Maria Marquez

Medical Biller

O & P In Motion

Reseda

06.2009 - Current

Collected, posted and managed patient account payments.
Reconciled codes against services rendered.
Submitted electronic claims to various insurance carriers.
Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
Reviewed claims for coding accuracy.
Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
Communicated with insurance representatives to complete claims processing or resolve problem claims.
Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
Maintained accurate patient data in electronic health records system.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Submitted appeals using provider portals and phone communication.
Completed and submitted appeals for denied claims.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Ensured compliance with HIPAA guidelines when handling confidential patient information.
Performed insurance verification, pre-certification and pre-authorization.

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