Angela Sepulvado
Noble,LA
Summary
To obtain an office position in which my customer service, bookkeeping, personal and general office skill will contribute to greater office efficiency and productivity.
Overview
22
22
years of professional experience
Work History
Hospital Biller
Sabine Medical Cener
Many, Louisiana
01.2022 - Current
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Determined proper codes for medical records and patient services.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
Clinical Coder
Sabine Medical Center
Many, Louisiana
06.2021 - 12.2021
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Deposit Operation Specialist
Sabine State Bank
Many, LA
08.2019 - 06.2021
- Prepared a variety of different written communications, reports and documents to ensure smooth operations.
- Developed and implemented performance improvement strategies and plans to promote continuous improvement.
- Increased customer satisfaction by resolving return mail issues.
- Delivered exceptional level of service to each customer by listening to concerns and answering questions.
- Tracked and analyzed reports to determine needed improvements.
- Developed and updated tracking spreadsheets using Word and Excel.
Collector
Desoto Regional Health System
Mansfield, LA
05.2007 - 07.2019
- Monitored accounts for compliance with established payment plans and flagged those in violation.
- Used scripted conversation prompts to convey current account information and obtain payments.
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
- Documented changes in accounts and on credit reports.
- Investigated accounts with balance errors using accounting software.
- Maintained compliance with fair debt practices and regulatory guidelines.
- Identified and analyzed rejection patterns, partial denials, and denials from third parties to improve existing processes.
- Negotiated with account holders to devise repayment plans and minimize collections receivables.
- Contacted customers to discuss payment schedules and set up or immediately process payments.
- Set up drafts and processed immediate payments after conducting thorough research and analysis of account.
Eligibility Specialist
Health Plus Of Louisiana
Shreveport , LA
07.2000 - 04.2007
- Scheduled appointments with applicants to gather information and explain benefits processes.
- Documented all communication with applicants and inputted information into the system.
- Interviewed applicants and explained scope of different available benefits.
- Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
Skills
- Customer service
- Computer skills
- Organization and Time management
- Troubleshooting
- Excellent work ethic
- Critical thinking
- Multitasking abilities
- Planning and Coordination
- Data management
- Insurance Claim Forms Review
- Insurance Data Processing
- Diagnostic Codes
- Critical Thinking
References
Jenny Comeaux 318-256-7000
Stephanie Whitten 318-464-4394
Kristi Savell 318-508-5067
Timeline
Hospital Biller
Sabine Medical Cener
01.2022 - Current
Clinical Coder
Sabine Medical Center
06.2021 - 12.2021
Deposit Operation Specialist
Sabine State Bank
08.2019 - 06.2021
Collector
Desoto Regional Health System
05.2007 - 07.2019
Eligibility Specialist
Health Plus Of Louisiana
07.2000 - 04.2007
Similar Profiles
Justina SatterleeJustina Satterlee
Housekeeper at Reedsburg Area Medical CenerHousekeeper at Reedsburg Area Medical Cener
Amanda MillsAmanda Mills
Licensed Practical Nurse at Southwestern Medical CenerLicensed Practical Nurse at Southwestern Medical Cener
Ross HammondRoss Hammond
Critical Care Registered Nurse at Emanuel Medical CenerCritical Care Registered Nurse at Emanuel Medical Cener
Liz LewingLiz Lewing
Household Manager at Self EmployedHousehold Manager at Self Employed
LINDA MITCHELLLINDA MITCHELL
DIETARY SUPERVISOR at TOLEDO RETIREMENT AND REHABDIETARY SUPERVISOR at TOLEDO RETIREMENT AND REHAB