Deysi Torres
Duarte
Summary
Dynamic medical billing professional with expertise in revenue cycle management at Keck Medicine of USC. Proven ability to reduce claim denials through meticulous coding and compliance with regulations. Skilled in MS Office and adept at collaborating with teams to enhance billing processes, ensuring accuracy and efficiency in patient accounts.
Overview
13
13
years of professional experience
Work History
Non Government Patient Accounting/Collector
Keck Medicine of USC
02.2023 - 10.2024
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Improved revenue cycle by managing and overseeing the entire medical billing process.
- Maintained compliance with federal and state regulations, staying current on the latest laws governing medical billing collections practices.
- Streamlined medical billing processes by detecting coding errors and ensuring correct coding practices were implemented.
- Researched billing errors and discrepancies to initiate corrective action.
- Processed debtor payments and updated accounts to reflect new balance.
- Corrected, completed and processed claims for multiple payer codes.
- Reduced claim denials with thorough verification of patient insurance eligibility and coverage before submission.
- Collaborated with healthcare providers to resolve disputed claims and negotiate payment arrangements.
- Expedited claim processing through timely submission of clean claims, reducing backlog in accounts receivable.
- Managed denials effectively through proper investigation, resubmission or appeals when necessary, recovering lost revenue opportunities.
Medical Billing Specialist
California Business Bureau Inc.
12.2012 - 02.2020
- Oversaw all billing for Medicaid PCA, waiver and skilled claims, Medicare, Commercial and Private pay clients.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Communicated with insurance providers to resolve denied claims and resubmitted by paper or electronic.
- Researched COT and ICD-9/ICD-10 coding discrepancies and reimbursement accuracy.
- Complied with all HIPAA Privacy Andes unity Regulations to protect patient medical records and information.
- Trained all new employees.
Internship Student
Aegis Ambulance Service Inc.
06.2011 - 09.2011
- produced high-quality documents, spreadsheets and presentations for internal and customer-facing Needs.
- Delivered clerical support by handling a range of routine nd special requirements.
- Answered incoming telephone calls, took down messages and provided information.
- Sorted and organized files, spreadsheets and reports.
Education
Certificate - Medical Billing And Coding
Northwest College
West Covina, CA06-2012
Skills
- MS Office suit in microsoft
- Word, Excel, Outlook
- account receivable management
- Medical terminology expert
- Appeal letter/Retro auto submission
- Billing and Invoicing
- UB-04/CMS 1500
- Epic, Medi-Tech, EHR
- MS400, AS400A/B, P-Bar
- Payment posting
Timeline
Non Government Patient Accounting/Collector
Keck Medicine of USC
02.2023 - 10.2024
Medical Billing Specialist
California Business Bureau Inc.
12.2012 - 02.2020
Internship Student
Aegis Ambulance Service Inc.
06.2011 - 09.2011
Certificate - Medical Billing And Coding
Northwest College
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