Susana Salas
Rialto
Summary
Proven Medical Biller from Medical Diagnostic Laboratory, adept in insurance verification and customer service, enhanced revenue collections through diligent claim follow-ups. Trained new staff, significantly reducing claim denials. Excelled in HIPAA compliance and ICD-10 coding, ensuring high accuracy in billing and patient information management.
Driven Medical Biller motivated to perform beyond expectations.
Overview
10
10
years of professional experience
Work History
Medical Biller
Medical Diagnostic Laboratory
01.2014 - 04.2024
- Bilingual (English/Spanish)
- 55 Wpm
- ICD-10/HCPS
- Prior Authorization
- CPT Coding
- CMS 1500 forms
- Answer high volume of calls
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Responded to customer concerns and questions on daily basis.
- Utilized various software programs to process customer payments.
Skills
- Insurance Claims
- Insurance Billing
- Medical Billing
- Electronic Claims
- HIPAA Compliance
- Insurance Verification
- Billing and Collection Procedures
- Customer Service
- CPT Knowledge
- Patient Billing
- Insurance claims processing
- Medicaid and Medicare Knowledge
- Claim submission
- Medicare and Medicaid process
- Data Entry
- CMS-1500 Billing Forms
- ICD-10
Timeline
Medical Biller
Medical Diagnostic Laboratory
01.2014 - 04.2024
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