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Yyyyyy x. yyyyyy

xxx-xxx-xxxx |


Profile of Qualifications


  • Detail oriented Professional with over 20 years of experience in medical billing and collections.
  • In depth knowledge of ICD-9 and CPT coding, as well as multiple medical record systems.
  • Possesses strong customer service skills; experienced in forming relationships and resolving inquiries.
  • Linguistic fluency in English and Spanish.


Key Areas of Expertise


  Medical Billing, Coding & Collections

  Great Plains & Resolution

  Athena Health Care System

  Customer Service

   AS/400 & STM



  MS Office Suite

  Point & Click Medical System


Professional Synopsis


Harvard university Health Services, Cambridge, MA 2007-Present

Medical Billing Specialist

  • Demonstrate a strong attention to detail while performing assigned tasks on time within a deadline based environment.
  • Utilize strong knowledge of medical billing and claims to ensure accuracy throughout all operations; conduct thorough follow up with insurance companies.
  • Form positive relationships with patients; resolve inquiries, identify billing discrepancies and establish payment plans.
  • Ensure compliance to all company, federal and HIPAA regulations; maintain confidentiality of patient information.


Harvard Vanguard Medical Associates, Newton, MA 2005-2007

BCBS Billing Supervisor

  • Leveraged strong leadership skills, coupled with in depth knowledge of medical billing, to oversee day to day operations.
  • Developed and implemented effective training processes; monitored individual employee performance and designed innovative strategies to promote growth.
  • Provided top notch customer service; ensured inquiries were thoroughly resolved.


Harvard Vanguard Medical Associates, Newton, MA 2001-2005

Patient Billing Representative

  • Utilized bilingual capabilities, as well as strong knowledge of medical billing/coding, to complete assigned tasks in a fast paced environment.
  • Maintained quality control throughout all day to day operations, including charge entry, coding and processing credit/debit adjustments.
  • Used strong analytical skills to review benefits and ensure recovery of funds.


FMC, San Juan, Puerto Rico 2001 Patient Account Representative

  • Contributed extensively to maintaining quality assurance throughout billing and collections for 2 branch locations.
  • Obtained an in depth understanding of Medicare and commercial payors; associated responsibilities included cash application, handling adjustments and generating reports.
  • Provided excellent customer service; simplified complex concepts and cultivated positive relationships.


HVMA, Newton, MA; Patient Billing Representative 1999-2001

Optimum Home Health, Boston, MA; Billing Coordinator 1998-1999 Olsten Health Services, Cambridge, MA; Collections Rep/Third Party Biller 1995-1998

Boston Check Cashers, Inc.; Manager/Teller 1990-1995




Healthcare Management Coursework Completed, Newbury College; Boston, MA

Media Technology Coursework Completed, Bunker Hill Community College; Boston, MA

High School Diploma, Boston High School; Boston, MA

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