jaimerpruna
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Jaime R. Pruna
(830)837-9467
jaimerpruna@live.com
San Antonio TX 78213
OBJECTIVE
Energetic, motivated, dependable, Outgoing, and Demonstrated customer service skills. Seeking a position in Medical Coding
SKILLS AND QUALIFICATIONS
? Completed competencies in case studies for all phases of medical coding utilizing ICD-9, ICD-10,CPT and HCPCS
? Key strengths: communication, leadership and interpersonal skills, multi-tasking and overall resourcefulness
? Computer applications employing MS Word, MS Excel, MS PowerPoint
? Enter patient demographics
? Create accounts and perform billing routines
? Knowledge of HIPAA & OSHA Guidelines
? Acquired knowledge of office administration tasks
? Knowledge Of Medicare, Medicaid & Tricare Guidelines
? Knowledge Of EOBs
? Workers? Compensation
? College courses in Medical Terminology and Anatomy & Physiology
? CPR and AED Cerified: Adults, Infants,and Children
? Software -NetTech , eclinicalworks , Gateway EDI , Availity, Google Docs ,Practice Fusion, QuickBase, Health Fusion, iClaim ERA
? Verification and Eligibility Benefits
? Detail-oriented and Able to meet targeted deadlines
? Ten key
? Outpatient/Inpatient Facility Coding
? HCFA 1500
EDUCATION
Sanford-Brown College
4511 Horizon Blvd San Antonio, TX 78229
Phone: (210)807-8229
Associate Degree In Health Information Technology
(Externship)
Evolution Consultants, LLC
Medical Billing & Coding
From: 1/2/12 To 3/15/12
EMPLOYMENT HISTORY
Arthritis & Osteoporosis Center of South Texas / Tox Management LLC/ Tri State Toxicology LLC
John P. Huff, PhD., MD, PA
Jana Ayala, MD
James Wild, MD
(Internist, Rheumatologist)
14615 San Pedro Ave, Suite 240,125,105
San Antonio, Texas 78232
7/11/2013 To Current
Phone: (210) 571-1302
Coding & Billing Manager
? Insurance Credentialing
? Medicare & Medicaid Credentialing
? Prepared and submitted clean claims to insurance companies either electronically or by paper
? Workers? Compensation
? Medicare Claims
? Injections/Infusions Billing & Coding
? Pain Management Billing & Coding
? Updating and organizing medical records, including electronic health records and Payer ID's
? Claim Rejections
? Posting insurance & patients payments from EOBs or statements
? Reviewed each insurance payment is for accuracy and compliance with contract discount
? Called insurance companies regarding any discrepancy in payments if necessary
? Identified and bill secondary or tertiary insurances
? Communicating with 21 physicians and health care professionals to clarify supportive documentation for code assignment and working with the billing department to ensure appropriate reimbursement for codes.
? training coding/billing staff
? Compile data reports for meetings and going over end of the month reports with Owner/ Lab director Dr. John P. Huff and 21 contracted physicians and health care professionals
? Software ? iClaim EMR/ERA, Navinet, Availity, Health Fusion
Male Medical Group,LLC
14615 San Pedro Ave, Suite 120
San Antonio, TX 78232
9/11/2012 To 7/10/2013
Phone: (210)263-9378
Human Rescues /Front Desk
? Answer telephones and direct calls to appropriate staff.
? Pay Roll (ADP)
? Managed Care
? Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
? Reviewed accounts with Patients
? Transmit correspondence or medical records by mail, e-mail, or fax.
? Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
? Receive and route messages or documents, such as laboratory results, to appropriate staff.
? Assisted managers with their APG Sales, bank deposits as needed
? performed charge review, claim submission, claim follow-up, payment posting and patient statements
? Proficient in assigning appropriate medical codes to diagnosis and services
Evolution Consultants, LLC
144 Landa St., Suite 850 New Braunfels TX 78123
From:3/15/12 To 9/2/12
Phone: (830)609-7354
Medical Administrative & Medical Billing & Coding
Dr. Mark D. Garcia (Dermatology)
? Followed up on unpaid claims within standard billing cycle timeframe
? Checked each insurance payment is for accuracy and compliance with contract discount
? Called insurance companies regarding any discrepancy in payments if necessary
? Identified and bill secondary or tertiary insurances
? Prepared and submitted clean claims to insurance companies either electronically or by paper
? Entering in Superbills and EMR Charges
? Managed Care
? Workers? Compensation
? Medicare Claims
? Updating and organizing medical records, including electronic health records and Payer ID's
? Claim Rejections
? Software - NetTech,Gateway EDI
? Insurance Credentialing
? Able to meet targeted deadlines
? Providing quality customer service to patients
? Data Entry
(Silverleaf Resorts) Hill Country Resort
17545 FM 306 Canyon Lake, TX 78133
From 8/23/10 To 2/15/12
Phone
830)-935-4355
Registration Clerk/ Hospitality
? Answered multi line telephone questions and returned calls to resolve customer issues
? Reviewed accounts with members
? Offer upgrades to members
? Host member meetings to discuss current events
Super S Food
1345 Sattler Rd. (PO BOX 2307) Canyon Lake, TX 78133
From 5/23/08 To 8/16/10
Phone 830)964-3231
Customer Service (Supervisor) / Bookkeeper
? Answered multi line telephone questions and returned calls to resolve customer issues
? Received and processed customer transactions
? Balanced account statements and collections up to 40,000
? Assisted managers with their APG Sales ,bank deposits as needed
? Set up displays for product advertisements
