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REBECCA SANCHEZ
1009 W Castillo Avenue, Belen, NM 87002 │ 505.916.9258 │ rebeccasanchez4@outlook.com
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)
 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 – 07/2015
Options Home Health – Albuquerque, NM 04/2014 – 12/2015
Home 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 – 6/2014
Master 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 – 10/2013
Cashier/ 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.
Name, (Cont.)
 Worked efficiently with Microsoft Office and supported and gave input to value based reimbursement (VBR).

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Sanchez_Rebecca_Resume_2435848

  • 1. REBECCA SANCHEZ 1009 W Castillo Avenue, Belen, NM 87002 │ 505.916.9258 │ rebeccasanchez4@outlook.com 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)  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 – 07/2015 Options Home Health – Albuquerque, NM 04/2014 – 12/2015 Home 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 – 6/2014 Master 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 – 10/2013 Cashier/ 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.
  • 2. Name, (Cont.)  Worked efficiently with Microsoft Office and supported and gave input to value based reimbursement (VBR).