Mariz Gutierrez

Reviewed CPT, ICD-10-CM, and HCPCS codes for accurate medical billing. Managed claims submissions, denials, and appeals processes. Verified payments and checked eligibility and authorization requirements.

Examined claims records to determine patient medical insurance coverage and benefits. Processed claims, initiating denial or payment procedures. Reviewed workers compensation and auto insurance claims, including liens and litigation.

Prepared and sent invoices, contacting patients and insurance companies for payment resolution. Negotiated payment arrangements and accurately recorded/reconciled payments.

Handled Private Healthcare Insurance accounts, providing support to both providers and members. Delivered eligibility and benefit information to healthcare professionals. Maintained strict confidentiality while reviewing claim submissions.

Assisted elderly clients with Medicare accounts, providing essential health insurance information. Delivered eligibility and benefit details to healthcare providers. Helped members navigate claims and account inquiries.

Provided direct patient care and educated patients on home care and discharge planning. Operated and maintained medical equipment while ensuring sterile fields. Documented patient care and administered medications.

Studied nursing at Pamantasan ng Lungsod ng Maynila. Completed the program between 2000 and 2006.