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8323 Drum Roll Drive
Houston, TX 77064
(832) 890-9294
jacquelinezepeda05@yahoo.com
Jacqueline Zepeda
OBJECTIVE
Seeking for a position that not only allows but encourages the ability to continue to learn
and grow professionally. My proven ability to demonstrate my work ethic, drive, dedication, and
loyalty to a company, compliments my overall attitude and strive to be successful personally and
professionally. I have years of experience from the front back of the Revenue Cycle flow and
experience in coding. I am actively as well as continuing to stay abrupt with the federal laws and
regulations.
Employment History
04/2012 - Current Trinity Healthcare Network Houston, TX
Transferred/Promoted to: Senior Billing Lead / Radiology Coder
• Using coded data to produce and submit claims to insurance companies thru ZIRMED.
• Answering patients’ billing inquires/questions.
• Coding radiology, labs, nuclear medicine, GI and pain cases
• Collect, post, and manage patient account payments.
• Handle information about patient treatment, diagnosis, and related procedures to ensure
proper coding.
• Claims following up after claims has been transmitted to various carriers
• Investigate rejected claim to see why denial was issued and correct claims
• Clear claim edits
• Comply with federal HIPAA regulations and practice policies for the privacy and security of
patient information; explain the law and our privacy policy to patients as needed; maintain
appropriate documentation of access to medical records.
• Maintains alphabetic filing system by organizing patient records on shelves to ensure records
are readily accessible by all departments.
• Batching and submitting claims for processing
• Transferring necessary balances to self pay, bad debt or write off/adjustment batches.
• Reviewing and working all EOB’s received
• Running end of month and weekly AR reports for accounting department and manager
Position Held: Patients Accounts Rep
• Verifying patients’ insurance coverage.
• Answering patients’ billing questions
• Monitor overdue accounts; receive payments and post amounts paid to patient’s accounts.
• Provides customer service to patients inquiring about their statements.
• Scheduling, processing varieties of paperwork.
• Entered patient demographics and insurance information.
• Obtained Pre-certification for patient’s procedures.
02/11 – 10/12 NCO Houston, TX
Position Held: Customer Service Rep
• Resolves product or service problems by clarifying the customer's complaint; determining
the cause of the problem; selecting and explaining the best solution to solve the problem;
expediting correction or adjustment; following up to ensure resolution.
• Recommends potential products or services to management by collecting customer
information and analyzing customer needs
• Greet customers warmly and ascertain problem or reason for calling.
• Assist with placement of orders, refunds, or exchanges.
• Suggest solutions when a product malfunctions.
10/10 – 02/11 Air Filters Inc. Houston, TX
Position Held: Shipping and Receiving
• Process orders for clients thru FedEx, UPS and Lone star.
• Schedule pick up for potential orders/clients.
• Place orders on Microsoft Excel to control orders in and out.
• Organize warehouse.
• Use the fax machine, email and internet.
Qualification and Skills
Proven ability to multi-task due to the fact that I am always willing to learn and go the “extra mile”.
• Advanced MD
• Prognosis
• Zirmed
• ICD-9, ICD-10 & CPT Codes
• CMS-1500 & UB-04
• Insurance verification & Precertification
• Customer service
• Fluent Bilingual (Spanish/English)
• Microsoft Word, Excel, PowerPoint & Access
Education
2011 – 2012 Fortis Institute
2005 – 2008 Jersey Village High School
Certifications
• Certified Billing & Coding Specialist
• CPC thru AAPC

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JZ Resume

  • 1. 8323 Drum Roll Drive Houston, TX 77064 (832) 890-9294 jacquelinezepeda05@yahoo.com Jacqueline Zepeda OBJECTIVE Seeking for a position that not only allows but encourages the ability to continue to learn and grow professionally. My proven ability to demonstrate my work ethic, drive, dedication, and loyalty to a company, compliments my overall attitude and strive to be successful personally and professionally. I have years of experience from the front back of the Revenue Cycle flow and experience in coding. I am actively as well as continuing to stay abrupt with the federal laws and regulations. Employment History 04/2012 - Current Trinity Healthcare Network Houston, TX Transferred/Promoted to: Senior Billing Lead / Radiology Coder • Using coded data to produce and submit claims to insurance companies thru ZIRMED. • Answering patients’ billing inquires/questions. • Coding radiology, labs, nuclear medicine, GI and pain cases • Collect, post, and manage patient account payments. • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding. • Claims following up after claims has been transmitted to various carriers • Investigate rejected claim to see why denial was issued and correct claims • Clear claim edits • Comply with federal HIPAA regulations and practice policies for the privacy and security of patient information; explain the law and our privacy policy to patients as needed; maintain appropriate documentation of access to medical records. • Maintains alphabetic filing system by organizing patient records on shelves to ensure records are readily accessible by all departments. • Batching and submitting claims for processing • Transferring necessary balances to self pay, bad debt or write off/adjustment batches. • Reviewing and working all EOB’s received • Running end of month and weekly AR reports for accounting department and manager Position Held: Patients Accounts Rep • Verifying patients’ insurance coverage. • Answering patients’ billing questions • Monitor overdue accounts; receive payments and post amounts paid to patient’s accounts. • Provides customer service to patients inquiring about their statements. • Scheduling, processing varieties of paperwork. • Entered patient demographics and insurance information. • Obtained Pre-certification for patient’s procedures.
  • 2. 02/11 – 10/12 NCO Houston, TX Position Held: Customer Service Rep • Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. • Recommends potential products or services to management by collecting customer information and analyzing customer needs • Greet customers warmly and ascertain problem or reason for calling. • Assist with placement of orders, refunds, or exchanges. • Suggest solutions when a product malfunctions. 10/10 – 02/11 Air Filters Inc. Houston, TX Position Held: Shipping and Receiving • Process orders for clients thru FedEx, UPS and Lone star. • Schedule pick up for potential orders/clients. • Place orders on Microsoft Excel to control orders in and out. • Organize warehouse. • Use the fax machine, email and internet. Qualification and Skills Proven ability to multi-task due to the fact that I am always willing to learn and go the “extra mile”. • Advanced MD • Prognosis • Zirmed • ICD-9, ICD-10 & CPT Codes • CMS-1500 & UB-04 • Insurance verification & Precertification • Customer service • Fluent Bilingual (Spanish/English) • Microsoft Word, Excel, PowerPoint & Access Education 2011 – 2012 Fortis Institute 2005 – 2008 Jersey Village High School Certifications • Certified Billing & Coding Specialist • CPC thru AAPC