Tasha Jaurequi
Downey
Summary
Detail-oriented Medical Billing Specialist with expertise in HIPAA compliance, claims submission, and insurance verification. Proven track record of resolving billing discrepancies and enhancing patient satisfaction.
Overview
9
9
years of professional experience
Work History
Medical Billing Specialist/Senior Financial Counselor
Kaiser Foundation Hospital
04.2018 - Current
- Processed medical claims efficiently, ensuring compliance with insurance policies and regulations.
- Reviewed billing discrepancies, resolving issues promptly to maintain accurate accounts receivable.
- Maintained up-to-date knowledge of coding guidelines, enhancing claim submission accuracy.
- Collaborated with healthcare providers to clarify billing inquiries and improve patient satisfaction.
Claims Resolution Specialist
United Healthcare Group
05.2024 - 02.2026
- Resolved complex claims issues, ensuring accuracy and compliance with policies.
- Collaborated with cross-functional teams to streamline claims processing workflows.
- Analyzed claims data to identify trends and recommend process improvements.
- Assisted clients in understanding claim outcomes and benefits coverage details.
Patient Financial Specialist
PIH Health
01.2017 - 03.2019
- Facilitated patient billing inquiries and resolved financial discrepancies to enhance patient satisfaction.
- Streamlined claims processing procedures, reducing delays and increasing payment accuracy.
- Collaborated with insurance providers to verify coverage and expedite authorizations for patient services.
- Educated patients on financial assistance programs, improving access to necessary medical care.
Education
High School Diploma -
Parkridge Private School
Long Beach, CASkills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- understands provider statements, superbills, itemized bills, statements, and explanation of benefits
- proficient in EMR,EHR systems including EPIC, Cerner, Eclinicalworks and Availity, insurance portals for eligibility, claim submission
- strong background in utilization review, prior authorization and appeal documentation
Timeline
Claims Resolution Specialist
United Healthcare Group
05.2024 - 02.2026
Medical Billing Specialist/Senior Financial Counselor
Kaiser Foundation Hospital
04.2018 - Current
Patient Financial Specialist
PIH Health
01.2017 - 03.2019
High School Diploma -
Parkridge Private School