Medical Customer Service
Resume:
ALMA SORIANO
***** ***** **** ***. *****, FL ****7 H: 813-***-**** / M: 813-***-**** actlqn@r.postjobfree.com
CAREER PROFILE & HIGHLIGHTS
I am a dedicated health professional with an extensive background as a medical billing/coding and collection specialist. I also have knowledge in QuickBooks for payroll and accounts payable/accounts receivable.
Possesses keen ability to adhere to and implement company policies and procedures.
Desires to provide the highest standard of quality service to both internal and external customers.
Handles all duties without the need for managerial oversight and consistently strives to incorporate additional skill-sets into knowledge base.
Bi-lingual (English and Tagalog).
KEY MEDICAL SKILLS
CODING SKILLS ICD-9-CM, HCPCS, CPT and introduction to ICD-10-CM
ADMINISTRATIVE SKILLS Health insurance claims processing, medical office procedures including scheduling appointments, verifying insurance, collecting co-payments, payment posting, office management, computerized billing and coding and customer service
MEDICAL COURSE Medical Terminology, Anatomy and Physiology and HIPAA
COMPUTER SKILLS Electronic Medical Records (EMR/EHR), Microsoft Office, Word and Excel, MEDISOFT, Greenway Medical Software, proprietary software, data entry, QuickBooks, spreadsheets, and 10 key
CLAIMS PROCESSING Government payers, Medicare, Medicaid and Tricare, third-party payers, UB-04, Worker’s Compensation and managed care, including: HMO, PPO and POS
PROFESSIONAL WORK HISTORY
Medical Billing/Coding and Collection Specialist
henry j. O’Neal, m.d., p.a. Tampa, FL mm/2012 – Present
Senior Synergies Medical Specialist – Memphis, TN mm/2009 – mm/2010
Apex Medical and Pain Management Center – Tampa, FL mm/2008 – mm/2009
Prime Care Injury Center, Inc. – Tampa, FL mm/2005 – mm/2007
Apex Medical and Pain Management Center – Tampa, FL mm/2001 – mm/2004
Prepared and submitted claims to various insurance companies electronically and by paper.
Entered data electronically to process billing charges, payments, denials and adjustments.
Knowledge of insurance guidelines for Commercial, Medicare and State Medicaid
Submitted CMS 1500 healthcare form.
Submitted EOB to the Insurance Company.
Enter billing charges for hospital and nursing homes
Check each insurance payment for accuracy and compliance with contract agreement or allowed amount and co-insurance
Resolved routine patient billing inquiries and problems
Followed-up on balances due from insurance companies, and typed invoices to insurance companies.
Responded to patient’s questions and needs by editing, canceling and re-scheduling appointments as necessary according to clinic protocols.
Ensured accuracy of data input with scheduling, registration.
Answered questions from patients, clerical staff and insurance companies.
Prepared, reviewed and sent patient statements.
Identify and bill secondary, tertiary insurances or patient balance responsibility
Follow up on denial claims within standard billing cycle timeframe
Knowledge of QuickBooks for payroll and accounts payable/accounts receivable
EDUCATION
Ultimate Medical Academy - Tampa, FL
Medical Billing and Coding Associates 2012
Skills include: Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Facility Billing, Keyboarding, Word Processing and Medical Practice Management Systems.
Medical Billing and Coding Diploma 2011
Asia Carrier Foundation - Dagupan City, PH
Coursework in Computer Science 1997
System Technology Institute - Dagupan City, PH 1995
Coursework in Computer Programming
PROFESSIONAL REFERENCES
1. Candy Anderson, Medical Office Supervisor
henry j. O’Neal, m.d., p.a.
13701 Bruce B Downs Blvd #113
Tampa, FL 33613
2. Ismael Hazan Zeya MD, Physician
4543 S Manhattan Avenue
Tampa, FL 33611
3. Tracy Hou, Co-worker
henry j. O’Neal, m.d., p.a.
13701 Bruce B Downs Blvd #113
Tampa, FL 33613
Contact this candidate