(830)837-9467
jaimerpruna@live.com
San Antonio TX 78213
OBJECTIVE
Energetic, motivated, dependable, Outgoing, and Demonstrated customer service skills. Seeking a position in Medical Coding
SKILLS AND QUALIFICATIONS
? Completed competencies in case studies for all phases of medical coding utilizing ICD-9, ICD-10,CPT and HCPCS
? Key strengths: communication, leadership and interpersonal skills, multi-tasking and overall resourcefulness
? Computer applications employing MS Word, MS Excel, MS PowerPoint
? Enter patient demographics
? Create accounts and perform billing routines
? Knowledge of HIPAA & OSHA Guidelines
? Acquired knowledge of office administration tasks
? Knowledge Of Medicare, Medicaid & Tricare Guidelines
? Knowledge Of EOBs
? Workers? Compensation
? College courses in Medical Terminology and Anatomy & Physiology
? CPR and AED Cerified: Adults, Infants,and Children
? Software -NetTech , eclinicalworks , Gateway EDI , Availity, Google Docs ,Practice Fusion, QuickBase, Health Fusion, iClaim ERA
? Verification and Eligibility Benefits
? Detail-oriented and Able to meet targeted deadlines
? Ten key
? Outpatient/Inpatient Facility Coding
? HCFA 1500
EDUCATION
Sanford-Brown College
4511 Horizon Blvd San Antonio, TX 78229
Phone: (210)807-8229
Associate Degree In Health Information Technology
(Externship)
Evolution Consultants, LLC
Medical Billing & Coding
From: 1/2/12 To 3/15/12
EMPLOYMENT HISTORY
Arthritis & Osteoporosis Center of South Texas / Tox Management LLC/ Tri State Toxicology LLC
John P. Huff, PhD., MD, PA
Jana Ayala, MD
James Wild, MD
(Internist, Rheumatologist)
14615 San Pedro Ave, Suite 240,125,105
San Antonio, Texas 78232
7/11/2013 To Current
Phone: (210) 571-1302
Coding & Billing Manager
? Insurance Credentialing
? Medicare & Medicaid Credentialing
? Prepared and submitted clean claims to insurance companies either electronically or by paper
? Workers? Compensation
? Medicare Claims
? Injections/Infusions Billing & Coding
? Pain Management Billing & Coding
? Updating and organizing medical records, including electronic health records and Payer ID's
? Claim Rejections
? Posting insurance & patients payments from EOBs or statements
? Reviewed each insurance payment is for accuracy and compliance with contract discount
? Called insurance companies regarding any discrepancy in payments if necessary
? Identified and bill secondary or tertiary insurances
? Communicating with 21 physicians and health care professionals to clarify supportive documentation for code assignment and working with the billing department to ensure appropriate reimbursement for codes.
? training coding/billing staff
? Compile data reports for meetings and going over end of the month reports with Owner/ Lab director Dr. John P. Huff and 21 contracted physicians and health care professionals
? Software ? iClaim EMR/ERA, Navinet, Availity, Health Fusion
Male Medical Group,LLC
14615 San Pedro Ave, Suite 120
San Antonio, TX 78232
9/11/2012 To 7/10/2013
Phone: (210)263-9378
Human Rescues /Front Desk
? Answer telephones and direct calls to appropriate staff.
? Pay Roll (ADP)
? Managed Care
? Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
? Reviewed accounts with Patients
? Transmit correspondence or medical records by mail, e-mail, or fax.
? Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records.
? Receive and route messages or documents, such as laboratory results, to appropriate staff.
? Assisted managers with their APG Sales, bank deposits as needed
? performed charge review, claim submission, claim follow-up, payment posting and patient statements
? Proficient in assigning appropriate medical codes to diagnosis and services
Evolution Consultants, LLC
144 Landa St., Suite 850 New Braunfels TX 78123
From:3/15/12 To 9/2/12
Phone: (830)609-7354
Medical Administrative & Medical Billing & Coding
Dr. Mark D. Garcia (Dermatology)
? Followed up on unpaid claims within standard billing cycle timeframe
? Checked each insurance payment is for accuracy and compliance with contract discount
? Called insurance companies regarding any discrepancy in payments if necessary
? Identified and bill secondary or tertiary insurances
? Prepared and submitted clean claims to insurance companies either electronically or by paper
? Entering in Superbills and EMR Charges
? Managed Care
? Workers? Compensation
? Medicare Claims
? Updating and organizing medical records, including electronic health records and Payer ID's
? Claim Rejections
? Software - NetTech,Gateway EDI
? Insurance Credentialing
? Able to meet targeted deadlines
? Providing quality customer service to patients
? Data Entry
(Silverleaf Resorts) Hill Country Resort
17545 FM 306 Canyon Lake, TX 78133
From 8/23/10 To 2/15/12
Phone
830)-935-4355 Registration Clerk/ Hospitality
? Answered multi line telephone questions and returned calls to resolve customer issues
? Reviewed accounts with members
? Offer upgrades to members
? Host member meetings to discuss current events
Super S Food
1345 Sattler Rd. (PO BOX 2307) Canyon Lake, TX 78133
From 5/23/08 To 8/16/10
Phone
830)964-3231Customer Service (Supervisor) / Bookkeeper
? Answered multi line telephone questions and returned calls to resolve customer issues
? Received and processed customer transactions
? Balanced account statements and collections up to 40,000
? Assisted managers with their APG Sales ,bank deposits as needed
? Set up displays for product advertisements
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