
Detail-oriented Healthcare Claims and Medical Billing Specialist with hands-on experience in claims processing, insurance verification, eligibility review, and documentation analysis. Skilled in ICD-10/HCPCS coding, Medicare, Medi-Cal, and commercial insurance guidelines. Strong analytical and critical-thinking abilities with a proven record of resolving claim discrepancies, ensuring regulatory compliance, and supporting timely reimbursement in fast-paced healthcare environments.
Process customer orders and billing using QuickBooks with strong attention to detail and accuracy.
Maintain financial records, spreadsheets, and invoicing documentation.
Support billing operations through data analysis and automated invoicing to improve cash flow.
Perform administrative data entry and documentation management.
Assist with office coordination and internal communication to improve workflow efficiency.
Claims Review & Resolution
Medical Billing & Insurance Claims
ICD-10 / HCPCS Knowledge
Medicare, Medi-Cal & Commercial Plans
Eligibility & Benefits Verification
Medical Necessity Review
Underpayment / Overpayment Identification
Regulatory Compliance (HIPAA)
Documentation & Audit Support
EMR / EHR Systems
Customer Service & Provider Communication
Analytical Decision Making
Data Entry Accuracy
Microsoft 365, QuickBooks