Open to opportunities

Katherine Robles

@katherinerobles

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Experienced Medical Biller and Coder with strong analytical skills.

United States

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What I'm looking for

I am seeking a role that values accuracy and attention to detail, with opportunities for professional growth.

I am a professionally trained Medical Biller and Coding Specialist with extensive experience in implementing organized billing and documentation policies. My expertise lies in analyzing and interpreting medical documents, coordinating with healthcare providers, and ensuring accurate claims submission to insurance companies. I specialize in auditing medical accounts and verifying claims documents, ensuring compliance with government regulatory standards.

Throughout my career, I have honed my skills in reimbursement and claims processing, closely monitoring authorization processes to ensure clarity and accuracy. My role as an Authorization Coordinator has equipped me with the ability to manage patient authorizations effectively, ensuring that all necessary approvals are obtained prior to medical services. I pride myself on my attention to detail and my commitment to providing superior customer service to both internal and external clients.

Experience

Work history, roles, and key accomplishments

Medical Biller/Coder and Authorization Coordinator

Integrative Sports and Spine

Feb 2020 - Apr 2024 (4 years 2 months)

Managed the full cycle of medical billing, including creating, modifying, and submitting claims, and resolving denials. Processed and posted insurance payments from various sources into electronic health records, reconciling Explanation of Benefits (EOB) and creating claims for secondary insurances. Verified patient insurance eligibility, maintained patient authorizations, and communicated with pa

Medical Billing Payment Posting EOB Reconciliation Electronic Health Records Medicare

Authorization Specialist

La Laser Center

Sep 2018 - Jun 2019 (9 months)

Maintained email resources and internal logs, collaborating closely with supervisors and managers. Contacted insurance companies for eligibility, benefits, network status, and authorization, meticulously documenting all information. Processed requests for Prior Authorization, coded diagnoses and procedures according to standards, and ensured timely and accurate database maintenance of financial an

Authorization Medical Coding Database Management Customer Service HIPAA)

Medical Biller

CHE Psychological Services

Sep 2016 - Mar 2018 (1 year 6 months)

Prioritized daily workflows, including managing all inbound calls and maintaining professional customer interactions. Verified patient demographics and insurance eligibility, providing clinicians with approval instructions prior to patient visits. Generated accounts receivable reports, followed up with insurance companies and patients to ensure bill payments, and accurately coded patient records f

Medical Billing Accounts Receivable Patient Billing Records Medical Coding Data Management Customer Service

Medical Billing And Collections Specialist

Medx Medical Billing Service, Inc

Jun 2015 - Aug 2016 (1 year 2 months)

Managed incoming and outgoing calls, ensuring HIPAA compliance and compiling outstanding balances owed to medical facilities. Researched newly identified diagnoses and medical procedures to expand skills and knowledge. Interacted with providers regarding billing and documentation policies, followed up on submitted claims, and reviewed patient records for accuracy.

Medical Billing HIPAA)Medical Coding Diagnosis Coding

Education

Degrees, certifications, and relevant coursework

American Career College

Certification, Medical Billing and Coding

Completed a comprehensive program in Medical Billing and Coding, gaining expertise in billing procedures, coding standards, and healthcare regulations. Developed skills in claims submission, payment posting, and insurance verification.

Harbor Occupational Center

Certificate, Administrative Office

Obtained a Certificate in Administrative Office, focusing on essential office management and administrative support skills. This included training in organizational procedures and professional communication.