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@laurenarmijo
Certified Billing Professional with extensive medical billing experience.
I am a Certified Billing Professional with a strong background in medical billing and coding. My journey in this field began with a certification in 2021, and since then, I have gained valuable experience working with various healthcare organizations. I am dedicated to utilizing my knowledge and skills to contribute effectively to my team while continuously learning and improving my proficiency.
Throughout my career, I have worked in roles such as Claim Analyst at Centene, where I honed my skills in claim processing and adjudication. My experience as a Billing Specialist at Peoples Healthcare Connection allowed me to excel in claim submission and reconciliation, particularly with AHCCCS and behavioral health claims. I have also worked as a Billing Clerk at Sunbelt Medical Management, focusing on insurance verification and eligibility, and as a Collections Specialist at Concentra, where I managed claim appeals and denials.
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Work history, roles, and key accomplishments
Centene
Sep 2024 - Jan 2025 (4 months)
Processed and adjudicated claims, ensuring accuracy and compliance with Medi-Cal guidelines. Managed various claim types including BH, ABA, SNF, and LAB.
Peoples Healthcare Connection
Jul 2023 - Feb 2024 (7 months)
Submitted and reconciled claims, focusing on AHCCCS and Behavioral Health services. Ensured timely and accurate billing operations.
Sunbelt Medical Management
Jan 2023 - Jul 2023 (6 months)
Verified insurance coverage and eligibility using various insurance and provider portals. Supported billing operations by ensuring accurate patient information.
Concentra
May 2021 - Nov 2022 (1 year 6 months)
Managed claim appeals and denials, securing pre-authorizations for medical services. Handled pharmacy claims and Workmans Compensation cases.
Degrees, certifications, and relevant coursework
Certification, Medical Billing and Coding
Completed a certification program in Medical Billing and Coding in 2021. This program provided foundational knowledge and skills necessary for professional practice in medical billing and coding.
Software and tools used professionally
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