Summary
Overview
Work History
Education
Skills
Languages
Work Availability
Timeline
Generic

MARY CINTRON

Fajardo

Summary

Certified Medical Billing Specialist with 21 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Certified Medical Biller with 8 years of experience in hospital and nursing facilities. Accurate and detail-oriented with knowledge of benefits, eligibility and appeals practices. Expert in inpatient and outpatient coding and reliable in handling high volumes of practice billing.

Overview

21
21
years of professional experience

Work History

Medical Billing Specialist

Caribbean Medical Center
Fajarddo
10.2013 - 01.2025
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Posted and adjusted payments from insurance companies.
  • Located errors and promptly refiled rejected claims.
  • Precisely evaluated and verified benefits and eligibility.
  • Identified and resolved patient billing and payment issues.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Medical Billing Specialist

Fajardo Imaging Inc.
Fajardo
04.2004 - 10.2013
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Posted and adjusted payments from insurance companies.
  • Located errors and promptly refiled rejected claims.
  • Precisely evaluated and verified benefits and eligibility.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Education

Some College (No Degree) - Accounting And Business Management

Interamerican University
Fajardo, Puerto Rico

Technical Degree - Medical Secretary

Instituto De Banca Y Comercio
Fajardo, Puerto Rico
06.2004

High School Diploma -

Dr. Santiago Veve Calzada
Fajardo, Puerto Rico
05.1985

Skills

  • Verbal and Written Communication
  • Legal Standards
  • Bill Payment
  • Account Posting
  • Adjustment Posting
  • Claim Processing
  • Teamwork and Collaboration
  • Billing and Collections Procedures
  • Medical Terminology
  • Error Revision
  • HIPAA Compliance Certification
  • Billing Data Verification
  • Electronic Claims

Languages

Spanish
Native language
English
Advanced
C1

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse

Timeline

Medical Billing Specialist

Caribbean Medical Center
10.2013 - 01.2025

Medical Billing Specialist

Fajardo Imaging Inc.
04.2004 - 10.2013

Some College (No Degree) - Accounting And Business Management

Interamerican University

Technical Degree - Medical Secretary

Instituto De Banca Y Comercio

High School Diploma -

Dr. Santiago Veve Calzada
MARY CINTRON