APRIL RUIZ-CASTILLO
San Antonio,TX
Summary
Dedicated front office medical assistant with over 10 successful years of clerical experience in busy office environments achieving superior levels of administrative effectiveness. Excels in telephone support and greeting arriving visitors. Strong knowledge of several EMR systems and history achieving high data output.
Overview
12
12
years of professional experience
Work History
Billing & Office Coordinator
Mi Familia Home Health Services
San Antonio, TX
03.2023 - Current
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Interacted with customers by phone, email, or in-person to provide information.
- Provided administrative support to staff members, assisting with daily tasks as needed to promote productivity across the organization.
- Maintained office supplies inventory by checking stock and ordering new supplies.
- Maintained strict confidentiality of sensitive information, upholding the highest level of professionalism at all times.
- Completed appeals of denied claims on patient bills.
- Entered details into accounts and tracked payments.
- Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues.
- Generated monthly billing and posting reports for management review.
- Submit and track all orders requiring physician signatures required for pre-claim billing.
Office Assistant
Dr. Aneta Schnemeyer & Associates
10.2021 - 02.2022
- Scheduling, confirm, and reschedule appointments for six providers
- Handle prescription refill request and prior authorization request within a twenty-four hour time frame
- Verify patient eligibility, and benefits prior to patient appointments
- Collect patient balances, deductibles, co-pays
- Give explanations to patients regarding balances, and provide payment options and resolutions
- Prepare charts day before clinic for all providers
- Enter demographics, referrals, and payments in EMR system
- Provide and maintain a professional customer service during stressful situations.
Provider Services Representative
Healthcare Support Services
01.2021 - 10.2021
- Answer inbound calls in a fast paced environment
- Assist providers with member eligibility and benefits regarding their insurance
- Thoroughly document all calls using Omni software
- Route calls to correct departments when appropriate
- Complete monthly training regarding company's polices and updates
- Update provider demographics, and tax information
- Navigate providers through company website and promote resources
- Met customer call guidelines for service levels, handle time and productivity.
Patient Coordinator
Dr. Jessica Belz Plastic Surgery
07.2019 - 03.2020
- Arrange surgery quotes for patients, and discuss all financial options
- Schedule surgeries, including coordinating with labs, and physicians surgical assistant
- Monitor and respond to business social media pages and emails regarding questions and concerns
- Assist in creating all media advertising to promote office and product
- Record all money transactions in proper charts, and Excel spreadsheets
- Answer multiple phone lines, and triage calls
- Liaised between hospital departments to facilitate effective communication
- Worked with patients and families to develop future plans and discuss care actions
- Explained upcoming treatment preparation, instructions and other facts to patients
- Reviewed medical charts and served as liaison between patient, doctor and hospital
- Researched and resolved billing discrepancies to enable accurate billing
- Worked effectively with medical payers such as Medicare, and commercial insurances to obtain timely and accurate payments.
Medical Receptionist
South Texas Urogynecology
04.2017 - 07.2019
- Obtain and log referrals, and authorizations into EMR system
- Answer multi-lines phone system, and routing calls to proper staff or departments
- Schedule, cancel or reschedule appointments
- General office duties including faxing, filing, and copying documents
- Entering patient demographics and scanning insurance cards into EMR system
- Check patients in/out of office, and notify nurses or physicians of patients arrival
- Post payments to patients accounts, and make daily deposits
- Assist manager with other daily duties such as billing, and collections
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Checked patient insurance, demographic and health history to keep information current
- Completed and filed financial documentation for accounting purposes
- Helped patients complete necessary medical forms and documentation
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Billing Specialist
Prosthetic Science of San Antonio
San Antonio, TX
11.2012 - 03.2014
- Keep daily reports of payments and patient billing
- Schedule and confirm appointments with practitioners and patients
- Maintain referral for patients, and keeping log of all referrals
- Bill insurances using ICD-9 and CPT codes accurately and in correct time frame
- Create and send medical prescriptions for prosthetics to doctors' offices
- Prepare charts for practitioner for following day appointments
- Verify patient insurance eligibility, and benefits
- Input patient demographics into various systems
- File appropriate documentations for denied claims
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Audited and corrected billing and posting documents for accuracy.
Education
Certificate-Medical Assistant CMA/RMA eligible BLS Certified -
Sanford Brown College
San Antonio, TX01.2011
Skills
- Multi-line phone proficiency
- Insurance Eligibility Verifications
- Claims Appeal Procedures
- Office administration
- Administrative support
- CMS-1500 billing forms
- Scheduling
- Medical Terminology
Timeline
Billing & Office Coordinator
Mi Familia Home Health Services
03.2023 - Current
Office Assistant
Dr. Aneta Schnemeyer & Associates
10.2021 - 02.2022
Provider Services Representative
Healthcare Support Services
01.2021 - 10.2021
Patient Coordinator
Dr. Jessica Belz Plastic Surgery
07.2019 - 03.2020
Medical Receptionist
South Texas Urogynecology
04.2017 - 07.2019
Billing Specialist
Prosthetic Science of San Antonio
11.2012 - 03.2014
Certificate-Medical Assistant CMA/RMA eligible BLS Certified -
Sanford Brown College