Armen Galumyan
Sylmar,CA
Summary
Diligent Medical Biller and Insurance Coder with solid background in medical billing coordination. Successfully managed billing processes and ensured accurate claim submissions. Demonstrated expertise in resolving billing discrepancies and optimizing revenue cycles.
Medical billing professional with proven track record in managing billing operations and ensuring compliance with healthcare regulations. Highly reliable team player focused on effective collaboration and achieving results. Skilled in medical coding, claims processing, and maintaining patient confidentiality.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Billing Coordinator
OAKS DENTAL CLINIC
01.2024 - Current
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Coordinated with clinical teams to ensure proper documentation was received for accurate coding and claim submissions, reducing delays in reimbursements.
- Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Delivered timely and accurate charge submissions.
- Creating and issuing invoices for private clients.
- Creating payment plans in consultation with dental staff and patients.
- Processing payments upon the rendering of dental services.
- Preparing and submitting claims for payment by health insurance.
- Informing patients of any co-payments or shortfalls in coverage by their health insurance.
- Greeting patients when they arrive at the dentist's office
- Scheduling appointments for patients
- Maintaining patient accounts and records
- Preparing and sending patient bills
- Submitting patient claims to insurance companies
- Assisting patients in filling out required intake and medical forms
- Confirming appointments with patients via phone or email
- Managing and organizing specialist referrals
- Answering phone calls and emails, taking messages, and answering client questions
- Using office equipment, maintaining and ordering office supplies
- Processing payments if needed
- Verified accuracy of accounts payable payments, resulting in 20-30% reduction in payment errors and check reissues.
Certified Medical Billing Specialist
Ashley Clinical Diagnostic Laboratory
02.2019 - 01.2024
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Submitted refund requests for claims paid in error.
- Reviewed and verified benefits and eligibility with speed and precision.
- CPT, HCPCS, ICD-10 CM, ICD-10 PCS, ICD-9CM CDT coding
- CMS 1500, HCFC/ UB-92, UB-04, ADA form
- MEDISOFT Billing software/ MEDCIN (EHR) electronic health records, SCHUY LAB, PRACTICE EXPERT
- Proficient in Microsoft Word, Word Perfect, Excel, Adobe, 2013
- PowerPoint. Type 62 wpm & 10 key by touch/ Medicare/ Medi-Cal Guidelines
- Appeal Letter/ Correspondence/ TAR’s, obtaining authorizations, etc.
- Collection and follow-up; insurance verification; electronic medical records;
- Knowledge of managed care (HMO, PPO & private) Medical/ Dental Terminology
- EOB and EOMB proficient/ Accounts receivable and appeals knowledge.
- Electronically transmission of claims/ Posting charges and payments on account
- Microsoft Office including Word, Power Point and Excel
- Medical records, Medical coding
- Verify patient eligibility with insurance as needed, maintaining an open line of communication with all insurance carriers including follow-up, denials, and appeals
- Bill, post, review, and analyze superbills from providers to ensure accuracy in codes as per billing guidelines
· Perform general clerical duties: data entry, file preparation, scanning and faxing, mailing patient statements, answering phone calls, etc - Follow-up on all unpaid accounts
Assist patients with questions concerning their accounts Perform other job-related duties, as assigned - Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Liaised between patients, insurance companies, and billing office.
- Verified insurance of patients to determine eligibility.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Generated monthly billing and posting reports for management review.
Education
CERTIFIED BILLING AND CODING SPECIALIST - CBCS
NATIONAL HEALTHCARE ASSOCIATION (NHA), MEDICAL BIL
Los Angeles, CA2022
No Degree - BASIC LIFE SUPPORT (CPR And AED) Program
American Heart Association, BLS Provider
Los Angeles, CA12-2021
Associate of Applied Science - Medical Billing And Insurance Coding
United Educational Institute
Encino, CA06-2021
Associate of Science - Programmer
Higher School of Business Informatics
Los Angeles, CA06.2016
Skills
- Files and Records Management
- Practice Expert and SchuyLab Software Applications Proficiency
- Billing Data Verification
- Financial Documentation
- Billing and Invoicing
- Decision Making
- DENTRIX SOFTWARE
- Billing Document Creation
- Work Coordination, Planning and Prioritization
- Trilingual
- Microsoft Office: MS PowerPoint MS Word MS Excel MS Outlook
- Driving license C
- MEDICAL RECORDS ELIGIBILITY HEALTHCARE INFORMATION
- INSURANCE CLAIM MEDICAL/MEDICARE/PPO/HMO
- Analytical skills
- Customer Service
- DATA ENTRY
- CPT CODING
- CMS-1500 FORM
- Evaluation and Management
- ICD-10 knowledge
- Claims processing proficiency
- Healthcare reimbursement
- Professionalism and ethics
- Medical office software proficiency
- Accounts receivable management
- Medical coding expertise
- Payment posting
- Electronic health records management
- Customer service
- Electronic claims
- Billing and collection procedures
- Multitasking and organization
- Claims review
- Insurance claims processing
- CMS-1500 billing forms
- Critical thinking
- Verbal and written communication
- Accounts receivable
- Patient account analysis
- Insurance verification
- Medical terminology
- Electronic health record software
- Work prioritization
- Invoice processing
- Patient collections
- Account reconciliation
- Medicare and Medicaid process
- Records management
- Insurance claims
- HIPAA compliance certification
- Collections management
- Operations support
- Data security procedures
- ICD-9
- Problem-solving abilities
- Multitasking Abilities
- Attention to detail
- Time management
- Submission of medical claims
- Procedure coding
- Insurance collections
- Account follow-up
- CPT code modifiers
- EZ claim
- ICD-10
- Medical transcription
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Resolved product issue through consumer testing.
- Processed and managed over 5000 medical bills per month, resulting in a 30% reduction in unpaid claims
- Accurately maintained patient records and medical billing software to ensure accuracy and efficiency
- Resolved billing disputes and negotiated payment plans with insurance companies and patients
- Trained and mentored new staff on medical billing procedures and protocols.
Languages
English
Native/ Bilingual
Armenian
Native/ Bilingual
Russian
Native/ Bilingual
Certification
- Certified Billing and Coding Specialist (CBCS)
- BASIC LIFE SUPPORT (CPR and AED) Program
- Informatics courses
Education and Training
other,other,other,other
Timeline
Medical Billing Coordinator
OAKS DENTAL CLINIC
01.2024 - Current
Certified Medical Billing Specialist
Ashley Clinical Diagnostic Laboratory
02.2019 - 01.2024
CERTIFIED BILLING AND CODING SPECIALIST - CBCS
NATIONAL HEALTHCARE ASSOCIATION (NHA), MEDICAL BIL
No Degree - BASIC LIFE SUPPORT (CPR And AED) Program
American Heart Association, BLS Provider
Associate of Applied Science - Medical Billing And Insurance Coding
United Educational Institute
Associate of Science - Programmer
Higher School of Business Informatics
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