Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Sabrina Soto

Houston,TX

Summary

Skilled in patient scheduling and adept at managing high-stress situations, I enhanced patient experience and billing efficiency at Greater Houston Rheumatology. My expertise in insurance verification and commitment to HIPAA compliance drove improvements in customer service metrics, demonstrating both my technical and interpersonal skills.

Experienced medical support professional with strong focus on patient interaction and administrative efficiency. Adept at managing appointments, handling patient inquiries, and coordinating with medical staff. Known for effective collaboration and reliability in fast-paced environments. Skilled in using medical software systems, maintaining patient records, and ensuring welcoming atmosphere.

Overview

3
3
years of professional experience

Work History

Front Desk Medical Receptionist

Complete Allergy & Asthma
08.2023 - Current
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
  • Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
  • Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
  • Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
  • Analyzed customer service metrics to identify trends and develop strategies for improvement.

Front Desk Medical Receptionist

Modern Kidney and Transplant Care
09.2022 - 08.2023
  • Helped patients complete necessary medical forms and documentation.
  • Handled financial transactions related to copayments or self-pay fees while adhering to company policies regarding payment collection.
  • Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rates.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
  • Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Scanned and uploaded medical records into electronic medical records system.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.

Medical Billing Intern

Greater Houston Rheumatology
05.2022 - 06.2022
  • Contributed to improving overall productivity within the billing department through effective time management skills.
  • Ensured compliance with industry regulations by adhering to HIPAA guidelines when handling patient information.
  • Enhanced patient experience by accurately processing medical billing information in a timely manner.
  • Aided in minimizing late payments by implementing timely follow-ups on outstanding balances via phone calls or emails to patients and insurers alike.
  • Collaborated effectively with cross-functional teams including physicians, nurses, administrative staff members to ensure seamless communication related to billing matters.
  • Supported the implementation of new billing procedures and systems, contributing to overall efficiency improvements within the department.
  • Strengthened relationships with insurance providers by efficiently addressing inquiries and resolving disputes.
  • Developed professional relationships with peers, supervisors, and mentors, fostering a positive work environment and facilitating ongoing learning opportunities during the internship.
  • Gained expertise in handling claims submissions for diverse healthcare services, such as office visits, diagnostic tests, and surgical procedures.
  • Developed strong working knowledge of various medical billing software programs, increasing speed and accuracy during data entry processes.
  • Provided excellent customer service, addressing patient concerns regarding their bills and clarifying any confusion or discrepancies they encountered.
  • Verified insurance of patients to determine eligibility.
  • Posted payments and collections on regular basis.
  • Collected payments and applied to patient accounts.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Education

High School Diploma -

Klein Forest High School
11400 Misty Valley Dr, Houston, TX 77066
08-2019

Skills

  • Patient scheduling
  • Appointment management
  • Insurance verification
  • Patient registration

Languages

Spanish
Native or Bilingual

Timeline

Front Desk Medical Receptionist

Complete Allergy & Asthma
08.2023 - Current

Front Desk Medical Receptionist

Modern Kidney and Transplant Care
09.2022 - 08.2023

Medical Billing Intern

Greater Houston Rheumatology
05.2022 - 06.2022

High School Diploma -

Klein Forest High School
Sabrina Soto