Merilysse Aquino

Review AI-generated healthcare claim coding for accuracy, including appropriate modifier use and consistency with documentation. Evaluate clinical notes and billing documentation to assess how services should be represented on claims.

Submitted mental health claims to insurers and followed up on unpaid claims, denials, and rejections. Resolved billing issues, maintained patient account records, posted payments, and reconciled balances.

Trained more than 10 staff members on claims workflows, billing processes, and productivity expectations. Monitored weekly claims-filing metrics against a typical target of approximately 1,500 claims using Citrix.

Reviewed billing and payment information for accuracy; contacted insurers to resolve claims and collections issues. Used Collectly for claim follow-up, payment inquiries, and account resolution.

Answered patient questions about medical claims, balances, billing status, and insurance payments. Processed claim appeals and resubmissions in Epic with accurate documentation and follow-up.

Pursuing an Associate Degree in Healthcare Care Management.

Earned a Certified Medical Biller certification in December 2022.

Earned a High School Diploma in June 2009.