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@runelvidelarosa
Experienced Medical Billing Coordinator with a focus on claims optimization.
I am a dedicated Medical Billing Coordinator with over three years of experience in optimizing claims processing and reimbursement strategies. My proficiency in CPT coding, data analysis, and EMR software has significantly enhanced billing accuracy and efficiency in my previous roles. I am committed to fostering teamwork and effective communication with insurers to resolve discrepancies and streamline workflows.
In my recent position at NYU Langone, I successfully streamlined claims processing, managing up to 150 claims daily with precision. I collaborated closely with insurers to ensure coding accuracy and appealed denials, which resulted in a notable increase in successful reimbursements. My proactive approach to identifying and resolving coding discrepancies has been instrumental in maintaining high standards of billing accuracy.
Throughout my career, I have demonstrated a strong ability to educate healthcare professionals on coding issues and improve patient financial outcomes. My experience as a Patient Financial Counselor allowed me to reduce patient financial hardship significantly while managing a large caseload. I am eager to bring my skills and experience to a new opportunity where I can continue to make a positive impact in the healthcare billing sector.
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Work history, roles, and key accomplishments
NYU Langone- NYU Psychiatry Associates
Feb 2024 - Jun 2024 (4 months)
Streamlined claims processing, handling 150 daily with precision. Collaborated with insurers for reimbursement, appealed denials, and ensured coding accuracy. Optimized medical billing workflow, reducing claim processing time and increasing successful reimbursements.
KIDNEY CARE SPECIALISTS, LLC
Mar 2023 - Jan 2024 (10 months)
Processed medical claims for 6 hospitals with a speed and accuracy of 98%. Assigned ICD-10-CM and CPT codes to patient records while adhering to HCC Risk Adjustment guidelines and auditing patient records for accuracy.
B.BRAUN INC.
Jun 2022 - Feb 2023 (8 months)
Followed up with customers via email to receive returned samples in a timely manner. Increased weekly customer service satisfaction ratings from 80% to 95% in under 6 months.
GEISINGER COMMUNITY CARE
Oct 2021 - Jul 2022 (9 months)
Reduced patient financial hardship by 75% in 1 year through diligent counseling and financial planning. Improved accuracy of billing records from 85% to 99%, resulting in a 33% reduction in billing disputes.
Degrees, certifications, and relevant coursework
CPC Certification, Medical Coding
2022 - 2022
Completed courses to become a CPC-Certified Professional Coder, gaining expertise in medical coding and compliance.
Bachelor of Science, Wellness Management
2012 - 2016
Completed a Bachelor of Science in Wellness Management, focusing on health promotion, disease prevention, and wellness strategies. Developed skills in program management and healthcare interpretation.
Software and tools used professionally
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