Summary
Overview
Work History
Education
Skills
Languages
References
Timeline
AssistantManager

Dulce Padilla

Santa Clara

Summary

I would consider myself a super positive person who tends to please people's needs in the professional field. Along my way in the working field, I have dealt with lots of difficult and easy positions, and I am ready to sustain what is to come. Organized Medical Biller, thoroughly versed in the medical field and HIPAA requirements. Personable professional with years of hands-on experience maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software's. Ability to complete tasks swiftly, effective communication abilities, and to ensure smooth billing operations.

Overview

9
9
years of professional experience

Work History

Medical Billing Administrator

Boulevard Surgical Assoc.
Los Gatos
06.2024 - 12.2025
  • Provided customer service support to patients regarding their medical bills or payment options.
  • Processed incoming payments from insurance companies or patients.
  • Initiated contact with clients and patients via phone or mail concerning unpaid balances due on account statements.
  • Investigated rejected claims using payer websites or by contacting third-party payers directly.
  • Maintained accurate accounts receivable records and updated patient files accordingly.
  • Reviewed patient records for accuracy and completeness of information, and verified insurance coverage.
  • Resolved billing disputes with insurance companies in a timely manner.
  • Created detailed spreadsheets outlining each client's charges, payments received, outstanding balances.
  • Completed and submitted appeals for denied claims.
  • Analyzed trends in claim processing times and worked closely with staff members to reduce delays.

Medical Billing Assistant

RehabOne Medical Group
Los Gatos
07.2018 - 11.2021
  • Performed follow-up on unpaid or rejected claims with insurance providers.
  • Processed and submitted claims to insurance companies electronically or by paper.
  • Identified potential coding issues that could lead to denials or underpayments and addressed these issues promptly.
  • Reviewed patient accounts for accuracy prior to submission of claims to payers.
  • Investigated denials from insurance carriers and resubmitted claims as needed.
  • Worked closely with other departments such as clinical staff, administrative staff, and finance department personnel to resolve any issues related to billing.
  • Submitted appeals to insurance companies when necessary.
  • Maintained accurate records of claims processing in compliance with HIPAA regulations.
  • Prepared reports on billing activities for management review.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Completed and submitted appeals for denied claims.
  • Collected, posted and managed patient account payments.

Cafe Supervisor

Bon Appetit @ Intel
Santa Clara
08.2016 - 06.2018
  • Promoted positive working environment by encouraging team collaboration.
  • Organized daily shift schedules for employees.
  • Ensured efficient operation of café according to health and safety regulations.
  • Managed inventory, ordering supplies as needed.
  • Conducted weekly meetings with staff to discuss goals and objectives.
  • Supervised staff in providing excellent customer service to patrons.
  • Trained new employees on operational procedures and policies.
  • Greeted customers at front counter, answering questions and inputting specialty coffee orders into POS system.
  • Took inventory of supplies and equipment and placed new orders to maintain stock levels.
  • Reported to kitchen manager before start of shift to receive assigned station, daily specials and other pertinent information.

Education

High School Diploma -

Prospect High School
Saratoga, CA
06-2011

High School Diploma -

Wilson High School
Santa Clara, CA

Skills

  • Medical coding
  • Claims processing
  • Accounts receivable
  • Insurance verification
  • Billing dispute resolution
  • Customer service
  • Patient communication
  • Time management
  • Detail orientation
  • Continuous learning mindset
  • HIPAA compliance
  • Payment posting
  • Electronic claims
  • Team collaboration
  • Submission of medical claims
  • Attention to detail

Languages

English
Native/ Bilingual
Spanish
Native/ Bilingual

References

References available upon request.

Timeline

Medical Billing Administrator

Boulevard Surgical Assoc.
06.2024 - 12.2025

Medical Billing Assistant

RehabOne Medical Group
07.2018 - 11.2021

Cafe Supervisor

Bon Appetit @ Intel
08.2016 - 06.2018

High School Diploma -

Prospect High School

High School Diploma -

Wilson High School

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Dulce Padilla