Sarai Meneses
Modesto
Summary
Detail-oriented medical billing professional with over five years of experience specializing in outpatient and psychiatric billing, dedicated to enhancing revenue cycle management. Expertise in accurately filing claims, resolving rejected claims, and navigating complex insurance contracts, appeals, and EOBs. Proficient in processing invoices and payments while effectively pursuing past-due balances to maintain financial integrity. Committed to delivering exceptional service and optimizing billing processes, consistently contributing to improved operational efficiency and client satisfaction.
Overview
10
10
years of professional experience
Work History
Medical Biller/ Office Receptionist
VALLEY PSYCHIATRIC ASSOCIATES
02.2018 - Current
- Verify patients' insurance coverage
- Oversee the billing procedure to ensure timely preparing of bills and invoices
- Review and appeal unpaid and denied claims - Answer patients' billing questions
- Maintained and updated all files including insurance companies, diagnosis, procedure, fees/profiles
- Worked hand in hand with front office staff to ensure that the proper information was received for claims processing
- Processed medical claims using electronic billing systems to ensure accuracy and efficiency.
- Reviewed patient accounts for discrepancies, resolving issues with insurance providers promptly.
- Maintained up-to-date knowledge of insurance policies and regulations affecting billing practices.
- Collaborated with clinical staff to obtain necessary documentation for accurate claim submissions.
- Implemented streamlined billing procedures, reducing turnaround time for claims processing.
- Managed follow-ups on unpaid claims, enhancing revenue cycle performance through persistent communication with payers.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Conducted audits of submitted claims to identify areas for improvement in submission accuracy.
Medical Biller
DR. JACK R. HOLT, DDS
07.2015 - 05.2017
- Verify patients' insurance coverage
- Use coded data to produce and submit claims to insurance companies
- Review and appeal unpaid and denied claims - Answer patients' billing questions
- Department closed due to doctor outsourcing his billing
Medical Office Receptionist
CENTRAL VALLEY CARDIOVASCULAR
- 07.2015
- Translate for Doctors and Patients, answer phones, data entry and scan documents
- Call for insurance eligibility, benefits, procedure authorization
- Collect patient co-pays; cash and credit, scheduled next Dr. appointment
- Externship provided by accredited biller program
- 135 Hours
Education
Associate of Science Degree - Medical Office Administration
SAN JOAQUIN VALLEY COLLEGE
Salida, CAAssociate of Arts - Legal Studies
Humphreys University
Stockton, CA01-2027
Skills
- Healthcare billing expertise
- HCPCS coding proficiency
- Insurance contract management
- Claims reconciliation expertise
- Experience with Nextgen and Availity
- Health insurance verification expertise
Timeline
Medical Biller/ Office Receptionist
VALLEY PSYCHIATRIC ASSOCIATES
02.2018 - Current
Medical Biller
DR. JACK R. HOLT, DDS
07.2015 - 05.2017
Medical Office Receptionist
CENTRAL VALLEY CARDIOVASCULAR
- 07.2015
Associate of Science Degree - Medical Office Administration
SAN JOAQUIN VALLEY COLLEGE
Associate of Arts - Legal Studies
Humphreys University