Yaritza Munoz
Scranton
Summary
Adept at ICD-10 and CPT coding, I enhanced revenue cycle efficiency at GeneID Advanced Molecular Diagnostics through meticulous claims processing and insurance verification. Leveraging strong problem-solving abilities and teamwork, I significantly reduced unpaid accounts, demonstrating a commitment to accuracy and exceptional customer service.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Certified Medical Biller
GeneID Advanced Molecular Diagnostics
Montvale
12.2023 - 12.2024
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Gathered information to produce accounts payable reports for review.
- Expedited payments by verifying accuracy and currency of vendor information.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Maintained accurate patient data in electronic health records system.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Reviewed claims for coding accuracy.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Executed account updates and noted account information in company data systems.
Medical Biller and Coder
Pediatricare Associates
Woodland Park
07.2021 - 12.2023
- Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
- Pulled patient records and transferred information to appropriate parties.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Filed and submitted insurance claims.
- Managed coding for multiple specialties, ensuring specific codes are accurately applied.
- Reviewed patient records and assigned accurate codes for diagnoses and procedures.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Submitted claims to insurance companies electronically or by mail.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Expertly assigned charges and payments for medical procedures.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Supervised daily payment posting operations to ensure accuracy and timeliness.
- Completed and submitted appeals for denied claims.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Subtitute Secretary, Float
Paterson Public Schools
Paterson
09.2018 - 03.2020
- Performed data entry into computer systems; ensured accuracy of all entered information.
- Answered telephone calls to give information to callers, take messages or transfer calls to appropriate individuals.
- Created agendas and took minutes during meetings; distributed notes in a timely manner afterwards.
- Greeted visitors in a professional manner and directed them to appropriate personnel or offices.
- Pleasantly welcomed visitors, answered phone calls, and maintained front reception desk.
- Sat in on meetings to provide members with oral translations of conversations and information.
Bank Teller
Wells Fargo
Scranton
04.2015 - 05.2017
- Handled large sums of money with accuracy while maintaining appropriate levels of security.
- Delivered exceptional service to customers in person or over telephone.
- Reported daily averages and shortages to operations department.
- Verified amounts and integrity of every check or funds transfer.
- Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
- Entered customer transactions into computers to record transactions and issue computer-generated receipts.
- Entered transactions into computer and issued customer receipts.
- Provided exceptional customer service to customers by answering inquiries, resolving complaints and processing transactions in a timely manner.
Education
Medical Biller Certificate - Medical Billing
Fortis Institute
Wayne, NJ05-2021
Skills
- Claims processing
- ICD-10 coding
- CPT coding
- Payment reconciliation
- Insurance verification
- Accounts receivable
- Customer service
- Data entry accuracy
- Detail orientation
- Time management
- Team collaboration
- Problem solving
- Medical billing technology
- Medical billing
- Medicare and medicaid process
- HIPAA compliance
- Teamwork and collaboration
- CMS-1500 billing forms
- Payment posting
- Account follow-up
Certification
- National Healthcareer Association Certified Billing and Coding specialist. Certification# F3G5T5E3
Languages
English
Full Professional
Spanish
Native/ Bilingual
Timeline
Certified Medical Biller
GeneID Advanced Molecular Diagnostics
12.2023 - 12.2024
Medical Biller and Coder
Pediatricare Associates
07.2021 - 12.2023
Subtitute Secretary, Float
Paterson Public Schools
09.2018 - 03.2020
Bank Teller
Wells Fargo
04.2015 - 05.2017
- National Healthcareer Association Certified Billing and Coding specialist. Certification# F3G5T5E3
Medical Biller Certificate - Medical Billing
Fortis Institute
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