Angel Vega
Brownsville,TX
Summary
Dedicated Customer Service Specialist providing skills to prioritize and multi-task in fast-paced working environment. Successfully works as part of team to reach personal and business goals. Known for successfully handling escalated customer support issues.
Billing Specialist adept at collecting, posting and managing account payments. Independently handles client requests, billing needs and administrative functions. Reviews contracts and other documents to issue accurate invoices. Precise and engaging Billing Specialist executes flawless invoicing for products and services. Consistent high-achiever leverages computerized invoicing tools to streamline processes. Dedicated to employing innovative and traditional practices to collect past-due receivables.
Overview
2027
2027
years of professional experience
Work History
Marketplace ARC Senior Specialist bilingual
Maximus
Brownsville, TX
08.2020 - Current
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Exceeded customer satisfaction by finding creative solutions to problems.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Reviewed customer account information to determine current issues and potential solutions.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Handled escalated complaints and provided effective solutions swiftly.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
Billing Clerk
Su Clinica
Brownsville, TX
09.2021 - 09.2022
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance.
- Submitted claims to insurance companies.
- Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity.
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Checked claims coding for accuracy with ICD-10 standards.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
Billing Specialist
The Heart Institute Of Brownsville
Brownsville, TX
09.2016 - 07.2021
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Investigated and resolved issues to maintain billing accuracy.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Scheduled patients and updated insurance, payment history and personal information.
- Accurately and concisely documented notes in patient files in adherence with HIPAA regulations.
- Researched reimbursement and appeals to quickly and effectively resolve claims.
- Developed training materials to improve efficiency of new hire onboarding.
- Researched claim denials, identified causes and resolved issues to promote prompt insurance payment.
- Maintained confidentiality on all patient record data.
- Identified and posted accounts receivable payments to appropriate accounts.
- Verified insurance eligibility for patients by calling appropriate parties.
- Collected and entered claim information with great attention to detail.
- Coded invoices properly based upon patient services and medical records.
- Sent meticulous and accurate bills to collect payment from customers according to company protocol.
Billing Specialist
Hands on
Brownsville, TX
- Processed patient billing and insurance claims efficiently.
- Coordinated with healthcare providers to resolve billing discrepancies.
- Managed accounts receivable and maintained accurate billing records.
- Assisted patients with understanding their bills and payment options.
- Reviewed and corrected billing errors to ensure compliance with policies.
- Answered customer inquiries regarding billings, payments, account status.
- Worked with team members to identify and develop process improvements.
- Provided support to other departments within the organization as needed.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Performed additional duties as assigned by management team.
Education
High School Diploma -
Gladys Porter High School
Brownsville, TX2015
Medical Office Specialist -
Brightwood College
Brownsville , Tx2016
Skills
- Claims processing
- Billing dispute resolution
- Coding proficiency
- Quality control
- Inbound and Outbound Calling
- Adaptive team player
- Microsoft Office expertise
- Technologically savvy
- Problem-solving abilities
Timeline
Billing Clerk
Su Clinica
09.2021 - 09.2022
Marketplace ARC Senior Specialist bilingual
Maximus
08.2020 - Current
Billing Specialist
The Heart Institute Of Brownsville
09.2016 - 07.2021
High School Diploma -
Gladys Porter High School
Medical Office Specialist -
Brightwood College
Billing Specialist
Hands on