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).