Heriberto Muniz Email & Phone Number

United States

Franklin, Tn

2200 21St Avenue South

Oversee the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management while ensuring compliance for all billing and follow-up accounts. Plan and direct patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection. Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.Prepare and analyze accounts receivable reports, weekly and monthly financial reports, and insurance contracts in concert with the Practice Administrator. Collects and compiles accurate statistical reports.Coordinates with Practice Administrator team members time off in a manner that does not negatively impact necessary daily functions.Maintains contact with other departments to obtain and analyze additional patient information to document and process billings.Help Practice Administrator Coordinate some Account Payable's vendor invoices, and with some Payroll Roster attendance/hours.

2200 21St Avenue South. Suite 306 Nashville, Tn 37212

As an Office Billing Coordinator, I am engaged in a variety of day-to-day bookkeeping activities such as checking bills for accuracy, preparing invoices, calculating totals, discussing billing questions and arrangements with clients, and negotiating insurance reimbursement with providers. I am responsible for figuring out, updating, setting up patient payment plans on account balances owed by our patients. I must also update billing profile options and activate or deactivate accounts at the Office Administrator or Physician's request. Also if issues are raised regarding problems with billing accounts, I must research these problems and solve them.

26 Century Blvd

This position is responsible for all data management relative to Revenue Cycle Management (RCM), including practice management data input, coding review and claims processing and review for all respective payers. The Billing Specialist is responsible for communication with the client relative to RCM and is required to generate any RCM reports in accordance with established procedures.Essential Responsibilities: Ensure completion of documentation and coding on the PM when needed on charges entered in patient’s account for a correct and complete billing claim.Prepares, reviews and sends patient statements.Daily review of all postings before claim review.Enters cash receipts if needed and assure correct allocations, distribution in accordance with the established protocol.Review monthly reports, make arithmetic calculations and check various statistical and accounting tables and reports as required.Work denials to resolution. Prepare appeals, disputes, etc. as necessary.Work aged A/R to resolution, claim status checks, claim follow-up.Enter patient demographic and insurance information into the computer system.Post charges to accounts. Confirm coding, link diagnoses and append modifiers.Transmit electronic claim files. Print and mail paper CMS-1500’s.Post payments/non-payments to accounts. Identify carrier responses that require additional review.Secondary / tertiary insurances are identified and billed.Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.Processes payments from insurance companies and prepares a daily deposit.Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.Identifies and resolves patient billing complaints.Other duties as assigned by supervisor.

Assist Manager/Director in identifying possible areas of concernEnsure compliance for all billing and follow-up accountsEnsure timely billing and follow-up on assigned accountsEnsure accuracy with appropriate documentationAnalytical Research /Claim Resolution for Payers Assigned (Commercial/BCBS/Medicaid)

Assist Manager/Director in identifying possible areas of concern* Ensure compliance, accuracy with appropriate documentation for all billingand follow-up accounts* Analytical Research /Claim Resolution for Payers Assigned(Commercial/BCBS/Medicaid)* Ensure timely billing and follow-up on assigned accounts

Doneldson, Tn

Ensure compliance for all billing and follow-up accountsEnsure timely billing and follow-up on assigned accountsEnsure accuracy with appropriate documentationMeet and Exceed daily defined production goalsAssist Manager/Director in identifying possible areas of concernAssist in training of new employees

Ensure compliance for all billing and follow-up accounts* Ensure timely billing and follow-up on assigned accounts* Ensure accuracy with appropriate documentation* Meet and Exceed daily defined production goals* Assist Manager/Director in identifying possible areas of concern* Assist in training of new employees

501 Great Circle Rd

Arrange, Schedule and Coordinate Dr. appointmentsBilingual InterpretationPolicy/Document translation/conversionAdministrative duties (sorting, distributing, filing, etc)

Business Administration

InterAmericana Carr. 102, Km. 30.6

Business Administration

30 credits shy of Bachelors Degree (@ the time)

Associates Degree, Commerce

Activities and Societies: Latino Student Association (Member/part founder of FUERZA Latina Hispanic Organization )Member/part founder.