Summary
Overview
Work History
Education
Skills
Languages
Certification
References
Timeline
Generic

Aneily Negron Ortiz

Henderson,NV

Summary

Patient Collections Specialist with extensive experience in insurance verification and billing resolution at Children's Heart Center. Skilled in conducting financial assessments and building strong client relationships. Proven ability to train teams and resolve discrepancies, leading to improved operational efficiency and patient satisfaction. Dedicated to advocacy and providing exceptional service in healthcare settings.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Patient Collections Specialist

Children's Heart Center
Las Vegas, NV
10.2017 - Current
  • Reviewed accounts to verify insurance details, contact information, and charges.
  • Verified CPT codes and identified overdue billing charges.
  • Contacted clients to discuss overdue payments and payment plans.
  • Processed payments and issued refunds promptly.
  • Resolved billing discrepancies and customer credit issues effectively.
  • Followed up on bankruptcy cases to ensure compliance.
  • Assessed financial hardship applications and facilitated processing.
  • Prepared and presented reports on collection activities and progress.
  • Spost render charges done from our providers in the hospital.
  • Trained new staff on collections procedures and software systems.
  • Maintained accurate records of payments and outstanding balances in the system.

Lab Service Representatives

Spectrum Health
Grand Rapids, MI
08.2012 - 12.2016
  • Executed proficient blood collection utilizing venipuncture and capillary techniques.
  • Demonstrated outstanding communication and patient-handling skills in high-pressure healthcare settings.
  • Trained new staff on phlebotomy protocols, compliance, and safety standards.
  • Managed patient records efficiently through electronic health record systems.
  • Resolved patient concerns promptly, ensuring satisfaction and trust.
  • Maintained emergency trauma and pediatric training to deliver appropriate care.
  • Provided exceptional customer service in fast-paced environments, enhancing patient experiences.

Accountants Payable and Michigan Prisoner Re-entry Initiative Health Navigator

Kent Health Plan
Grand Rapids, MI
09.2009 - 05.2011
  • Processed 1,500 medical claims and 1099 forms efficiently.
  • Facilitated patient access to healthcare services and resources.
  • Coordinated care plans with healthcare providers and specialists.
  • Educated patients on health benefits and wellness programs.
  • Assisted patients with health insurance enrollment processes.
  • Helped new MPRI clients find appropriate medical care.
  • Supported community outreach initiatives by developing relationships with local health organizations.
  • Performed clerical duties to maintain accurate records and streamline operations.

Outreach Worker

CHERRY STREET HEALTH SERVICES
Grand Rapids, MI
04.2007 - 09.2009
  • Screened patients and responded to incoming calls efficiently.
  • Interpreted medical language for physicians to facilitate communication.
  • Completed applications for food, cash assistance, Medicaid, Project Access, and Kent Health Plan.
  • Assessed client needs and connected them with appropriate services effectively.
  • Trained new staff on outreach strategies and community engagement methods.
  • Advocated for clients within healthcare systems to ensure access to necessary care.
  • Educated community members about available resources and programs.

Education

College Degree -

Grand Rapids Community College
Grand Rapids, MI
12.2016

Phlebotomy -

Career Quest Learning Centers-Lansing
Lansing, MI
07.2012

Skills

  • Insurance verification and billing resolution
  • CPT coding and payment processing
  • Financial assessment and customer communication
  • Patient advocacy and customer service
  • Team training

Languages

Spanish
Professional

Certification

  • Phlebotomy
  • Nurse tech
  • EKG Tech
  • CNA

References

References available upon request.

Timeline

Patient Collections Specialist

Children's Heart Center
10.2017 - Current

Lab Service Representatives

Spectrum Health
08.2012 - 12.2016

Accountants Payable and Michigan Prisoner Re-entry Initiative Health Navigator

Kent Health Plan
09.2009 - 05.2011

Outreach Worker

CHERRY STREET HEALTH SERVICES
04.2007 - 09.2009

College Degree -

Grand Rapids Community College

Phlebotomy -

Career Quest Learning Centers-Lansing