Medical Biller

Medical Biller — Lakeside Medical Group

Portland, OR | July 2023 – Present

• Processed over $2.2M in annual medical claims using Epic EMR, maintaining a 98.4% clean claim rate and reducing initial submission billing errors by 16% over 12 months.
• Investigated and resolved complex claim denials for 12 specialty providers, recovering $65,000 in lost revenue and lowering the denial rate from 8.2% to 2.8%.
• Managed aging Accounts Receivable (A/R) reports, reducing outstanding patient and insurance balances over 90 days by 24% through structured follow-up campaigns.
• Audited reimbursement workflows for Medicare, Medicaid, and private payers, capturing $18,000 in underpayments and improving billing compliance adherence by 12%.

Associate Medical Biller — Summit Pediatric Clinic

Beaverton, OR | June 2021 – June 2023

• Prepared and submitted 140+ medical claims daily through the Availity clearinghouse portal, maintaining a 97.2% first-pass acceptance rate across all major carriers.
• Identified critical billing code discrepancies for ICD-10-CM and CPT codes, correcting 350+ entries per month and preventing potential compliance audits.
• Answered 30+ patient billing inquiries daily with professional detail, establishing flexible payment plans that increased monthly self-pay collections by 18%.
• Collaborated with clinical staff to reconcile missing charge sheets, successfully reducing charge capture lag time from 5 business days down to 2 days.

ICD-10-CM coding, CPT & HCPCS Level II coding, Medical billing & collections, Accounts Receivable (A/R) management, Denial & appeals management, Clearinghouse management, HIPAA compliance, Epic, eClinicalWorks, Availity, Kareo, Practice Fusion, Excel, Medicare & Medicaid guidelines, Commercial insurance billing

Denial Reduction Campaign

Role: Lead Billing Coordinator

Tools: Epic, Availity, Microsoft Excel

Analyzed 6 months of historical denial patterns to identify root causes, implementing a pre-submission scrubbing checklist that cut billing denials by 38%.

EMR Migration & Billing Integration

Role: Billing Specialist

Tools: eClinicalWorks, Kareo, Excel

Coordinated data transfer of 8,500 active patient profiles during systems migration, resolving integration errors within 2 weeks and maintaining billing continuity.

• Certified Professional Biller (CPB) (2022)
• Certified Billing and Coding Specialist (CBCS) (2021)

• Languages: English (Native), Spanish (Bilingual)
• Volunteer Work: Provided administrative support at Portland Community Health Clinic (2022-2024)
• Availability: 2 weeks notice