Marie Bill Manzano
Medical Biller
Mabalacat
Summary
Proven expertise in HIPAA-compliant claims processing and customer service excellence, honed at The Results Company. Demonstrated ability to enhance claim processing efficiency and maintain high customer satisfaction levels. Skilled in medical terminology and Microsoft Office, with a knack for preemptively resolving potential issues, significantly reducing claim payment turnaround times.
Overview
2
2
years of professional experience
Work History
Medical Claims Processor
The Results Company
03.2011 - 04.2013
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Identified and resolved discrepancies between patient information and claims data.
- Monitored and updated claims status in claims processing system.
- Managed large volume of medical claims on daily basis.
- Reviewed provider coding information to report services and verify correctness.
- Assessed medical claims for compliance with regulations and corrected discrepancies.
- Researched and resolved complex medical claims issues to support timely processing.
- Verified patient insurance coverage and benefits for medical claims.
- Processed insurance payments and maintained accurate documentation of payments.
- Handled escalated claims-related issues professionally, working diligently towards resolution while maintaining strong relationships with both clients and providers alike.
- Reduced turnaround time on claim payments by proactively identifying potential roadblocks and addressing them preemptively.
- Maintained a high level of customer satisfaction by promptly addressing inquiries and resolving issues related to medical claims.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
Education
Associate of Arts - Computer Secretarial Technology
Freeport Institute For Research Science And Tech
SBFZ 04.2001 -
Skills
HIPAA compliance awareness
Claims Processing Proficiency
Medical Terminology Familiarity
Customer Service
Organizational abilities
Medical record review
Insurance claims processing
Provider Relations
Claim Denial Resolution
Healthcare Billing Knowledge
Teamwork and Collaboration
Microsoft Office
Timeline
Medical Claims Processor
The Results Company
03.2011 - 04.2013
Associate of Arts - Computer Secretarial Technology
Freeport Institute For Research Science And Tech
04.2001 -
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