Angelia Montes
Sylmar,CA
Summary
Experienced Medical Billing and Coding Specialist
With 6+ years of knowledge in Patient Qualification fields.
Adept with accounting systems and Provider Portals like Epic and Humana.
Routing systems like Visiquate, Onesource and PNC.
My biggest achievement up to date is being a specialized department trainer for 5 years, training new talent and reducing
company's escalation errors, while increasing patient and provider satisfaction and saving valuable resources.
Overview
16
16
years of professional experience
Work History
Government Billing
Accentra Home Health
09.2024 - Current
- Translating clinical data ie: Diagnosis procedures, services and treatments from physician documentation into universal codes.
- Accuracy & Compliance ie: Ensuring codes are correct and follow healthcare regulations
- Documentation Review ie: Patient records and authorization forms.
- Claim Creation & Submission
- Payment Processing
- Denial Management
Patient Qualification Specialist
Kaiser Permanente -Owens & Minor
08.2020 - 11.2025
- Managed and updated patients medical records and accounts.
- Answered patient inquiries and provided information about healthcare services.
- Subject Matter Expert (sme) processing and verifying insurance
- Medicaid/Medicare/shared services/Commercial/Mcr advg
- Gov funded specialized insurance knowledge
- Able to support patients and family members, actively listening to concerns and offering compassionate care.
- Coordinated with multiple healthcare professionals to provide patients with comprehensive care.
- Completed necessary reports and documentation on time and to specifications.
- Educated clients and families about rights and responsibilities.
- Maintained accurate records of patient visits and treatments in patient medical files.
- Obtained patient or family member authorizations for tests and procedures.
Youth Development Leader
Los Angeles Unified School District, LAUSD
04.2017 - 08.2020
- Educated young people about strategies for driving discussions and promoting social changes.
- Helped create comprehensive programs to meet mathematical and scientific criteria
- Tracked service activities and outcomes against outlined plans and goals.
- Supervised groups of students during outdoor education activities.
- Maintained a safe environment for students to thrive and achieve assignment oriented goals.
- Created material for students to utilize during educational activities
- Assisted naturalists in teaching mathematical and science material.
- Assisted schools with at-risk youth behavior, education and extracurricular activities to reinforce youth development programs.
- Collaborated with school personnel, parents and mental health providers to maintain comprehensive and integrated approach to student services.
- Developed and introduced cultural and ethnic diversity programs.
Sales Manager
Target
02.2010 - 02.2017
- Maintained ethical and positive working environment to reduce turnover and promote high retention rates.
- Engaged in product training, demonstrations, consumer awareness, branding, and acquisition initiatives to raise awareness and revenues.
- Coached and promoted high-achieving sales and account management employees to fill leadership positions with qualified staff and boost company growth.
- Exceeded sales quotas and increased profitability through effective sales strategy and business planning.
- Collaborated with upper management to implement continuous improvements and exceed team goals.
- Coached employees in successful selling methods and encouraged cross-selling to drive revenue.
- Conducted team meetings to reinforce goals and objectives and set clear expectations about policies and procedures.
- Utilized metrics to modify low-performing sales and marketing programs and plans to increase effectiveness.
- Coached and counseled sales personnel, assisting with individual selling efforts and helping sales representatives reach targets.
- Identified, hired and trained highly-qualified staff by teaching best practices, procedures, and sales strategies.
Education
Diploma -
Sylmar Charter High School
Sylmar, CA2008
Skills
- Patient Contact
- Records Preparation
- Interactive Communication Skills
- Knowledgeable with Provider Health Portals
- Observational Skills
- Communication Skills
- Reading Comprehension
- Insurance Verification
- Mentoring
- Curriculum Development
- Inventory Restocking
- Compliance Management
- Equipment Inspection
- Sales Oversight
- Electronic Medical Record Software
Timeline
Government Billing
Accentra Home Health
09.2024 - Current
Patient Qualification Specialist
Kaiser Permanente -Owens & Minor
08.2020 - 11.2025
Youth Development Leader
Los Angeles Unified School District, LAUSD
04.2017 - 08.2020
Sales Manager
Target
02.2010 - 02.2017
Diploma -
Sylmar Charter High School