Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Ada Nelly Quintana

Phoenix,AZ

Summary

Proven expertise in medical management and billing, demonstrated at CVS/Aetna with a knack for efficient data entry and a strong foundation in medical terminology. Excelled in streamlining processes, enhancing system accuracy by adeptly handling billing variances, and showcasing exceptional time management skills. Advanced proficiency in QNXT and Epic systems further underscores my ability to meet and exceed employer expectations.

Overview

7
7
years of professional experience

Work History

Medical Management Associate

CVS/Aetna
Phoenix, AZ
12.2023 - Current
  • coordinates intaking different services via fax or email
  • creating authorizations for different type of admission/hospitals.
  • communicating with clinicians/nurses researching information for establish members
  • input correct CPT code for member visits
  • utilizes QNXT, profax & Aetna systems to research and enter member information

Biller/Prior Authorization Specialist

District Medical Group
Phoenix, AZ
03.2018 - 09.2023
  • ensured all prior authorizations documentation databases and records are entered in the database clearly, accurately and meet HIPPA requirements
  • closely worked with several doctors verifying patient information
  • scanned radiology, input demographics for ER department
  • executed billing tasks and recorded information in company databases.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • determined proper codes for medical records and patient services.

Document Control Assistant

E&A Medical Billing
Phoenix, AZ
08.2017 - 02.2018
  • efficiently managed multiple competing priorities, ensuring deadlines were consistently met for various projects'' documentation requirements.
  • batching, scanning medical records
  • assuring the documents and currencies get to the right department with in a certain deadline
  • performed daily EOBS deposit checks

Education

Certification

Dimage Barber College
Phoenix, AZ
04.2015

High School Diploma -

Miraloma
Riverside, CA
03.2007

Skills

  • medical management services
  • data entry
  • billing and coding
  • medical terminology
  • QNXT
  • profax
  • epic
  • JP Morgan
  • problem-Solving
  • time Management
  • advance computes skills

Languages

Spanish
Full Professional

Timeline

Medical Management Associate

CVS/Aetna
12.2023 - Current

Biller/Prior Authorization Specialist

District Medical Group
03.2018 - 09.2023

Document Control Assistant

E&A Medical Billing
08.2017 - 02.2018

Certification

Dimage Barber College

High School Diploma -

Miraloma
Ada Nelly Quintana