To obtain a challenging and permanent position within a work environment that offers both personal and professional growth.
Overview
13
13
years of professional experience
Work History
Table Games Dealer
Sycuan Casino
12.2023 - Current
Cash handling
Customer service
Deal table games, Black Jack, Pai Gow, Baccarat etc
Esthetician
Home Based Spa
01.2022 - Current
Perform facials
Anti aging, clarifying and hydrating facials
Microneedling
Waxing
Wax specialist
European Wax Center
01.2022 - 03.2022
Discuss client needs and preferences
Wax various body parts, including areas of the face, back, legs, arms, and bikini line
Use the right equipment and ensure it is sanitary for each use
Provide other skincare services and beauty treatments as needed
Patient Service Specialist
Scripps Health
05.2016 - 10.2018
Interacts with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling/re-scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions
Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquiries as needed
Effectively manages the patient interaction from start to finish, which may include identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed
Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates
Responsible for accurately scheduling and re-scheduling patient appointments
Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors
Utilizing medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers
Medicare Department
Kaiser Permanente
08.2015 - 04.2016
Schedule appointments
Process Enrollment for medicare
Data Entry and Coding ICD-9
Utilizing Marx, PEP, Moss Tool, Foundation Systems, Microsoft word, Excel on daily basis
Case Manager
Covance
04.2015 - 08.2015
Assisted patients with their medical cases, help doctors insurance verification, process prior authorizations and appeals
Also handled faxes, data entry and inbound, outbound calls
Utilized Outlook, Excel, Sharepoint, Microsoft Word and Siebel on a daily basis
Assist customers with billing and other customer service related issues and daily troubleshooting
Expert at finding just the right plan for the customer, and then making sure they're primed for success throughout the customer on-boarding process
Educate your customer, and offer solutions that pave the way for a potential T-Mobile sale
Schedule appointments with customers over the phone and in person
Certified Nursing Assistant
Eldorado Nursing facility
05.2013 - 09.2013
Assist patients with daily living tasks including but not limited to dressing/undressing, grooming, feeding and companionship
Provides patient comfort by utilizing resources and materials, transporting patients, answering patients' call lights and requests; reporting observations of the patient to nursing supervisor
Responsible for computerized documentation of ADL's, I & O's, and Vital Signs
Provide quality patient care and excellent customer service
Appointment Setter/Customer Service Representative
Go Backyard
02.2012 - 12.2012
Schedule appointments with business owners put them on the top listing of google
Handle Inbound and Outbound calls simultaneously
Maintain master appointment calendar and notify appropriate team members
Accurately and professionally complete all required paperwork
Education
Esthetician -
Bellus Acadamy
01.2022
Associate Degree - Health Information Technology
Kaplan College
01.2014
Massage Therapy -
Kaplan College
01.2012
Certified Nursing Assistant -
International Health
01.2012
Skills
Bilingual: Tagalog/English
Medical front office skills
Microsoft Office Suite: Word, Excel and PowerPoint
Ability to review medical record documentation
Assign appropriate current procedural terminology codes
Assign appropriate ICD9 and ICD-10 codes
Assign appropriate HCPCS and E&M codes
Typing 60 WPM, 10 key
Strong customer service skills
Multi-line phones
Work with third party payers
Cash handling
CMS 1500 form and UB-04 preparation
Electronic Document Management
Strong attention to detail
Medical Terminology
Ability to process Insurance Verification, Prior Authorizations and Appeals
Proficient with Medicare, Medicaid and Commercial Insurance
Sales experience
CRM and QuickBooks knowledge
Timeline
Table Games Dealer
Sycuan Casino
12.2023 - Current
Esthetician
Home Based Spa
01.2022 - Current
Wax specialist
European Wax Center
01.2022 - 03.2022
Patient Service Specialist
Scripps Health
05.2016 - 10.2018
Medicare Department
Kaiser Permanente
08.2015 - 04.2016
Case Manager
Covance
04.2015 - 08.2015
Sales Representative
T-mobile
10.2014 - 03.2015
Certified Nursing Assistant
Eldorado Nursing facility
05.2013 - 09.2013
Appointment Setter/Customer Service Representative