Medical Biller / OP coder

Elizabeth Escudero

  

3751 Grecko Drive, Wesley Chapel, Florida 33543

 

Home: (646) 345-9215 - bxlatinlady58@aol.com

 

Profile

 

Objective -Seeking a remote position as a Medical Biller/coder.  Twenty three years experience in billing for a major hospital.  Knowledge in all aspects of billing which includes denials, appeals, balance adjustments, collections, customer services to insurance companies and patients.  Recently obtain Associate Degree from University of Phoenix in Medical records and coding to enhance my ability to work from home. Perform well independently, excellent with time management and deadlines.  Equipped with a at home base office.

 

Highlights

 

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Microsoft Office proficiency

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Knowledge of HIPPA compliance

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Excel spreadsheets

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Billing and coding

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Time management

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Claims appeal procedures

â—      Knowledge in CMS-1500, UB-04 billing.

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Insurance eligibility verifications

Knowledge with Medisoft / Treks

 

Experience

 

Program Assistant

 

October 2005 to December 2012

 

Montefiore Medical Center – Bronx, New York

 

â—      Assist manager in distributing assignment to associates and overseeing the completion and proficiency of work. Created weekly and monthly reports and presentations. Drafted meeting agendas, supplied advance materials and executed follow-up for meetings and team conferences. Received and distributed faxes and mail in a timely manner.

â—      Following up with various insurances on reimbursements to the facility.

â—      Entering data and updated claims, such as appealing and resubmitting corrected adjudicating/ denied claims.

 

â—      Adjusting claims, billing patients for balances due, referring overdue accounts accordingly to collection agencies.

 

â—      Assist in determining the pro-activity of work flow under time management.

 

Financial Representative

 

June 1990 to October 2005

 

Montefiore Medical Center – Bronx, New York

 

â—      In charge of maintaining various forms of follow up for four (4) different insurance agencies.

â—      Basic follow up consists of insurance verification, pricing sheet calculation, various types of claims billed which included: cost outlier, DRG reassignments, organ donor, leave of absents, and many other requiring differentiating codes and formats.

 

â—      Among those agencies were Blue Cross inpatient division, HIP ambulatory/outpatient division, Health net and Touchstone inpatient division.

 

 

Commercial Biller

 

October 1989 to June 1990

 

Montefiore Medical Center – Bronx, New York

 

â—      Calculated and submitted all commercial and Medicare billing via NEIC (National Electronic Identification Code) system.

 

â—      Organized submitted claims in the most efficient manner to maintain high volume billing.

 

Medicare Biller

 

March 1989 to October 1989

 

Montefiore Medical Center – Bronx, New York

 

Utilized Omnipro system to submit Medicare billing in accordance with New York State guidelines.

 

 

Professional Courses and Certifications

 

University of Phoenix 2012

 

Medical billing and coding

 

Associate of Arts

 

  • •Graduated and completed on line classes to obtain degree in medical billing and coding.
  • •Completed 1199 training and received certification in Medical Terminology class November 2002

 

 

  • ID#: 68805
  • Location: Zephyrhills, FL , 33543

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