Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ana Calzada

Summary

I am a Collections Specialist with 21 years' experience in the medical business office setting. With 5 years experience in Radiation oncology. I have extensive knowledge of third party reimbursement procedures. I am accurate and detail- oriented with strong analytical, organizational and customer service skills.

Overview

23
23
years of professional experience

Work History

05.1999

Patient Access Specialist

Radiation Oncology
02.2022 - Current
  • Obtain pre-certification authorization for scheduled patients from insurance companies for Radiation Oncology patients. Start new list daily on excel spreadsheet with the new add ons. Run zoom meeting for daily calls for the team when needed.
  • Dialysis
  • Retrieve and print out daily pre-certification form as needed and required
  • Obtain pre-certification authorizations by contacting the insurance company via telephone contact, fax, and/ or online for all surgery cases, admissions, and hospital consults
  • Obtain referral is not one is not available and valid
  • Input benefit and referral information in patient's database in the system
  • Contact patient to collect pre-surgery payments
  • Perform verification on patient's eligibility and benefits via telephone contact, fax, and/ or online when needed
  • Provide coverage for other Pre-certification Specialist
  • Provide coverage to other Benefits Verification Specialist as needed
  • Process credit card transactions when received
  • Work and complete minor and major project(s) as assigned
  • Do a AR for Dialysis and Podiatry
  • Enter Charges for In patient and Out Patient hospital visits.

Patient Account Specialist

Med Recovery Solutions Billing Company LLC
04.2015 - 02.2022

Retrieve and print out daily pre-certification form as needed and required.
Obtain pre-certification authorizations for radiation and breast cancer patients, by contacting the insurance company via telephone
contact, fax, and/ or online for all surgery cases, admissions, and hospital consults.
Obtain referral is not one is not available and valid.
Input benefit and referral information in patient's database in the system.
Contact patient to collect pre-surgery payments.
Perform verification on patient's eligibility and benefits via telephone contact, fax, and/ or
online when needed.
Provide coverage for other Pre-certification Specialist.
Provide coverage to other Benefits Verification Specialist as needed.
Process credit card transactions when received.
Work and complete minor and major project(s) as assigned.
Do a AR for Dialysis and Podiatry
Enter Charges for In patient and Out Patient hospital visits

Accounts Receivable

Equifax
05.2006 - 04.2015
  • Posting payments
  • Prepare gathered and implemented credit history reports from, as requested
  • Knowledge of EOB's, CPT & ICD-9 codes, HCFAs, HCPCS
  • Perform patient collections
  • Provide customer service
  • Assisted with general clerical duties
  • Answer and handle multiple phone lines
  • Bank deposits
  • Identify Contractual & Administrative Adjustment
  • Registration for patient's
  • Able to obtain necessary information for account resolution
  • Review, Interpret Patient Statements, Balance and Client Contractual

10.2000 - 04.2006
  • Schedule appointments Patient check in/out
  • Insurance verification
  • Answer and handle multiple phone lines
  • Perform filing and clerical duties
  • Assist doctors with translation in Spanish
  • Check dictation for accuracy and print for doctor to sign
  • Send out Medical Records to Doctors and Insurance
  • Daily handling of Deposits Daily close out of Business Cash handling.

Health Science Center
01.2001 - 01.2005

Education

High School Diploma -

Jesse H Jones
Houston

Skills

  • MS Office Word with the ability to type at
  • Least 45 WPM and 10-key
  • Excellent communication skills
  • Customer service-oriented
  • Flexible
  • Works well under pressure
  • Filing and data archiving
  • Bilingual speak Fluent Spanish

Timeline

Patient Access Specialist

Radiation Oncology
02.2022 - Current

Patient Account Specialist

Med Recovery Solutions Billing Company LLC
04.2015 - 02.2022

Accounts Receivable

Equifax
05.2006 - 04.2015

Health Science Center
01.2001 - 01.2005

10.2000 - 04.2006

05.1999

High School Diploma -

Jesse H Jones
Ana Calzada