Jovanna Rodriguez
Allentown
Summary
Medical Billing and Coding professional with hands-on experience gained through my externship and current role at Ethos Clinic. Experienced in processing insurance claims, verifying eligibility and benefits, resolving claim issues, and maintaining accurate patient records while ensuring HIPAA compliance. Proficient in ICD-10, CPT, and HCPCS coding, with strong attention to detail, excellent organizational skills, and a commitment to providing efficient, accurate support in a fast-paced healthcare environment. Passionate about continuing to learn, grow, and contribute to a dedicated healthcare team.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Medical Billing Coordinator
Valley Gero Psych
Emmaus, PA
03.2025 - Current
- Processed medical claims using advanced billing software to ensure timely reimbursements.
- Reviewed patient records for accuracy, verifying information to minimize billing discrepancies.
- Collaborated with healthcare providers to resolve billing inquiries and enhance client satisfaction.
- Maintained up-to-date knowledge of insurance policies, coding standards, and regulatory requirements.
- questions.
- Stay updated on changes in coding rules, payer policies, and mental health billing
regulations. - Analyzed billing data to identify trends and recommend strategies for reducing denied claims.
- Implemented workflow improvements that increased efficiency in claim submissions and follow-ups.
- Assisted in training new staff on billing procedures and software utilization for operational effectiveness.
- Developed comprehensive reports on billing performance metrics for management review and decision-making.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Ensure confidentiality and secure handling of protected health information (PHI)
- Improved billing accuracy by implementing stringent quality control measures and enhancing documentation processes.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
- Optimized cash flow management by accurately forecasting monthly collections based on historical trends and current payer mix.
Billing Coordinator
Good Health Acupuncture
Easton, PA
03.2024 - 12.2024
- Processed insurance claims efficiently to ensure timely reimbursements for services rendered.
- Coordinated billing inquiries and resolved discrepancies with patients and insurance providers.
- Worked effectively in fast-paced environments.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Assisted clients with inquiries regarding treatments and services to enhance overall customer satisfaction.
Optometrist Assistant
Lehigh Valley Eye Care Associates
Allentown, PA
12.2021 - 09.2023
- Managed patient records using electronic health record (EHR) systems to ensure accuracy and confidentiality.
- Educated patients on contact lens usage, care, and eyewear options to enhance satisfaction and compliance.
- Coordinated appointment scheduling and follow-ups to optimize patient flow and reduce wait times.
- Maintained inventory of optical supplies, ensuring availability for seamless operations and patient service.
- Supported the fitting of glasses and contacts, providing personalized recommendations based on patient needs.
- Trained new staff on office procedures and customer service standards to improve team performance.
- Assisted in implementing process improvements that enhanced efficiency in patient care delivery.
- Improved patient experience by efficiently scheduling appointments and managing follow-up communications.
- Promoted eye health education, providing informative materials to patients on proper eyewear care and maintenance.
- Reduced wait times for appointments by efficiently managing daily schedule adjustments due to cancellations or rescheduling requests.
- Enhanced practice efficiency by maintaining accurate electronic medical records for all patients.
Education
Certificated - Billing And Coding Specialist
Berks Technical Institute
Allentown, PA 03-2025
Skills
- Organizational growth
- Claims processing proficiency
- Motivation and initiative
- Healthcare reimbursement
- Denial resolution techniques
- Accounts receivable management
- Medical office software proficiency
- Medical coding expertise
- Payment posting
- Medical terminology mastery
- Patient billing procedures
- Electronic health records management
- Billing and collection procedures
- Medical claims submission
- Verbal and written communication
Certification
- CBCS - Certified Billing and Coding Specialist
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Medical Billing Coordinator
Valley Gero Psych
03.2025 - Current
Billing Coordinator
Good Health Acupuncture
03.2024 - 12.2024
Optometrist Assistant
Lehigh Valley Eye Care Associates
12.2021 - 09.2023
Certificated - Billing And Coding Specialist
Berks Technical Institute