Janet Cintron

Janet Cintron with over 9 years of experience as Medical Billing Specialist and DME specialist is actively seeking an organization where her skills can be utilized to benefit the healthcare environment.

QUALIFICATIONS:

• Anatomy, Physiology, and Terminology
• Health Information Management
• HIPAA Law
• Interpersonal Communication for Healthcare Professionals
• Knowledge of ICD-9, CPT, and HCPCS
• Medical Law and Ethics

CERTIFICATES:

• Medical Insurance Billing and Coding
• CMS CMN Certificate
• CMS HIPAA EDI Standards Certificate
• CMS UB-04 Certificate
• PAHCOM What You Can Do to Prepare for Medicare Payment Reductions Certificate

EXPERIENCE:
Billing Specialist

• Retrieve patient eligibility through web-based systems
• Audit medical billing orders before processing
• Process DME electronic claims for Medicare and other insurance companies
• Process DME paper claims for different insurance companies
• Post and reconcile payments from ERAs and EOBs from different insurance companies
• Create and route invoices
• Create custom reports
• Create, compile, and maintain a HIPAA compliant web-based filing system
• Provide patient’s records information by phone
• Process claim rejection, denial, and case reopening
• Keep up to date with insurance policies, fee schedules, ICD-9, CPT, and HCPCS codes
• Enroll healthcare providers for electronic billing for different insurance companies
• Schedule appointments for different healthcare care providers
• Create and maintain a filing system for different healthcare providers

SKILLS & LANGUAGES:

• Well organized and detail oriented
• Ability to research
• Ability to operate computers and basic office equipment
• Thorough knowledge of Kareo, Medisoft, NobleHouse, and TeamDME billing software
• English and Spanish fluency (speak, read, and write)