sanchez_rebecca_resume_2435848

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REBECCA SANCHEZ 1009 W Castillo Avenue, Belen, NM 87002 │ 505.916.9258 │ [email protected] Performance driven, engaging, and career-qualified professional who exhibits a high degree of integrity, accompanied by a devotion to maintain confidentiality. Strong communication and interpersonal skills. Highly flexible, honest, and punctual. Well organized and proficient in Microsoft Word and Excel; Type 46 WPM. Driven, decisive, and self-motivated with strong problem solving skills. Medicare Fraud and Abuse Certificate, World of Medicare Training, First Aid, and CPR. KEY QUALIFICATIONS Medical Billing ▪ Medical Coding ▪ ICD-9-CM ▪ HCPCS ▪ CPT ▪ ICD-10-CM ▪ Medical Terminology Electronic Health Records (EHR) ▪ Electronic Medical Records (EMR) ▪ Greenway Managed Care (HMO, PPO, and POS) ▪ Government Payers ▪ Third Party Payers ▪ Worker’s Compensation Centers for Medicare and Medicaid ▪ CMS 1500 ▪ CMS 1450 (UB-04) ▪ Tricare EOBs ▪ Payment Posting ▪ Revenue Cycle Management ▪ Scheduling Insurance Verification ▪ Insurance Billing Procedures ▪ Insurance Claim Processing Practice Management ▪ Medical Office Procedures ▪ Anatomy & Physiology ▪ HIPAA Compliance Co-Payments ▪ Deductibles ▪ Co-Insurance ▪ Superbills Reimbursement Methodologies ▪ Fee Schedules ▪ Outpatient / Physician ▪ Inpatient / Facility EDUCATION Ultimate Medical Academy – Medical Billing and Coding Associate of Science Degree, 2015 Ultimate Medical Academy – Diploma, Medical Billing and Coding, 2015 Completed an intensive, accredited training program that included: Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, and Medical Practice Management Systems. PURSUING NATIONAL CPC-A CERTIFICATION PROFESSIONAL EXPERIENCE Eye Works Optical – Belen, NM 01/2016 – 02/2016 Medical Insurance Specialist (Temp Position) Filled claims for vision, handled eligibility information, and pulled patient charts. Completed prior authorizations, sent faxes and emails, and ensured daily communication with insurance providers. ECS – Belen, NM 07/2015 – 08/2015 Medical Records Field Technician (Contract Position)

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Page 1: Sanchez_Rebecca_Resume_2435848

REBECCA SANCHEZ1009 W Castillo Avenue, Belen, NM 87002 │ 505.916.9258 │ [email protected]

Performance driven, engaging, and career-qualified professional who exhibits a high degree of integrity, accompanied by a devotion to maintain confidentiality. Strong communication and interpersonal skills. Highly flexible, honest, and punctual.

Well organized and proficient in Microsoft Word and Excel; Type 46 WPM. Driven, decisive, and self-motivated with strong problem solving skills. Medicare Fraud and Abuse Certificate, World of Medicare Training, First Aid, and CPR.

KEY QUALIFICATIONSMedical Billing ▪ Medical Coding ▪ ICD-9-CM ▪ HCPCS ▪ CPT ▪ ICD-10-CM ▪ Medical Terminology

Electronic Health Records (EHR) ▪ Electronic Medical Records (EMR) ▪ GreenwayManaged Care (HMO, PPO, and POS) ▪ Government Payers ▪ Third Party Payers ▪ Worker’s Compensation

Centers for Medicare and Medicaid ▪ CMS 1500 ▪ CMS 1450 (UB-04) ▪ TricareEOBs ▪ Payment Posting ▪ Revenue Cycle Management ▪ Scheduling

Insurance Verification ▪ Insurance Billing Procedures ▪ Insurance Claim ProcessingPractice Management ▪ Medical Office Procedures ▪ Anatomy & Physiology ▪ HIPAA Compliance

Co-Payments ▪ Deductibles ▪ Co-Insurance ▪ SuperbillsReimbursement Methodologies ▪ Fee Schedules ▪ Outpatient / Physician ▪ Inpatient / Facility

EDUCATIONUltimate Medical Academy – Medical Billing and Coding Associate of Science Degree, 2015

Ultimate Medical Academy – Diploma, Medical Billing and Coding, 2015Completed an intensive, accredited training program that included:

Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, and Medical Practice Management Systems.

■ PURSUING NATIONAL CPC-A CERTIFICATION ■

PROFESSIONAL EXPERIENCEEye Works Optical – Belen, NM 01/2016 – 02/2016 Medical Insurance Specialist (Temp Position)

Filled claims for vision, handled eligibility information, and pulled patient charts. Completed prior authorizations, sent faxes and emails, and ensured daily communication with insurance providers.

ECS – Belen, NM 07/2015 – 08/2015Medical Records Field Technician (Contract Position)

Accessed and identified information within medical charts at various medical offices using various EMR software. Printed, scanned, and uploaded patient medical charts to corporate data center; abided by HIPAA guidelines.

Adaptive Home Health – Belen, NM 08/2014 – 07/2015Options Home Health – Albuquerque, NM 04/2014 – 12/2015Home Health Aide

Provided personal and homemaking services to elderly, convalescent, and disabled persons. Maintained accurate and up-to-date records of services performed.

Driveline Retail Merchandising – Belen, NM 10/2013 – 6/2014Master Merchandiser

Implemented planogram and schematics for individual retail stores to ensure professional project completion. Worked with the store managers to locate all of the parameters required to complete the project. Led and supervised a group of merchandisers to efficiently complete the scheduled project.

Wal- Mart – Los Lunas, NM 10/2011 – 10/2013Cashier/ Customer Service Representative

Acted as direct point of contact, assisted customers with purchases, and operated cash register.Affiliated Computer Systems (ACS) – Albuquerque, NM 10/2005 – 10/2006 Provider Relations Specialist

Checked patients’ eligibility for Medicaid and provided claims statuses for Medicaid. Took phone calls in Inbound Call Center Environment, resubmitted claims, and sent faxes and emails.

Page 2: Sanchez_Rebecca_Resume_2435848

Name, (Cont.)

Worked efficiently with Microsoft Office and supported and gave input to value based reimbursement (VBR).