Summary
Overview
Work History
Education
Skills
Timeline
AdministrativeAssistant
Antonio Rivera Banchs

Antonio Rivera Banchs

Medical Biller and Coder/ Office Administration
PO Box 494, Mercedita,Puerto Rico

Summary

Efficient Medical Biller and Coder with extensive experience in healthcare administration, specializing in accurate patient information coding and insurance claims management. Proficient in medical terminology and regulatory compliance, ensuring accuracy in billing processes. As an Office Administrator, adept at streamlining office operations, enhancing workflow efficiency, and maintaining patient data confidentiality. Skilled in using various billing software, with strong organizational and communication abilities, committed to fostering collaborative relationships with healthcare professionals, patients, and insurers. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.

Overview

9
9
years of professional experience

Work History

Medical Biller and Coder and Office Administrator

Nefrosur CSP
Ponce, Puerto Rico
01.2022 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Collected payments and applied them to patient accounts.
  • Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Liaised between patients, insurance companies, and billing office.
  • Utilized various software programs to process customer payments.
  • Pulled charts and prepared for nurse and doctor assessment.
  • Verified benefits and worked with insurance companies to obtain payments.
  • Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration, and general liability.
  • Devised appointment guidelines and schedules for 30 treatment appointments each day

Medical Billing

Lisa M Silva Gonzalez LLC
Ponce, Puerto Rico
01.2021 - 12.2021
  • Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Precisely evaluated and verified benefits and eligibility.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.

Medical Assistant

Dr. Rivera Santos
Ponce, Puerto Rico
06.2018 - 12.2020
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained the client's medical history, including medication information, symptoms, and allergies.
  • Maintained detailed records of test results by entering data and patient information into the computer.
  • Communicated clearly and effectively with patients to verify information, determine the purpose of the visit, and record medical history.
  • Prepared initial patient charts for admission.
  • Verified patient insurance coverage and collected required co-payments

Bartender

Winemart
Ponce, Puerto Rico
06.2015 - 10.2017
  • Kept alcoholic beverages well-stocked and organized to meet expected demands.
  • Managed accurate register and produced daily sales reports backing up inventory usage numbers.
  • Consulted with managers to organize special events and promotions such as trivia nights to bring in new customers.
  • Served high customer volumes during special events, nights, and weekends.

Education

MBA - Health Services Administration

Universidad Ana G Mendez
Gurabo, Puerto Rico
05.2024

M.D. -

UMHS (University of Medicine And Health Sciences
St Kitts
12.2020

Associate of Science - Biomedical Sciences

Pontifical Catholic University Of Puerto Rico
Ponce
05.2020

Skills

  • Monitoring patient progress
  • Direct patient care
  • Money handling abilities
  • Retail store support
  • Training development aptitude
  • Bilingual (English, Spanish)
  • Customer satisfaction
  • Hard-working
  • Microsoft PowerPoint
  • Microsoft Excel

Timeline

Medical Biller and Coder and Office Administrator

Nefrosur CSP
01.2022 - Current

Medical Billing

Lisa M Silva Gonzalez LLC
01.2021 - 12.2021

Medical Assistant

Dr. Rivera Santos
06.2018 - 12.2020

Bartender

Winemart
06.2015 - 10.2017

MBA - Health Services Administration

Universidad Ana G Mendez

M.D. -

UMHS (University of Medicine And Health Sciences

Associate of Science - Biomedical Sciences

Pontifical Catholic University Of Puerto Rico
Antonio Rivera BanchsMedical Biller and Coder/ Office Administration