Years of work experience
Gala Muñoz Alameda
Medical billing and coding
San Juan,PR
Summary
Patient-focused medical biller skilled at medical billing, coding. Reliable multi-tasker with internal medicine and radiology experience. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
2
2
Work History
Medical Records Specialist
Five Star Services Inc.
Santurce
06.2021 - Current
- Maintained patient records in compliance with security regulations.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Analyzed complex medical records to identify discrepancies in accuracy and completeness.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Scanned medical records in digital format for easy retrieval and accessibility.
- Assisted in preparation of medical records to release to other medical facilities requesting for patient history and information.
Sales Associate
Macy's Inc.
San Juan
10.2009 - 06.2020
- Developed and executed sales promotions to increase sales for Michael Kors by 15%
- Received and processed cash and credit payments for in-store purchases
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices
- Helped customers sign up for loyalty programs and submitted completed paperwork
Intern
Salus
Guaynabo
09.2014 - 11.2015
- Confirmed patient information, collected copays and verified insurance
- Maintained strict patient privacy and confidential patient information, taking care to meet all HIPAA guidelines and statues for data security
- Acquired insurance authorizations for procedures and tests ordered by attending physician
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature
- Supported clerical needs of more than 3 radiologist and their assistants, including taking messages, scanning documents and routing business correspondence
Patient Service Coordinator
Presbyterian Hospital
San Juan
06.2015 - 08.2015
- Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed
- Directed patient flow during practice hours, minimizing patient wait time by 10%
- Served as liaison between management, clinical staff and community
- Diligently monitored QA (Quality Assurance) program to improve performance and maintain high standards of care.
Education
Technical Degree - Medical Billing and coding
Interamerican University
San Juan, PR2014
Bachelors degree - General Communications
University of The Sacred Heart
San Juan, PR2009
Skills
- Claims Knowledge
- CPT Coding
- Health Insurance Portability and Accountability Act (HIPPA)
- Billing System
- Customer service
- Patient scheduling
- Electronic Health Record Applications
- Medical Billing and Collections
- Records Review
- Workers' Compensation Forms
Timeline
Medical Records Specialist
Five Star Services Inc.
06.2021 - Current
Patient Service Coordinator
Presbyterian Hospital
06.2015 - 08.2015
Intern
Salus
09.2014 - 11.2015
Sales Associate
Macy's Inc.
10.2009 - 06.2020
Technical Degree - Medical Billing and coding
Interamerican University
Bachelors degree - General Communications
University of The Sacred Heart
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