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Professional ProfileCareer ObjectiveSeeking an opportunity in the Medical Field, where I can utilize my 10+ years skills and demonstrate my knowledge.Skills:Speak, write and read English and Spanish fluently.Billing and coding skills, electronic claim submission, claim follow up, electronic and regular payment posting.Insurance knowledge, Ex: PPO, HMO, and POS insurances, as well with Medicaid and Medicare programs.Fast learner and able to grasp easily new changes in the medical billing and coding field.Good customer-relations backgroundVery organized and able to meet deadlines.Clear knowledge on reading and explaining EOBsI can work Independently and always follow company protocols.I have a very good understanding of Hipaa and privacy act to maintain patients confidentiality.Familiar with Healthcare industry rules to include False claims act, fair debt collections act and Stark Law.Responsibilities:Keep updated to understand most if not all Insurance plans to be able to bill correctly according to plan guidelines and by applying payer policy.I Submit Electronic Claims according to plan guidelines.I Follow up on claim denials, corrected claims and written appeals to avoid time deadlines and loss of revenue.I provide education to staff and leadership and make recommendations to minimize delays in revenue.I can use good judgment and critical thinking skills to identify and resolve issues.I Work the AR report ongoing to save outstanding accounts.I work with CPT ICD-10 and HCPC Coding regulations and always stay updated.Multitask, Excellent computer skills, very familiar with EHR, and able to learn new programs rapidly.I engage in staff and billing meetings to review work and keep everyone updated on error trends, and new information.Work HistoryUIW Rosenberg school of Optometry2013 ~ currentSenior billing and coding SpecialistEducationHigh School DiplomaCareer Point CollegeClinical Office Management with billing and coding skills.References:Priscylla Galvez: PHONE NUMBER AVAILABLEHomer Martinez: PHONE NUMBER AVAILABLE/pre>