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Implemented strategies and recommended related improvements for medical billing processes. Researched, obtained, and entered missing demographic data while handling sensitive client and patient interactions.

Followed up on claims for Beverly & Mission Community Hospitals and submitted inpatient/outpatient claims to various payers. Filed appeals, managed claim denials, and assisted the Self Pay team with patient inquiries.

Ran weekly reports and followed up on denied accounts for the UCSF Account. Submitted electronic/hardcopy claims and appeals, and verified insurance while managing underpayment risks.

Reviewed patient bills and insurance guidelines, specifically Medi-Cal. Handled unpaid claims and followed up on discrepancies, billing secondary/tertiary insurances as needed.

Followed up on accounts in Epic (CS-Link), including Medi-Cal/CCS, and verified all billing components were accurate and compliant. Prepared documentation and handled denied claims professionally.

Billed HMO and commercial carriers, and located patients/guarantors while handling Medi-Cal linkage. Adjusted and updated accounts based on EOBs and patient data.

Completed a comprehensive program to become a Medical Biller, Coder, and Health Claims Examiner. Gained expertise in medical billing procedures, coding standards, and health claims processing.