AAPC - Back to school
Results 1 to 2 of 2

Thread: Experienced Medical Biller

  1. #1
    Join Date
    Apr 2007
    Nassau Central New York Chapter

    Default Experienced Medical Biller

    AAPC: Back to School
    Luis Marin
    Merrick, NY 11566 · · LuisMarin1@aol.com


    Medical biller with over eight years of healthcare experience. Solid background in customer service, problem solving, research, and investigation. Able to expedite multiple projects within tight deadlines. Strong team player that excels in a fast- paced, high volume environment.

    TOWN OPTICAL, New York, NY 3/2007 ? Present
    Optometry/Vision Therapy, High End Eyewear
    MEDICAL BILLER (Lead) (3/2007- Present)
    · Process over 800 medical claims quarterly for four clinicians
    · Correct denials in a timely manner
    · Obtain preauthorization for ophthalmologic prescriptions and ensure insurance guidelines are met
    · Schedule appointments and prepare billing forms for each patient
    · Responsible for various word processing assignments
    · Call insurance companies to verify patient eligibility and medical benefits
    · Obtain paper and electronic referrals from primary care physician
    · Act as liaison for insurance companies and provide requested information
    · Manage patient database and ensure all medical file information is accurate
    · Communicate and explain insurance coverage to patients from over 50 insurance plans
    · Inform patients of standard procedures and company policy

    INSTITUTE FOR URBAN FAMILY HEALTH, New York, NY 5/2002 ? 3/2007
    Non-profit Health Care Organization targeted to service low income families
    MEDICAL BILLER/Finance Department (5/2004- 3/2007)
    Created an accounts receivable tracking system, utilizing MS Excel, to provide accurate management of financial data
    Anticipated workflow and collaborated with supervisor on ideas on how to improve daily job functions
    Posted close to three million dollars in Medicaid payments
    Corrected and reprocessed Medicaid and all other major medical insurance company denials in a timely manner
    Communicated daily with patients and their insurance companies
    Handled inquiries from insurance companies
    Established a professional and respectable working relationship with co-workers and management

    REFERRAL SPECIALIST/Referral Department (5/2002- 5/2004)
    Expertly processed over one hundred referrals per week for patients and physicians
    Reviewed and tracked completed referrals
    Collaborated with co-workers and supervisor by multi-tasking to speed up the referral process
    Designed a directory of Doctors, Practices, Specialties, and Facilities, utilizing MS Excel, to accelerate the process of locating physicians and submitting referrals
    Assisted physicians in obtaining referral, insurance, and member information

    American Academy of Professional Coders (CPC Certification)

    SKILLS: Experienced in MS Word, Excel, Access, Medisoft, EPIC, IDX, Office Mate, Code Master, ICD-9 and CPT Coding
    Last edited by luismarin1; 05-15-2009 at 08:16 PM.

  2. #2
    Join Date
    Apr 2007
    Nassau Central New York Chapter


    Saturdays ONLY.

    Thank you.
    Last edited by luismarin1; 07-10-2009 at 01:11 PM.

Similar Threads

  1. experienced coder/medical biller
    By amoore32 in forum Job Postings
    Replies: 0
    Last Post: 09-06-2008, 01:00 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.