Summary
Overview
Work History
Education
Skills
Timeline
Generic

CHRISTINE TERRONES

LOMPOC,CA

Summary

I'm energetic and eager for a challenge, empathetic with strong conflict resolution and communication skills. Precise, efficient medical billing with over 9 years experience. Specialize Experience with submitting reimbursement request to state, Private and employer insurance. In charge of data input and processing. Specialize in filling accurate claims, adjusting rejected claims, and understanding insurance contracts and appeals and EOBs, Co-pays. Additional expertise in quality control, reimbursements, and implementing improved process to enhance accuracy of business, and medical records.

Diligent Patient Account Representative with solid background in insurance billing. Successfully navigated claim submissions and resolutions, ensuring accuracy and compliance with regulations. Demonstrated proficiency in detailed record-keeping and effective communication with clients and insurers.

Insurance billing professional with significant experience and strong focus on accuracy and compliance. Adept at navigating complex insurance systems, ensuring timely and accurate claims processing, and maintaining patient records. Valued for teamwork, adaptability, and delivering reliable results. Proficient in medical coding, claims resolution, and customer service.

Overview

19
19
years of professional experience

Work History

INSURANCE BILLER

MIA BELLA PEDIATRICS
05.2016 - Current
  • Advocate for patients by contacting Insurance companies to ensure timely payments and resolve errors on rejected claims
  • Diligently prepared all required claims documentation including referrals, treatment plans, or other required correspondence to reduce incidence on denials
  • Billed and printed all insurance claims, electric and paper
  • Maintained accountability and accurate records by entering adjustments and denials, also managed patient accounts receivable
  • Answered all phone calls and questions regarding billing and insurance
  • Worked up and submitted all collection accounts
  • Proven ability to work with uninsured and self-paying patients to develop reasonable payment plans
  • Maintained excellent professional relationships with insurance company representatives, facilitating efficient claim processing and reimbursement.
  • Streamlined billing processes for increased efficiency, implementing electronic data interchange systems.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the billing process.

Makeup Artist

Nordstrom
02.2015 - 05.2016
  • Maintained a hygienic workspace by adhering to strict sanitation practices, ensuring client safety and comfort.
  • Sanitized makeup tools to avoid spread of infection.
  • Enhanced client satisfaction by providing personalized makeup consultations and product recommendations.
  • Advised clients on proper skincare routines, promoting healthy skin as the foundation for flawless makeup application.
  • Demonstrated and explained use of different beauty products to educate customers.
  • Scheduled onsite and offsite makeup appointments for clientele.
  • Developed customized makeup plans for bridal parties, contributing to memorable wedding experiences.

BEAUTY ADVISOR

MACYS
10.2005 - 02.2015
  • Tasked with opening first time communication with the customer
  • Provide Excellent customer service to guest on sales floor at the register and over the phone
  • Provide each customer or client with highly detailed personal service to help them meet their beauty and health goals with the best products for their skins

Education

DIPLOMA -

DANA HILLS HIGH SCHOOL
Dana Point, CA
06.2003

Medical billing icd-10 coding certificate -

SADDLEBACK COLLEGE
Mission Viejo, CA
08.2013

Skills

  • Medical Billing
  • Posting and balancing
  • Payment plan creation
  • Insurance knowledge
  • Insurance contracts and appeal's EOBs
  • Knowledge of HMO, PPO
  • Confidential Records Maintenance
  • HIPAA compliance
  • Claim submission
  • Patient confidentiality
  • Professionalism and ethics
  • Insurance verification
  • Data entry proficiency

Timeline

INSURANCE BILLER

MIA BELLA PEDIATRICS
05.2016 - Current

Makeup Artist

Nordstrom
02.2015 - 05.2016

BEAUTY ADVISOR

MACYS
10.2005 - 02.2015

DIPLOMA -

DANA HILLS HIGH SCHOOL

Medical billing icd-10 coding certificate -

SADDLEBACK COLLEGE
CHRISTINE TERRONES