Angelica Garcia
Phoenix,AZ
Summary
Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic.
Overview
9
9
years of professional experience
Work History
Claims Representative
MBI Health Services
Phoenix, AZ
11.2023 - Current
- Conducted research into medical terminology related to healthcare claims processing activities.
- Documented changes in claim statuses using specialized software systems.
- Interpreted legal documents such as contracts or court orders when evaluating claims for payment.
- Analyzed trends in claim denials or delays to identify areas for improvement within the organization.
Billing Specialist
Cardio Vascular Medical
Phoenix, AZ
06.2021 - 11.2023
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Investigated incorrect billings and processed refunds as necessary.
- Answered customer inquiries regarding billings, payments, account status.
Billing Coordinator
Phoenix Medical Group
Phoenix, AZ
07.2019 - 07.2021
- Researched customer account information to respond to inquiries and resolve disputes.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
Patient Account Representative
Phoenix Children's Hospital Foundation
Phoenix, AZ
04.2015 - 11.2016
- Provided customer service to patients regarding billing inquiries and account information.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Conducted follow-up calls with patients to ensure that accounts were up to date and properly documented.
Education
GED -
Maryvale High School
Phoenix, AZ05-2007
Some College (No Degree) - Medical Assistant
Phoenix Job Corp
Phoenicia, NYSkills
- Insurance Claims Review
- Team Collaboration
- Workers Compensation
- Documentation research
- Coverage Determination
- Claims Investigation
- Microsoft Office
Timeline
Claims Representative
MBI Health Services
11.2023 - Current
Billing Specialist
Cardio Vascular Medical
06.2021 - 11.2023
Billing Coordinator
Phoenix Medical Group
07.2019 - 07.2021
Patient Account Representative
Phoenix Children's Hospital Foundation
04.2015 - 11.2016
GED -
Maryvale High School
Some College (No Degree) - Medical Assistant
Phoenix Job Corp
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