Karla I.
Mid-Level Medical Billing and Accounts Receivable Specialist
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Karla Isabelle R. is a seasoned Account Receivable Specialist and Medical Biller with a comprehensive background in healthcare revenue cycle management. She currently manages medical billing for pain management at Culver City Surgical Specialists, Inc., handling CMS-1500 and UB-04 claims, overseeing medical record requests, and liaising with law firms for claims submission. Her previous role at Dr. Claims Billing involved submitting accurate medical claims in the behavioral health sector, following up on unpaid claims, and analyzing denials to enhance billing accuracy. At AVA Billing and Consultancy, Karla streamlined end-to-end AR processes, performed denial analysis, and ensured precision in payment posting. Her extensive tenure at Global Healthcare Resource further honed her expertise, encompassing claim processing, denial management, and patient account reconciliation. Karla's education in the Caregiver Program and Associate in Hotel and Restaurant Management contributes to her multidisciplinary approach in managing medical billing & coding, denial management, insurance verification, and payment reconciliation.
Experience
Medical Biller- Pain Management
Culver City Surgical Specialists, Inc. · 2025 — PresentHandled medical billing for CMS-1500 and UB-04 claims, managed medical record requests and lien forms, reviewed patient demographics and operative reports for accuracy, and submitted claims to law firms.Account Receivable Specialist
Dr. Claims Billing · 2024 — 2025Processed and submitted medical claims accurately to insurance companies, followed up on unpaid claims within standard billing cycles, analyzed claim denials and implemented corrective actions, collaborated with healthcare providers to ensure billing accuracy, maintained updated patient billing records, and verified eligibility and benefits as necessary.Account Receivable Specialist
AVA Billing and Consultancy · 2023 — 2024Managed the complete accounts receivable processes, from claim submissions to follow-ups, conducted denial analysis and resubmissions, performed payment posting reviews for accuracy, communicated with insurance companies via portal and phone, and handled data entry tasks.Account Receivable Specialist
Global Healthcare Resource · 2016 — 2023Processed and submitted claims to insurance companies accurately and timely, monitored outstanding accounts, followed up on unpaid claims, investigated and resolved denied or rejected claims, communicated with insurance providers through phone and online portals, and posted and reconciled payments from both insurers and patients.Medical Biller
Global Healthcare ResourceReviewed patient charts, operative reports, and physician notes for coding accuracy, and prepared and submitted claims (CMS-1500 and UB-04) to insurance companies.
Skills & Expertise
Education
- Associate in Hotel and Restaurant ManagementUniversity of Perpetual Help · 2004 — 2006