Susana Arguello

Detail oriented quality focused professional billing specialist. Successful track record handling complicated assignments. Highly experienced in reconciling insurance and patient payments and resolving accounts disputes. Dedicated to maintaining strict patient confidentiality.

Medical Biller at Whittier Medical Medical Management\Schambach & Associates, Inc. (2007-01 – 2022-08)

• CPT input and ICD-9 coding for multiple specialties including Pulmonary, Critical Care, Infectious Disease, General Surgery, ENT, Family Practice, Neurology, and Internal Medicine.
• Work effectively with physician staffs on coding, billing and insurance issues.
• Excellent guest relations skills with physicians, patients and payers.
• Knowledgeable about HIPAA Guidelines, Medicare Compliance issues, LCD, CCI, and RVRBS, TARS, Authorizations, Medicare 0 pays, medicare redetermination
• Accurately post and balance patient payments
• Effective follow-up on open claims to ensure timely resolution and closure (online, by phone and appeal letters)
• Accurately process medical claims to various insurance carriers to ensure proper and correct payment ( Medicare, Medical, HMO'S, PPO)
• Maintain current working knowledge of CPT, HCPCS, and ICD - government regulations, protocols and third party requirements regarding billing
• Accurately evaluate the accuracy of provider charges, including dates of service, procedures, levels of care, locations, diagnosis, patient identification, and provider signature.

Support Staff at Whittier Medical Medical Management\Schambach & Associates, Inc. (2006-01 – 2007-01)

• Create patient accounts with accuracy including verification of eligibility.
• Provide outstanding customer service to clients
• Successful multi-tasking with various data bases, internet, intranet, telephone, and faxing
• Manage multiple accounts to ensure that preparation is up to date to ensure timely billing
• Obtain authorizations and accurately check eligibility

CPC Exam – AAPC (2015)

Certificate in Medical Terminology ICD-9 Coding (2012)

General Education – Cal State University Long Beach (1995)

High School Diploma in General Education – Pioneer High School (1993)