Summary
Overview
Work History
Education
Skills
Timeline
Generic

ANAURY ABREU GUZMAN

Staten Island,NY

Summary

Hardworking Patient Account Representative dedicated to customer service and patient care. Outgoing and flexible team player. Talent for developing creative solutions that satisfy all parties.

Overview

10
10
years of professional experience

Work History

Assistance Patient Account Representative

Maxwell Medical Group
08.2023 - 01.2024

Performing billing, insurance verification, third party reimbursement, computer data entry and retrieval. help in posting charges to accounts.

  • Communicates in an effective professional manner when speaking with insurances.
  • Reads insurance explanation of benefits, responds to insurance denials, identifies caused of rejection.
  • Authorization send to insurance to request more patient visits for chiropractic, physical therapy, and acupuncture and determine how many was approved or denied.
  • Verifications for patient insurance account to identify if insurance is active and determine covered of benefits and eligibility.
  • Retrieved information from patient insurance portal as a provider for Verifications and pre-authorization for benefits
  • Posting patient and insurances payments to patient account using InSync portal from check and credit cards payments, change patient responsibility, payments write-off, denials, etc


Cashier & Sales Associate

Danice Store
06.2017 - 10.2019
  • Greeted and received customers in a courteous manner when they enter the store
  • Assisted and helped customers in locating the merchandise they require
  • Assisted and supported store management in running the store successfully
  • Displayed merchandise in a store to attract customers
  • Maintain and manage the store premises neat and clean.

Cashier

CVS Pharmacy
07.2015 - 12.2015
  • Provided great customer service by foreseeing customer needs
  • Demonstrated compassion in all interactions, and actively identifying and resolving potential service issues
  • Focused on customer by giving warm and friendly greeting, maintained eye contact and offered help locating additional items, when needed
  • Performed cashier duties including cash, checks and credit card payments
  • Maintained sales floor by restocking shelves, revising prices information and fulfilling inventory management tasks as directed by store manager.

Nanny

Business Owner
06.2014 - 05.2015
  • Balanced weekly budget and collections to secure health of business
  • Developed English proficiency for children through reading, writing and other activities
  • Promoted and maintained family and general moral values
  • Organized the family's schedule including the daily activities of the children
  • Prepared meals and exercising activities.

Cashier

McDonalds
12.2013 - 05.2014
  • Greeted customers as they enter the restaurant
  • Assisted customers with making purchases by learning the daily specials and promotions
  • Entrusted to take cash and credit payment.

Education

Associate of Science - Medical Assistant Associate's Degree

Swedish Institute College of Health And Science
Manhattan, NY
09.2023

Medical Billing & Coding Diploma -

Swedish Institute College of Health & Sciences
New York, NY
12.2020

GED -

Manhattan Adult Learning Center
New York, NY
12.2019

Skills

  • Understanding of insurance guidelines including the majority of private insurance companies, Medicaid, Medicare, HMO companies
  • Ability to use 10 key calculators, financial software, and computers
  • Ability to communicate and resolve issues with insurance representatives
  • Customer service skills when interacting with patients and their family members
  • Proficient in ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems
  • Familiar with CPT and HCPCS modifier rules
  • Proficient with Electronic Medical Records (SimChart), MS Word, MS Excel, and MS PowerPoint
  • Familiar with medical reimbursement regulatory compliance rules
  • Bilingual (Spanish, English)
  • Certified Billing and Coding Specialist
  • Insurance Verification
  • Medical Billing
  • File Coordination
  • Coding
  • Patient Scheduling
  • Procedure Assistance
  • Inventory Management
  • Patient Flow Management

Timeline

Assistance Patient Account Representative

Maxwell Medical Group
08.2023 - 01.2024

Cashier & Sales Associate

Danice Store
06.2017 - 10.2019

Cashier

CVS Pharmacy
07.2015 - 12.2015

Nanny

Business Owner
06.2014 - 05.2015

Cashier

McDonalds
12.2013 - 05.2014

Associate of Science - Medical Assistant Associate's Degree

Swedish Institute College of Health And Science

Medical Billing & Coding Diploma -

Swedish Institute College of Health & Sciences

GED -

Manhattan Adult Learning Center
ANAURY ABREU GUZMAN