Valerie Rivas
Rancho Cucamonga
Summary
Experienced medical biller with a strong background in medical billing processes and healthcare administration. Demonstrated success in ensuring accurate claim submissions and securing timely reimbursement. Recognized for exceptional communication and problem-solving abilities, consistently meeting healthcare providers' needs.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Biller/Accounts Receivable Clerk
Susan Biegel M.D.
10.2024 - Current
- 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.
Teacher
Kiddie Academy
09.2021 - 09.2022
- Developed lesson plans for classrooms
- Promoted an environment conducive to learning
- Incorporated best practices for science education
- Received consistent positive feedback from supervising teacher
- Created customized lesson plans based on individual students’ needs
- Helped improve the test scores and grades of the community’s at-risk students
Education
Diploma - Medical Billing and Coding
North West College
Pomona, CA01.2024
High School Diploma - undefined
Hillside High School
Upland, CA01.2009
Skills
- Customer Service
- ICD9/10 CM & CPT
- Charting
- Insurance Billing
- Medisoft
- HMO/PPO/Managed Car
- Multi Lined Telephone Techniques
- Microsoft Programs
- Disability Insurance
- Medical Terminology
- Appointment Scheduling
- Private/Group Insurance
- HIPAA/OSHA
- Dental Terminology
- Bookkeeping
- Insurance claims
- Medical billing
- Workers Compensation
- Insurance billing
- Electronic claims
- Insurance verification
- CPT knowledge
- Billing and collection procedures
- Accounts receivable
- Claim submission
- Medicare and medicaid process
- Payment posting
Certification
- CPR/AED Certification
- Microsoft Office Specialist (MOS) Certification
Languages
Spanish
Native or Bilingual
Timeline
Medical Biller/Accounts Receivable Clerk
Susan Biegel M.D.
10.2024 - Current
Teacher
Kiddie Academy
09.2021 - 09.2022
High School Diploma - undefined
Hillside High School
Diploma - Medical Billing and Coding
North West College
Similar Profiles
Vanessa TownsVanessa Towns
Medical Assistant at Susan Biegel MDMedical Assistant at Susan Biegel MD
Valeria RodriguezValeria Rodriguez
Customer Service Representative at Susan Biegel MD INCCustomer Service Representative at Susan Biegel MD INC
Cristina RobletoCristina Robleto
Medical Administrative Assistant at Susan BiegelMedical Administrative Assistant at Susan Biegel