Renee Rodriguez
La Mirada
Summary
Medical billing expert skilled in claims management and patient interactions, ensuring accuracy and compliance with industry standards. Adept at resolving billing discrepancies, managing accounts receivable, and applying HIPAA regulations to uphold patient confidentiality and service excellence.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Biller
Infectious Disease Consultants
Placentia
12.2023 - Current
- Communicated with insurance companies to resolve claim discrepancies and denials.
- Submitted electronic claims to various insurance carriers.
- Collaborated with healthcare providers to gather essential information for accurate claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Investigated discrepancies between billed charges and payments received from insurance companies to resolve issues and expedite reimbursement.
- Maintained detailed documentation of billing procedures and patient interactions.
- Monitored accounts receivable to track payments and outstanding balances effectively.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Educated patients on their financial responsibilities regarding medical services received.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Communicate with healthcare providers to resolve billing discrepancies and inquiries.
- Review patient accounts for accuracy and completeness before submission.
- Applied HIPAA privacy and security regulations while handling patient information.
Cashier
Burlington
La Habra
10.2019 - 04.2021
- Processed customer transactions efficiently and accurately, enhancing overall service speed at busy retail location.
- Operated cash register efficiently and accurately, processed payments by cash, check, credit card, gift card or automatic debit.
- Handled cash, credit, and gift card payments securely during transactions.
- Collected payments and provided accurate change.
- Assisted customers with product inquiries and provided tailored recommendations to enhance their shopping experience.
- Helped customers find specific products, answered questions, and offered product advice.
- Collaborated with team members to streamline store operations and improve customer flow during peak hours.
Cashier
Superior Grocers
La Mirada
09.2018 - 09.2019
- Operated computerized cash register, managing large sums of money with precision and accuracy
- Received payments through cash, check, or automatic debits, maintaining clear transaction records
- Issue receipts, refunds, credits, or change due to customers
- Opened and closed cash register at beginning and end of shifts, ensuring accurate financial records.
- Determined service charges, collected deposits, and arranged billing to ensure accurate customer transactions
Hostess/Cashier
Golf 'n' Stuff
Norwalk
10.2013 - 05.2015
- Greeted customers and identified their needs to enhance service experience
- Responded to customer inquiries via telephone or in person, offering detailed information about products and services
- Recommend services to customers, based on customers' needs and interests
- Maintain knowledge of promotions, policies, and practices
- Communicated information to supervisors and co-workers clearly through telephone, email, or in person
Cashier
Target
Whittier
11.2014 - 01.2015
- Delivered excellent customer service, enhancing overall customer satisfaction
- Assist customers by providing information and resolving their complaints
- Maintained records of customer interactions, detailing inquiries, complaints, and actions taken
- Verified implementation of changes to effectively resolve customer issues
Education
High School Diploma -
La Mirada High School
La Mirada, CA06-2012
Some College (No Degree) -
Fullerton Community College
Fullerton, CASome College (No Degree) -
Cerritos College
Norwalk, CASkills
- Claims processing
- Medical billing
- Medical claims processing
- Insurance claims
- CMS-1500 billing forms
- Medicare/Medicaid expertise
- Claims review
- Billing procedures
- Insurance verification
- Accounts receivable
- Attention to detail
- Time management
- Records management
- Information requests
- MS Word
- Excel
- PowerPoint
- Problem solving
- Team collaboration
- Active listening
- Communication proficiency
- Effective messaging
- Claim resolution
- Claim resolution
Experience
Greet customers and determine what each customer wants or needs, Maintain knowledge of promotions, policies, and practices, Recommend services to customers, based on customers' needs and interests, Provide information to supervisors and co-workers by telephone, email, or in person in a clear and concise manner, Confer with customers via telephone or in person to provide information about product and services, Provide excellent customer service in order to ensure customer satisfaction, Maintain records of customer interactions or transactions, recorded details of inquiries, complaints, or comments, as well as actions taken, Check to ensure that appropriate changes were made to resolve customers' problems, Assist customers by providing information and resolving their complaints, Determine charges for services requested, collect deposits of payments, or arrange for billing, Receive payment by cash, check, or automatic debits, Issue receipts, refunds, credits, or change due to customers, Operate computerized cash register and handle large sums of money, Open, close, and balance cash register
Certification
- Medical Billing
Timeline
Medical Biller
Infectious Disease Consultants
12.2023 - Current
Cashier
Burlington
10.2019 - 04.2021
Cashier
Superior Grocers
09.2018 - 09.2019
Cashier
Target
11.2014 - 01.2015
Hostess/Cashier
Golf 'n' Stuff
10.2013 - 05.2015
High School Diploma -
La Mirada High School
Some College (No Degree) -
Fullerton Community College
Some College (No Degree) -
Cerritos College