SHEENA MAUREN BUNTAG
Montevista
Summary
I am a HIPAA-certified Medical Biller Specialist with over four years of experience in the healthcare industry, specializing in Revenue Cycle Management (RCM), Accounts Receivable, and Medical Virtual Assistance. I excel in providing comprehensive and accurate information regarding patient benefits and eligibility. My expertise includes analyzing claim denials and developing effective solutions to address them. I possess strong collaborative skills, enabling me to work effectively with teams to create and implement innovative strategies that improve process efficiency and effectiveness.
Overview
4
4
years of professional experience
Work History
Medical Billing Specialist
Healthcare Coding Integrity
2023.10 - 2025.12
- Perform posting charges.
- Make sure that the patient's medical records are current and accurate.
- Performing charge entry, Accounts Receivable Follow-up, and Denial Management, etc.
- Perform completion of claims to payers.
- Perform tasks in a timely and professional manner.
- Sending billing information to the relevant insurance companies.
- Process claims and resolve denials to ensure maximum reimbursement.
- Insurance verification authorization and appeals.
- Analyze EOBs and remittance advice.
- Utilize insurance portals/websites to check eligibility and benefits.
- Review remits and payer correspondence and escalate any identified issues to appropriate areas for review and response to expedite claim resolution.
Medical Billing Specialist
Healthcare Coding Integrity
2023.10 - 2025.12
- Utilize billing software and clearinghouses effectively.
- Ensuring timely submission of medical claims.
- Accurately preparing and submitting medical claims.
- Document the important information on the form provided.
- Monitored emails, organized inbox, and prioritized messages for supervisor.
- Answered and screened calls to provide information, schedule appointments and take detailed messages.
Medical Virtual Assistant
DRMC
2021.11 - 2022.12
- Insurance verification, making sure all demographics are current and accurate.
- Adjudication of medical claims before claim submission.
- Follow up on submitted claims, Resolve and resubmit denied and rejected claims.
- Ensuring timely submission of medical claims and reimbursement of claims from the insurance provider.
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- Quality-oriented team player
- Files and records management
- Insurance billing
- Attention to details
- Analytical skill
- Accounting knowledge
- Research and Documentation
Timeline
Medical Billing Specialist
Healthcare Coding Integrity
2023.10 - 2025.12
Medical Billing Specialist
Healthcare Coding Integrity
2023.10 - 2025.12
Medical Virtual Assistant
DRMC
2021.11 - 2022.12