Alon Jimenez
Longwood
Summary
Personable and detail-oriented individual with strong analytical skills and dedication to accuracy. Possesses solid understanding of medical billing processes and proficiency in handling patient information with confidentiality. Aims to streamline claims processing and improve reimbursement efficiency.
Overview
4
4
years of professional experience
Work History
Medical Claims Specialist
RX Development Associates
10.2022 - Current
- Examined and collected workers compensations claims for in office physician dispensed medications.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or collection problems.
- Strategized the best way to resolve denials by negotiating with insurance adjuster and attorneys.
- Corrected billing errors and followed up on bill status and processing with insurance carriers and PBMs.
- Member of the "Fun Committee" to build morale within the work place by planning and coordinating events.
Medical Assistant/ Office Administration
Florida Center for Endocrinology PA
06.2021 - 09.2022
- Verified insurance, referral request, referral documentations and copayments for each patient appointment.
- Initiate actions for medical record request and CGM set up for new and existing patients.
- Scheduled appointments efficiently to enhance clinic workflow and patient satisfaction.
- Kept professional relationships with medical representatives and set up lunches.
- Trained and onboarded new hire for front desk task.
- Supported administrative tasks for efficient clinic operations by contacting patients for payment, insurance calls for approval or denial of services, and documented data from CGM pumps and monitors.
Education
Bachelor of Science - Biomedical Sciences
University of Central Florida
Orlando, FL12.2020
Skills
- Medical terminology
- Critical Decision-making
- Knowledgeable in Microsoft Office
- Insurance verification
- Medical billing
- Claim denials management
- EOB analysis
- HIPAA compliance
- EMR / EHR
- BLS certification
Volunteer Experience
Adult Volunteer and Patient Pal, Arnold Palmer Hospital for Children, 09/01/18 - 12/31/19
Timeline
Medical Claims Specialist
RX Development Associates
10.2022 - Current
Medical Assistant/ Office Administration
Florida Center for Endocrinology PA
06.2021 - 09.2022
Bachelor of Science - Biomedical Sciences
University of Central Florida
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