Open to opportunities

Ericka Morales

@erickamorales

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Experienced patient accounts and medical billing specialist focused on accurate insurance qualification.

United States

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What I'm looking for

I’m looking for a medical field position where my medical billing, insurance qualification, and patient account resolution skills can be further utilized, with opportunities to use my 15+ years of experience to support accurate billing and documentation.

I’m seeking a position where my skills can be further utilized in a Medical Field Environment. My focus is on medical office workflows that keep billing accurate, compliant, and on track—especially when insurance qualification and documentation are the difference between success and delays.

As a Patient Account Resolution Specialist (Remote position) with Apria Healthcare (August 2011 – Current), I qualify patients under Medicare and other insurance guidelines as needed for services and equipment. I audit medical records for insurance and other agencies, verify coverage, and work with patients and physicians to obtain the documentation needed to bill insurance.

I use insurance guidelines and ICD9/10 codes knowledge to support correct billing and patient qualification. I handle sending/receiving faxes from doctors’ offices, preparation of medical records and related documents, and maintaining suspended accounts according to goals and expectations given—while answering patient calls, completing data entry, and scheduling pickups, deliveries, and appointments.

Before that, I built a strong front-line foundation through remote reception and billing support, including answering multiple phone lines, taking messages, dispatching emergency calls, and updating accounts (Aspire2Answer, March 2011 – April 2012). I’ve also done front office reception and billing work—processing paperwork, invoicing and billing, checking insurances, calling on past due claims, faxing refills, obtaining authorizations, and balancing payment logs—along with earlier customer service and office assistant duties.

Experience

Work history, roles, and key accomplishments

Current

Patient Account Resolution Specialist

Current

Apria Healthcare

Aug 2011 - Present (14 years 10 months)

Qualified patients under Medicare and other insurance guidelines, audited medical records for payer requirements, and worked with patients and physicians to obtain documentation needed to bill. Managed insurance verification, faxed documentation, completed data entry and scheduling tasks, and resolved suspended accounts using ICD-9/10 codes.

Medical Billing Insurance Verification Medicare Compliance ICD 10 Coding Medical Records Auditing Patient Account Resolution Data Entry Scheduling Customer Service

Receptionist / Answering Service

Aspire2Answer

Mar 2011 - Apr 2012 (1 year 1 month)

Answered multiple phone lines remotely, took messages, dispatched emergency calls, and handled faxing, text messaging, and email triage. Updated accounts as needed and supported non-emergency call routing with high customer service standards.

Customer Service Data Entry Text Messaging Support Email Triage Account Updates

Suspended Biller / Receptionist

Apria Healthcare

Jun 2010 - Aug 2010 (2 months)

Prepared and sent prescriptions to doctors for billing signatures, maintained reports, and performed data entry for outstanding prescription billing follow-up. Contacted patients and provider offices to resolve billing blockers and support claim readiness.

Data Entry DX Code Knowledge Customer Service

Front Office Receptionist & Billing

Medical Corporation

Feb 2009 - Mar 2010 (1 year 1 month)

Managed front-office reception and billing operations, including answering many phone lines, scheduling appointments, rooming patients, and processing paperwork and voicemail. Completed invoicing and billing tasks, checked insurance, followed up on past-due claims, and supported record/chart preparation, faxing, authorizations, and medical transcription.

Medical Billing Appointment Scheduling Insurance Verification Invoicing Medical Transcription Records Management Fax Charted

Office Assistant / Customer Service

G.B Sales

Aug 2006 - Sep 2007 (1 year 1 month)

Answered multiple phone lines, faxed and filed documents, created window estimates, and entered and processed orders. Provided customer service, managed customer accounts, greeted customers, supported outside sales and warehouse coordination, and assisted with dispatching drivers.

Customer Service Order Processing Data Entry Window Estimating Clerical Support

Office Receptionist (Intern)

Odyssey Healthcare & Hospice

Supported office front-desk operations by answering multiple phone lines, taking and directing messages, scheduling appointments, and performing data entry. Handled client outreach to support nursing coordination and completed administrative tasks such as copying, faxing, filing, and spreadsheet creation.

Data Entry Appointment Scheduling Administrative Support Spreadsheets

Education

Degrees, certifications, and relevant coursework

Inland Empire Job Corps Center

High School Diploma, Business Technology

Completed Business Technology training through Inland Empire Job Corps, with a high school diploma/GED attained and a business technology certificate. Projected completion date shown as 10/5/02.