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