Alma Cota
Mesa,AZ
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Patient Access Specialist
Valleywise Health
06.2023 - Current
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Collected and validated patient demographics and insurance information.
- Answered high volume incoming calls, scheduled appointments and filed medical records.
Behavioral Health Technician
Community Hope And Wellness
09.2022 - 02.2023
- Completed documentation for every incident and forwarded to correct personnel for review.
- Conducted client rounds to check on residents.
- Recognized individuals under influence of drugs or alcohol and typical behaviors associated with each.
- Facilitated on-site activities, support groups, and outings for clients.
- Prepared and submitted daily Type reports to management.
Medical Receptionist
Digestive Health Specialists
01.2021 - 08.2022
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Performed various administrative tasks by filing, copying and faxing documents.
Insurance Verification Specialist
Gryphon Healthcare
12.2020 - 09.2021
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Trained new staff on current, correct insurance verification procedures.
Medical Billing Specialist
Native Care Transportation
08.2014 - 02.2020
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Education
High School - High School
Academy With Community Partners
Mesa, AZ05.2012
Skills
- Eligibility Determination
- Patient Scheduling
- Patient Registration
- Financial Obligation Determination
Languages
Spanish
Native or Bilingual
Timeline
Patient Access Specialist
Valleywise Health
06.2023 - Current
Behavioral Health Technician
Community Hope And Wellness
09.2022 - 02.2023
Medical Receptionist
Digestive Health Specialists
01.2021 - 08.2022
Insurance Verification Specialist
Gryphon Healthcare
12.2020 - 09.2021
Medical Billing Specialist
Native Care Transportation
08.2014 - 02.2020
High School - High School
Academy With Community Partners