Post a Job Sign in

Irma Capestany

Medical Biller

Richlands, NC

-

Work Experience

Medical Biller

Monmentum Billing
-
San Diego, CA
-

April 2013 to October 2013

Temp 
 
• Completed registration for patient accounts, verified medical insurance, answered phones, returned 
calls to patient's questions on accounts. 
• Reconciled outstanding patient accounts, assist with credit card payments 
• Submit appeals to insurance companies for unpaid procedures 
• Resubmit denials as a corrected claim, calling insurance companies and lawyers 
• Work with reps for Medicare and Medical Insurance, Workers Compensation, claims 
• Mailed & Faxed medical & billing, progress notes for Lien, WC, accounts. 
• Processed returned mail. 
• Ordered supplies, maintained office needs. 
• Used ADT, EHR,

Medical Biller/Follow-Up /Temp

San Diego Sports Medicine
-
San Diego, CA
-

September 2012 to April 2013

Perform account billing, insurance follow up, billed secondary insurance claims 
• Submit appeals to insurance companies for unpaid procedures 
• Resubmit denials as a corrected claim, calling insurance companies and lawyers 
• Work with reps for Medicare and Medical Insurance, Workers Compensation, claims 
• Reconciled outstanding patient accounts, assist with credit card payments 
• Prepared bank deposit, processed incoming mail and patient and insurance payments 
• Used Greenway EMR, Gateway EDI, MediStream, Medical Manger, Microsoft Office Suite, 
Word, Excel, Outlook 
• Prepared bank deposit, processed incoming mail and patient and insurance payments

Medical Biller/ Follow-Up/AR Posting, Temp

Anderson Medical Center
-
San Diego, CA
-

April 2012 to July 2012

Posted EFT & processed patient, and mail payments and performed insurance follow up for Medicare, 
PPO, Commercial Insurance and Workers Compensation 
• Prepared bank deposit, processed incoming mail and patient and insurance payments 
• Processed front desk daily deposits and superbills 
• Covered Front Desk, Phones, Verified Insurance Eligibility 
• Process, follow up and monitor claims 
• Submit appeals for denials

Medical Biller/Front Office Reception Instructor

Comprehensive Training Systems City Height
-
San Diego, CA
-

November 2010 to April 2012

Train Medical Billers on insurance follow up with all types of insurances: Commercial, Medicare, 
Medical, Blue Cross Blue Shield, Tricare, and Workers Compensation 
• Follow up and monitoring procedures with claims from start to finish 
• Basic business operations, insurance claims processes, 1500 claim form 
• Essential knowledge for coders, as they are required to accurately, translate medical jargon into code, 
thorough education in coding systems and coding terminology 
• Coding system covered includes ICD-9-CM, ICD10-CM, CPT/HCPS 
• Trained skills for basics of medicine, such as anatomy, physiology, medical terminology, medical 
abbreviation, vitals, diseases and diagnoses, and body systems 
• Essential knowledge of all types in insurance

Medical Billing Specialist

Herae LLC
-
San Diego, CA
-

October 2007 to October 2010

Analysis 
 
• Reviewed EOB's and loaded into system for issues associated with their conversion from paper to electronic format 
• Updated daily audit reports to ensure EOB's codes, corrected and posted in a timely manner 
• Ensured that the clients processing issues were handled in an efficient manner 
• Assisted customers with product questions technical problems via email or phone 
• Utilized a variety of systems and web-based tools to research and resole customer issues 
• Conducted online training for customers and partners 
• Used Microsoft Office, ProCom, Herae.net, 835 format

Medical Billing Clerk

Health Management Partners, LLC
-
San Diego, CA
-

April 2006 to November 2007

Perform account billing, insurance follow up, rebill on insurance claims 
• Submit appeals to insurance companies for unpaid procedures 
• Submit denials 
• Worked with reps for Medicare and Medical Insurance claims 
• Reconciled outstanding patient accounts 
• Used Meditec, Vital Works, Microsoft Office

Education

Bachelor of the Arts Behavioral Science

Ashford University

2010 to Present

General Education, Child Development

Southwestern College

1974 to 1976

Additional Information

Qualifications: 
• Front Desk Medical Receptionist was responsible for greeting patients, clients, and visitors entering the medical community center, scheduled appointments, took copays and payments, call patients for there appointments. Prepared bank deposit and processed incoming mail. 
• Patient Services Representative, was responsible for greeting patients, clients, and visitors entering the medical community center. 
• Scanned the necessary lab, x-ray, emergency room forms, or other important documents within the medical chart for the physician and billing staff. 
• Also was responsible for processing patient information, registering patients in patient management systems, and assisting patients in completing all required forms for insurance and payment purposes. 
• Proficient with ADT, Allscripts, Greenway, Gateway, Medical Manager, PM, EMR, 
• HIPPA 5010 COMPLIANCE 
• Medical software knowledge: ADT, EMR, Allscripts PM, Medisoft, Medical Manager 
• Appeals and denials 
• Ability to perform well under pressure and adapt to changing circumstances 
• Hardworking, motivated, energetic, dedicated, and professional individual able to serve clients in aconscientious and pleasant manner 
• Oral and written communication skills