Lisa Florez
Contributor
Lisa Florez, CPC
(408) 832-8729
Lmarie029@hotmail
Cypress Healthcare
Monterey, Ca
03/2008 - Current
Medical Billing and Coding Specialist Pain Management, Orthopedic, Cardiology and Internal Medicine, ASC, Hospital OP services
ASC surgeries, Code E/M’s
Charge entry, assign appropriate Diagnosis, CPT Codes and Modifiers.
Review notes for missed charges.
Audit office notes, work denials, collections and appeals.
Work aged reports of unpaid claims.
Customer service, claim submission, month end, and assist supervisor with projects.
Process ERA's electronically and manually.
Verify claims paid according to contract, bilateral procedures paid correctly, and adjustments.
Review all claims before they are filed, batch claims,
Make sure all batches are balanced for month end, worked aged report of unpaid claims.
Patient insurance and demographics are correct, file corrected claims.
Caduceus
03/06/16 to 06/30/16
Coding Specialist
Remote contract assignment
Code E/M services, injections, work some edits and demographics
EDUCATIONAL QUALIFICATION
Pacific Grove Adult School
Pacific Grove, Ca
3/2005 - 6/2005
Diploma
AAPC/CPC Boot Camp CPC Certificate ICD-10 Proficient
07/2013 - 03/2014
SKILLS
In-depth knowledge of medical billing process with 7 years experience.
Strong ability to communicate and interact with people.
Fast learner, detail oriented, problem solver, team player.
Can explain an EOB.
QUALIFICATIONS
Knowledge of Medicare, Blue Cross, Medicaid, Workers Comp, and other PPO Insurance.
Systems used are Centricity, Athena, eMD, Mysis, LSS, Allscripts, and Meditech. I have used EMRs.
Hippa compliance.
REFERENCE
Available upon request
(408) 832-8729
Lmarie029@hotmail
Cypress Healthcare
Monterey, Ca
03/2008 - Current
Medical Billing and Coding Specialist Pain Management, Orthopedic, Cardiology and Internal Medicine, ASC, Hospital OP services
ASC surgeries, Code E/M’s
Charge entry, assign appropriate Diagnosis, CPT Codes and Modifiers.
Review notes for missed charges.
Audit office notes, work denials, collections and appeals.
Work aged reports of unpaid claims.
Customer service, claim submission, month end, and assist supervisor with projects.
Process ERA's electronically and manually.
Verify claims paid according to contract, bilateral procedures paid correctly, and adjustments.
Review all claims before they are filed, batch claims,
Make sure all batches are balanced for month end, worked aged report of unpaid claims.
Patient insurance and demographics are correct, file corrected claims.
Caduceus
03/06/16 to 06/30/16
Coding Specialist
Remote contract assignment
Code E/M services, injections, work some edits and demographics
EDUCATIONAL QUALIFICATION
Pacific Grove Adult School
Pacific Grove, Ca
3/2005 - 6/2005
Diploma
AAPC/CPC Boot Camp CPC Certificate ICD-10 Proficient
07/2013 - 03/2014
SKILLS
In-depth knowledge of medical billing process with 7 years experience.
Strong ability to communicate and interact with people.
Fast learner, detail oriented, problem solver, team player.
Can explain an EOB.
QUALIFICATIONS
Knowledge of Medicare, Blue Cross, Medicaid, Workers Comp, and other PPO Insurance.
Systems used are Centricity, Athena, eMD, Mysis, LSS, Allscripts, and Meditech. I have used EMRs.
Hippa compliance.
REFERENCE
Available upon request