
Medical Biller / Charge Entry Specialist - Hybrid (Remote + On-site)
San Diego Arthritis Medical Clinic
01.2018 - Current
High School Diploma - National City, CA
Sweetwater High School