Carmen Lara
El Paso,TX
Summary
Accomplished and energetic employee with a solid history of achievement in customer service. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include delegating, thinking critically and attention to details. Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Revenue Cycle Specialist
EPMEDPA
EL PASO, TX
02.2018 - Current
- Examined patients' insurance coverage, deductibles, insurance carrier payments, and remaining balances not covered under policies when applicable.
- Trained new employees on multiple medical billing programs and data entry software.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Well-versed in eClinicalWorks EHR system.
- Specialized in Pain Management billing.
Externship
Escobar Billing Solutions
El Paso, TX
12.2017 - 02.2018
- Set up and managed paper and electric filing, recording information, updating paperwork, and maintaining documents, such as patient records, insurances or claims, or other material
- Code diagnosis from ICD-10 and CPT manuals for high-risk pregnancies from doctor's progress notes
- Created patient accounts, claims, and added insurance/patient payments on Kareo EHR.
- Communicate with insurance companies to solve patient and claim issues
- Submit corrected claims on denials, appeal, and resubmit claims
- Familiar with provider portals such as Availity, UHC, TMHP, Optum, Novitas, and many others.
Retention Specialist
Xerox Corporation
El Paso, TX
11.2014 - 10.2016
- Utilized knowledge of customer experience to create specialized plans for customer retention.
- Completed contract forms, prepared change of address records, and issued service discontinuance orders.
- Confer with customers by telephone to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
Education
Associate of Applied Science - Medical Billing and Coding
Southwest University At El Paso
El Paso, TX02.2018
Skills
- Analytical Thinking
- Problem Solving
- Error Revision
- Cost Tracking
- Account Posting
- Insurance verifications
- Claim Appeals, reconsiderations, and corrected claims submissions
Certification
CPR Certification
References
Stephanie Cordero - Friend and former colleague
9159205797
Charles Schwab
Sr. Operations Manager
Miriam Sanchez - Current Manager
(915) 529-0084
EPMED, PA
RCM Administrator
Belem Ramirez - Former Manager
West Texas Pain Center
Director of Operations
9158732737
Timeline
Revenue Cycle Specialist
EPMEDPA
02.2018 - Current
Externship
Escobar Billing Solutions
12.2017 - 02.2018
Retention Specialist
Xerox Corporation
11.2014 - 10.2016
Associate of Applied Science - Medical Billing and Coding
Southwest University At El Paso