Gina Marie Vega
Email: ********@***************.***
Address:
City: Keller
State: TX
Zip: 76244
Country: USA
Phone: 908-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Enthusiastic Medical Billing Specialist - Collector - Administrative Assistant with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of medical terminology.
Educational Background:
High School Dipolma from Berdan Medical Institute, Totowa NJ 1/2001 to 6/1995 (Medical Assistant/Billing)
Job History / Details:
Professional Summary
Enthusiastic Medical Billing Specialist - Collector - Administrative Assistant with excellent people skills and dedicated work ethic. Strong attention to detail and extensive knowledge of medical terminology.
Licenses
Certified Medical Assistant
Skill Highlights
Familiar with commercial and private insurance carriers
Insurance and collections procedures
HIPAA compliance
Medical billing software
Patient-focused care
Excellent problem solver
Strong work ethic
Resourceful and reliable
Team player with positive attitude
Multi-tasking
Customer service
Flexible
Office support (phones, faxing, filing)
Medical Terminology
Maintains strict confidentiality
Knowledge of HMOs, and Medicare
Cardiology billing
Medical Manager Software
ICD-9 coding
Patient referrals expert
Close attention to detail
Professional Experience
November 2007 to February 2010
MDA Clark, NJ
Medical Assistant/Biller
All Billing Duties, including: Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Consistently informed patients of their financial responsibilities prior to services being rendered.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing.
Precisely evaluated and verified benefits and eligibility.
Completed appeals and filed and submitted claims.
Identified and resolved patient billing and payment issues.
Applied payments, adjustments and denials into medical manager system.
Submitted refund requests for claims paid in error.
Evaluated patients' financial status and established appropriate payment plans.
August 1998 to September 2006
Medicor Cardiology Associates Bridgewater, NJ
Medical Assistant/Biller/Front Desk
All Clinical duties, including: taking Vital signs, assisting with Stress Testing, assisting doctors with Cardiology procedures and speaking with Pharmacies regarding medicine refills.Billed all lab claims with attached lab slips.
All Front Desk duties, Including: verifying, scheduling and canceling appointments, checking in patients, preparing charts for doctors, Coordinated luncheons with Pharmaceutical Representatives.
Confirmed patient information, collected copays and verified insurance. Wrote clear and detailed clinical phone messages for physicians. Directed patient flow during practice hours, minimizing patient wait time. Adeptly managed a multi-line phone system and pleasantly greeted all patients. Maintained strict patient and physician confidentiality.
All Billing Duties, including: Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Consistently informed patients of their financial responsibilities prior to services being rendered.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Pre-certified medical and radiology procedures, surgeries and echocardiograms.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing.
Precisely evaluated and verified benefits and eligibility.
Completed appeals and filed and submitted claims.
Identified and resolved patient billing and payment issues.
Applied payments, adjustments and denials into medical manager system.
Submitted refund requests for claims paid in error.
Evaluated patients' financial status and established appropriate payment plans.
Education and Training
1994 Berdan Medical Institute Totowa, NJ
High School Diploma Medical Assistant/Billing
Business Administration
Trained in Medical Billing and Coding
Medical Assistant coursework