Idalia Gutierrez- Trujillo
Visalia
Summary
Driven Medical Biller with extensive experience at Gerges Medical Clinic, adept at resolving denied claims and ensuring timely reimbursements. Skilled in insurance verification and claims processing. Committed to maintaining HIPAA compliance and enhancing patient billing accuracy. Offering strong analytical skills and attention to detail, with readiness to learn and adapt in medical billing environment. Ready to use and develop problem-solving and administrative skills in Medical Biller role.
Overview
1
1
year of professional experience
Work History
Medical Biller
Gerges Medical Clinic
07.2024 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Followed up with medical staff regarding missing information in patient records.
- Input data into computer programs and filing systems.
Education
Administrative Medical Assistant Diploma -
Milan Institute
Visalia, CA06-2024
High School Diploma -
Farmersville High School
Farmersville, CA06-2021
Skills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- Customer service
- Patient billing
- Insurance claims processing
- Claim submission
- Data entry
- Claims processing
- Payment posting
Languages
Spanish
Professional Working
English
Full Professional
Timeline
Medical Biller
Gerges Medical Clinic
07.2024 - Current
Administrative Medical Assistant Diploma -
Milan Institute
High School Diploma -
Farmersville High School
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