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Medical Billing Career Overview

Antonia Ortega has over 10 years of experience in medical billing and collections. She has worked as a medical biller, claims analyst, and managed care confirmation and collection specialist. Her responsibilities have included patient registration, submitting insurance claims, verifying eligibility, following up on denials and appeals, and collecting on accounts. Ortega has a diploma in Medical Insurance Billing and Coding and is proficient in medical terminology, software programs, coding systems, and billing forms. She is bilingual in Spanish and English.

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Nav Seth
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49 views2 pages

Medical Billing Career Overview

Antonia Ortega has over 10 years of experience in medical billing and collections. She has worked as a medical biller, claims analyst, and managed care confirmation and collection specialist. Her responsibilities have included patient registration, submitting insurance claims, verifying eligibility, following up on denials and appeals, and collecting on accounts. Ortega has a diploma in Medical Insurance Billing and Coding and is proficient in medical terminology, software programs, coding systems, and billing forms. She is bilingual in Spanish and English.

Uploaded by

Nav Seth
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Antonia Ortega

Santa Teresa, NM 88008


[email protected]
626-715-2306

Work Experience

Medical Biller
Medical Billing Unlimited
May 2019 to April 2020
• Patient registration 
• Submitting claims 
• Medical records request 
• Claims Analyst

Medical insurance collections


California Business bureau
November 2017 to October 2018
• Call medical insurance co. for claims status on UB forms 
• Verify ins eligibility 
• Follow up on insurance denials 
• Submit Appeals for payment 
• Responsible for collecting on account 
• Review payments made on claims and submit adjustment if payment is correct. If claims are
underpaid work with insurance companies for correct payment.

Managed Care Confirmation Specialist


Super Care Inc - Industry, CA
2013 to July 2017
• Confirm orders before invoice is sent out for payment 
• Perform manual calculations 
• Data entry skills along with a knack for numbers 
• Customer service orientation and negotiation skills 
• High degree of accuracy and attention to detail 
• Identify issues and submit to IT 
• Review claims CMS 1500 forms before they are submitted for billing 
• Provide training to new employees or fellow coworkers on above duties

Managed Care Collection Specialist


Super Care Inc - Industry, CA
2008 to 2013
• Bill insurance claims automated or manual using HCFA 1500 
• Verify insurance eligibility 
• Follow-up on all insurance denials 
• Submit reimbursement claims to insurance companies and government entities 
• In charge of collections for accounts 
• Work on United Health Care, Tri care, One Care, worker's comp Ins., Cigna, PPO, and medical groups
like monarch and prospect. 
 
TECHNOLOGY SUMMARY 
MS Office (Word, Excel, Outlook) Universal Software Solutions, Office Ally, and Remit Data, Epic
software

Education

Diploma in Medical Insurance Billing and Coding


Everest College City of Industry - Industry, CA

Diploma
Santana High School - Rowland Heights, CA

Skills
• Well-organized and efficient, Working knowledge of Medical Terminology, Anatomy of Physiology,
Med ware Medical software systems, ICD-9, CPT-4 and HCPC, Medicare, TRICARE, CHAMPVA Private
and Managed care, Blue Cross-Blue Shield State Disability, CMS 1500 forms. Typing 50 wpm, HIPAA
Certified 
Bilingual (Spanish)
• Medical Records
• Medical Billing
• Insurance Verification
• ICD-10
• Spanish
• English
• Microsoft Excel
• Microsoft Word
• Phone etiquette

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