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Alura Hernandez

@alurahernandez

Medical Billing & Coding specialist with who drives revenue cycle success through denials management and payer negotiations. RCM Specialist level II

Mexico

Message

What I'm looking for

I’m looking to contribute to an organization’s success through Medical Billing & Coding and revenue cycle management—denials management, reporting, and payer negotiations—while continuously improving processes and delivering maximum reimbursement.

I’m a Medical Billing and Coding professional with over 12 years of experience focused on excellence, with experience in insurance billing and coding for medical facilities and clinics, along with 2+ years of specialized experience as a Revenue Cycle Management. I also provide Medical Billing Consulting, including revenue cycle oversight, denials management and reporting, month end closures, and monthly aging reports.

In my work as a RCM, I analyze reimbursement contracts and negotiate with payers to improve outcomes for both organizations and clients. I’m comfortable coordinating billing projects, implementing process improvements, and managing multiple priorities in fast-paced healthcare environments.

I’ve supported day-to-day operations as an assistant to physicians, handling administrative duties like transcription, ICD 10 and CPT code, denials, revenue cycle, reconciliation of insurance payments, contractual adjustments, write offs, or patient payment, insurance billing and approvals. I’m bilingual in English and Spanish and certified in Medical Billing and Coding, and I bring strong payer-guideline knowledge, compliance standards, and reliable EMR/billing system reporting.

Experience

Work history, roles, and key accomplishments

Current

Assistant to Physician

Current

Savannah Medical Clinic

Jul 2021 - Present (5 years)

Supported physicians with patient-facing and administrative duties, including receptionist work and transcription/CPT code support. Managed insurance billing and coding and handled claims follow-up/collection.

Word Processing Data Entry Transcription Medical Billing and Coding

Current

Founder and CEO

Current

Allied Billing

Nov 2019 - Present (6 years 8 months)

Provided insurance billing and coding for medical facilities, including revenue cycle oversight, denials management, and month-end closures with aging reports. Analyzed reimbursement contracts, negotiated with payers, and managed claims collection and billing projects.

Medical Billing and Coding CPT ICD 10 HCPCS Insurance Billing Revenue Cycle Management Denials Management & Compliance Project Management

Assistant to Physician

Ultrasound/ Diagnostic Clinic

May 2018 - Nov 2019 (1 year 6 months)

Assisted physicians and supported patient assessments including vital signs, labs, and history taking. Completed administrative tasks (ordering supplies and transcription/CPT code support) and managed insurance billing, approvals, and claims.

patient assessment Vital Signs Lab History Taking Word Processing Data Entry Transcription Insurance Billing Claims

Insurance Billing and Coding

Pasadora Family Dental Centre

Nov 2018 - Aug 2019 (9 months)

Handled insurance billing and coding/insurance processing and performed administrative receptionist duties. Supported tasks including phone/email handling, word processing, data entry, and transcription with CPT code work.

Receptionist Duties Word Processing Data Entry Transcription Insurance Billing Insurance Processing

Assistant to Physician

Obstetrical/Gynecological/Fertility Clinic

Jan 2012 - Jan 2016 (4 years)

Assisted physicians with patient assessments including vital signs, labs, and history taking. Performed administrative support (ordering supplies and transcription/CPT code work) and supported insurance billing and approvals.

patient assessment Vital Signs Lab History Taking Word Processing Data Entry Transcription Insurance Billing