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Carla A. Chavez2403 Stevens Ave., Rosemead, CA 91770323-316-7848 [email protected]
Skills & Knowledge Profile HIPAA rules and regulations ICD-9, CPT codes and medical terminology Medical billing software (MedFm, Laserfiche, ACS and NextGen, eCMS) MS Office: Word, Excel, Power Point 10-Key knowledge, Type 35 wpm Excellent phone etiquette and customer service Able to work well unsupervised Bilingual- English and fluent Spanish
Experience
Intermedix.Medical Biller: Coding Ops Assistant Cerritos, CA Aug 2014-Present Reconcile chart received from client with daily log provided. Audit insurance coding done by offshore vendor Retrieve any missing or incomplete charts from corresponding hospital system. Move completed charts to corresponding folder for CPT Coding process Review and identify charts for possible physician shared visits
RevCycle+ The T-System, Inc.Medical Biller: Coding Ops Assistant/AR Follow Up Cerritos, CA Dec. 2013-August 2014 Reconcile chart received from client with daily log provided. Audit insurance coding done by offshore vendor Retrieve any missing or incomplete charts from corresponding hospital system. Move completed charts to corresponding folder for CPT Coding process Review and identify charts for possible physician shared visits.
Medical Biller: AR Follow-Up/Clerical Cerritos, CA Oct. 2012- Dec 2013 Checked Medi-Cal and other insurances for eligibility Handled return mail Made sure charts were completed in Laserfiche Sorted CMS for mailing purposes, filled out necessary forms to process CMS forms Reconciled all patient charts with the hospital census log Oversaw two other employees Retrieved any missing information from respective hospital system Monitored daily and monthly logs for charts received for two practices.
Marina Medical Billing ServicesMedical Biller: Insurance Follow up Cerritos, CA Nov. 2011- Oct. 2012 Reviewed EOB’s and followed up on outstanding accounts by financial class Worked correspondence, ticklers and agings Prepared adjustments, payment transfers and charge reversals Billed Medicare, Medi-cal, HMO, and PPO claims Sent delinquent accounts to collection agencies Re-billed insurance companies to secure payment for patients. Responded to patient billing and statement inquiries Called patients regarding hospital charity and made discounts to accounts according to
guidelines Contacted patients regarding outstanding balances. Helped patients establish payment
plans Handled 100-120 accounts daily using AS400 and Laserfiche
Biller: Clerical Cerritos, CA Aug. 2011- Nov. 2011 Checked Medi-Cal and other insurances for eligibility Handled return mail Made sure charts were completed in Laserfiche, Sorted CMS for mailing purposes Filled out necessary forms to process CMS forms.
Medical Billing Intern Cerritos, CA Jan. 2011- Feb. 2011 Checked medi-cal and other insurance eligibility Handled return mail, Posted CMS forms for secondary payment Sorted CMS for alphabetically Filled out necessary forms to process CMS forms
Education
Downey Adult School Downey, CA Sept. 2010 - Dec. 2010Medical Biller and Coder, CPC Certified (01171465)
ICD9-CM, CPT Medical Terminology and anatomy Billing and Insurance