Norma Munoz
Phoenix,AZ
Overview
6
6
years of professional experience
1
1
Certification
Work History
Benefit Specialist
Resilient Health Mental Health Facility
Phoenix, AZ
04.2024 - Current
- Process AHCCCS applications for nutrition and medical benefits.
- Social Security applications for SSI or SSDI.
- Monitor AHCCCS renewal information to avoid patient lapse in coverage.
- Collaborate with the administrative and clinical teams to coordinate participant benefit needs and updates.
Prior Authorization Specialist /Medical Front Office Receptionist
Transitions Counseling & Consulting
Phoenix, AZ
01.2020 - 03.2024
- Prioritize incoming authorization requests according to urgency
- Contacted insurance carriers to verify eligibility and coverage
- Obtain authorization via payer website or by phone and follow up regularly on pending cases
- Maintain individual payer files to include up to date requirements needed to successfully obtain authorizations
- Initiate appeals for denied authorizations
- Respond to clinic questions regarding payer medical policy guidelines
- Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
- Contacted patients to discuss authorization status.
- Assisted w/ scheduling appointments
- Collected payments -according to patients responsibility w/insurance.
- Assisted w/ any phone calls , emails , from patients , therapist insurances ect.
Medical Biller/AR
Concentra Phoenix
Phoenix
04.2019 - 12.2019
- Performed accounts receivable duties / Re-Processed re-billed and composed correspondence w/ clients
- Monitored and reviewed accounts aging to ensure timely collection
- Negotiated w/clients re payment terms on past due accounts
- Assisted w/ any administrative help needed faxing, filling, payment posting,answering phones, mail department.
- Communicated w/customers, employers,insurance companies TPA 's and labs on a daily to insure billed amounts were correct for billed services.
- Made decisions on referring accounts for collections
Education
Certificate -
UEI College, Phoenix
01.2019
High School Diploma -
Kofa High School, Yuma
Skills
- Customer service- 15 years
- HIPAA Compliance- 5 years
- Administrative- 10 years
- Patient care
- Utilization management
- High volume In/Outbound calls
- Medical Terminology ICD-10 /CPT Codes
- Behavioral Health
- Collections
- Office Administration
- A/R
- Submission of medical claims 1500 HCFA's
Languages
- English, Fluent (Reading and Writing)
- Spanish, Fluent (Reading and Writing)
Certification
- Fingerprint Clearance Arizona EXP July 2027
- CPR Certified
- Medical Front Office Billing /Coding Certified 2019
Timeline
Benefit Specialist
Resilient Health Mental Health Facility
04.2024 - Current
Prior Authorization Specialist /Medical Front Office Receptionist
Transitions Counseling & Consulting
01.2020 - 03.2024
Medical Biller/AR
Concentra Phoenix
04.2019 - 12.2019
Certificate -
UEI College, Phoenix
High School Diploma -
Kofa High School, Yuma
Similar Profiles
Norma MunozNorma Munoz
Benefit Specialist at Resilient Health Mental Health FacilityBenefit Specialist at Resilient Health Mental Health Facility
Caron LippertCaron Lippert
Mandt and CPI Trainer at Mental Health Facility-UG SERVICESMandt and CPI Trainer at Mental Health Facility-UG SERVICES
Dylan GreenleafDylan Greenleaf
Discharge Planner at PEMHS Mental Health FacilityDischarge Planner at PEMHS Mental Health Facility
Vanessa CorreaVanessa Correa
BHT/CNA at NursioBHT/CNA at Nursio
Jericka HectorJericka Hector
Background Investigator at Maricopa County Adult Probation DepartmentBackground Investigator at Maricopa County Adult Probation Department