Angelina Enriquez
Avondale,AZ
Summary
Driven professional with a track record of enhancing billing workflows and customer satisfaction at Ace Health And Wellness Center. Excelled in insurance verification and claims processing, leveraging HIPAA compliance and ICD-10 proficiency. Demonstrated ability to resolve high-stress disputes, improving cash flow and departmental productivity through meticulous data analysis and customer service excellence. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
1
1
year of professional experience
Work History
Externship Student
Ace Health And Wellness Center
01.2024 - 03.2024
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Collected payments and applied to patient accounts.
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences.
- Increased overall departmental productivity through active participation in process improvement initiatives focused on streamlining AR workflows.
- Improved cash flow, consistently monitoring and resolving outstanding accounts receivable balances.
Customer Service Representative
Luke Air Force Base
01.2023 - 03.2024
- Handled customer inquiries and suggestions courteously and professionally.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Updated account information to maintain customer records.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Upsold additional products and services to customers, increasing revenue.
Education
Associate of Applied Science - Medical Billing And Coding
Arizona College of Allied Health
Glendale, AZ05.2024
Skills
- HIPAA Compliance
- Payment posting
- Insurance Verification
- ICD-10 Proficiency
- CMS-1500 Form Completion
- Proficiency in Excel
- Knowledgeable in Athena
- Knowledgeable in E-clinical works
- Data Entry
- Claims Processing
- Insurance claims analysis
Timeline
Externship Student
Ace Health And Wellness Center
01.2024 - 03.2024
Customer Service Representative
Luke Air Force Base
01.2023 - 03.2024
Associate of Applied Science - Medical Billing And Coding
Arizona College of Allied Health
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