Dependable and adaptable professional with a strong desire to excel in a company that values knowledge and skills, while making significant contributions to employer success.
Overview
12
12
years of professional experience
Work History
Receptionist
Alamo Heights Independent School District
05.2022 - Current
Substitute Coordinator
Student Teacher/Observer Coordinator
Benefits Liaison
Department Web Master
Collect tuition payment and process receipts for parents
Balanced petty cash monthly
Processed onboarding for all new substitutes, helped with any issues substitutes or campuses have regarding assignment for a substitute
Resolved employee or parent problems/complaints
Managed multiple tasks and met time-sensitive deadlines
Maintained confidentiality of any information for employees/issues
Insurance Follow up Specialist
Ut Health Science Center of San Antonio
05.2019 - 05.2022
Reviews claims that have been adjudicated by Medicare, Medicaid, and Commercial carriers for appropriate billing
Addresses denied claims, claims pended for medical necessity and claims pending for supporting documentation and/or medical records by working with various teams such as clinic staff, registration staff, and coding staff to complete appeals
Extracts information regarding patient treatment from medical records and works closely with coding staff to compose individualized appeal letters
Identifies payor-specific patterns or trends regarding denials and reports to management for communication to Medical Departments and Administrators
Makes the necessary recommendations regarding billing and edit creation to reduce denials
Remains current in all payor-specific guidelines
Utilizes various collection processes such as appeals or collection notices by mail, electronic correspondence, and telephone communication with payor representatives
Reimbursement Specialist
Consumer Direct Services of Texas
06.2018 - 05.2019
Reduce aging buckets exceeding 90 days and maintain aging report less than 90 days
Conduct audits using excel reports to insure proper billing
Request and process write off requests and adjustments
Pro- actively work various reports to assist offsite staff in maintaining proper documentation required for billing
Receive daily checks from insurance companies and download them into computer software
Process payroll and timesheets for clients
Phone interaction with insurance companies for benefit details
Work as part of a team and other duties as assigned
Insurance Follow-Up Specialist
South Texas Radiology Group
07.2016 - 03.2018
Electronically/ Manually send out claims on radiology bills for all Methodist hospitals in south Texas
Verify insurance eligibility for patients
Maintain Aging Report
Memorizing In-House codes for insurance billing purposes
Scheduling special procedures for doctors
Interact with insurance companies to get patients benefit details
Verify ICD 10 Code, CPT Code, and modifiers are correct for billing insurance companies
Cashier
GUADALUPE LUMBER CO
12.2013 - 11.2015
Daily interaction with customers
Handled money daily
Memorize codes and prices needed for daily duties
Server
EL TROPICANO RIVERWALK HOTEL
02.2013 - 12.2013
Self-Supervised
Customer Service
In charge of inventory
Worked Espresso as server
Education
Medical Billing And Coding -
Lamson Institute
San Antonio, Texas
07.2016
Undergraduate -
Palo Alto College
San Antonio, Texas
12-2011
Graduate – Diploma -
McCollum High School
San Antonio, Texas
05-2010
Skills
Organization
Document management
Administrative support
Calendar management
Mail distribution
Scheduling
Verbal and written communication
Multitasking and prioritization
Phone etiquette
Timeline
Receptionist
Alamo Heights Independent School District
05.2022 - Current
Insurance Follow up Specialist
Ut Health Science Center of San Antonio
05.2019 - 05.2022
Reimbursement Specialist
Consumer Direct Services of Texas
06.2018 - 05.2019
Insurance Follow-Up Specialist
South Texas Radiology Group
07.2016 - 03.2018
Cashier
GUADALUPE LUMBER CO
12.2013 - 11.2015
Server
EL TROPICANO RIVERWALK HOTEL
02.2013 - 12.2013
Medical Billing And Coding -
Lamson Institute
Undergraduate -
Palo Alto College
Graduate – Diploma -
McCollum High School
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