Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jari Tamayo

El Cajon,CA

Summary

Diligent healthcare administrator, fluent in Spanish and with expertise in accurate financial transactions, streamlined claims completion, and proactive problem resolution, ensuring accurate and prompt delivery of billing data.

Strategic thinker, optimizing reimbursement through a comprehensive understanding of billing and coding practices and staying informed about payer policies.

Overview

19
19
years of professional experience

Work History

Medical Billing Specialist

Mobility Solutions
05.2005 - Current
  • Enhance Posting Charges:

Efficiently record and verify posting charges with meticulous attention to detail, ensuring accuracy in financial transactions.

  • Streamline Completion of Claims to Payers:

facilitate the seamless completion of claims to payers by adhering to industry standards and regulation, promoting a swift and error-free submission process.

  • Submit Billing Data to Appropriate Billing Providers:

Precisely deliver billing data to the designated billing providers, employing a systematic approach to ensure that information reaches the intended recipients accurately and promptly.

  • Resolve Denial Instances:

Proactively address and resolve instances of claim denial employing problem-solving skills, collaborating with relevant stakeholders, and implementing corrective measures to prevent recurrence.

  • Optimize Achieving Maximize Reimbursement for Services Provided:

Strategically maximize reimbursement for services rendered

by employing comprehensive knowledge of billing and codding practices, staying informed about payer policies, and actively pursuing opportunities to enhance reimbursement rates and examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Education

Medical Billing & Administration

Valley Career Collage
El Cajon, CA
03.2005

Skills

  • Payment posting
  • Claim submission
  • Insurance Verification
  • Patient Billing
  • CPT Knowledge
  • Denial Management
  • Medical coding knowledge
  • HIPAA Compliance Certification
  • Accounts receivable management
  • ICD-10 Proficiency
  • Teamwork and Collaboration
  • Knowledge of Commercial and Private Insurance:

Blue Cross, Blue Shield, Aetna, Health Net,

United Healthcare, Medical Groups, LA Care, Molina, IEHP,

Workers Comp, Tricare, Medical(DHCS), and Medicare

  • Bilingual; Fluent in Spanish and English

Timeline

Medical Billing Specialist

Mobility Solutions
05.2005 - Current

Medical Billing & Administration

Valley Career Collage
Jari Tamayo