Aracely Quiroz
Spokane Valley,WA
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Billing Specialist II
CHEYENNE REGIONAL MEDICAL GROUP
Cheyenne, WY
03.2023 - Current
- Evaluate payer remittance advice and/or explanation of benefits on denials for accuracy according to individual payer contracts.
- Review accounts each day in assigned Epic Work Queues and prioritize by dollar amount and timely filing rules to achieve the best possible reimbursement.
- Complete necessary research to submit claims to appropriate payers based on coordination of benefits and active coverage at the time service was rendered.
- Provide exemplary customer service and demonstrate positive communication skills in a courteous, accurate, and honest manner.
- Maintain or exceed performance metrics according to job assignment focusing on reduction to Accounts Receivable Days and Denial Rates.
- Compose and submit appeals to third party payers appealing to the highest level to resolve the account denial for proper reimbursement.
- Maintain knowledge of Medicare, Medicaid, and all commercial insurance programs, including Medicare HMO’s and State Programs to include filing deadlines, billing requirements, and reimbursement methods.
- Coordinate with insurance companies to resolve discrepancies and clarify coverage details.
- Collaborate with clinical teams to ensure accurate coding of services rendered for optimal reimbursement.
- Assist colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Customer Service Representative, The Align Team (LIEAP program)
EXPRESS EMPLOYMENT PROFESSIONALS
Cheyenne, WY
10.2022 - 02.2023
- Take inbound and outbound calls for up to 70+ clients per day using computer and call center software systems.
- Record all customer names and contact information in an orderly fashion by utilizing a spreadsheet and other company software.
- Maintain strong program and service knowledge to better assist clients with concerns, questions, and general education.
- Review validity of client program application, supporting documents, and cross checked information provided on application.
- Entered applicant's data, and verified that information in the computer system was up to date and accurate.
- Managed multiple phone lines, providing timely responses to customer needs and concerns.
Medical Receptionist
CHEYENNE VISION CLINIC
Cheyenne, WY
08.2021 - 10.2022
- Operated telephone switchboard, providing information, taking messages and scheduling appointments.
- Received patients as a first point of contact.
- Obtained payments directly from patients or through insurance reimbursement by completing forms.
- Maintained electronic health records with high accuracy, supporting clinical staff in patient care delivery.
- Secured confidential and sensitive information by following proper procedures.
- Boost office efficiency, delivering first-rate administrative support to all staff.
- Recorded information received in communications with patients and other medical professionals.
- Collected and distributed incoming and outgoing mail.
- Effectively maintained and monitored seven optometrists schedules.
- Managed patient scheduling and appointment confirmation processes to enhance operational efficiency.
- Collaborated with healthcare providers to coordinate patient referrals and follow-up appointments effectively.
Server Trainer
APPLEBEE’S BAR AND GRILL
Clovis, NM
04.2019 - 01.2021
- Oriented new staff to restaurant policies, procedures, and performance requirements.
- Collaborated with team members to ensure accurate and prompt distribution of goods
- Achieved customer satisfaction by providing exceptional service
- Enhanced service levels by interacting proactively with guests and staff to uncover and meet individual needs.
- Handled escalated service issues with a prompt and effective approach.
Shift Manager
MCDONALD’S
Clovis, NM
01.2016 - 04.2019
- Organized effective schedules and delegated assignments based on employee knowledge and strengths.
- Kept inventory within optimal levels and organized for easy use.
- Balanced currency, coins, and checks in cash drawers at ends of shifts and calculated daily transactions using computers, calculators and adding machines.
- Met customer needs consistently with knowledgeable and fast service.
- Kept accurate drawer counts with correct handling of cash transactions.
- Assessed customers’ needs on a continuous basis.
- Trained and mentored team members to enhance performance and service quality.
Education
Medical Billing - Medical Billing
TEXAS A&M UNIVERSITY
Kingsville, TX03.2023
Associate of Applied Science -
CLOVIS COMMUNITY COLLEGE
Clovis, NM05.2021
Diploma -
CLOVIS HIGH SCHOOL
Clovis, NM05.2018
Skills
- Effective communication
- Accurate and detailed
- Computer proficiency
- Database management
- HIPPA compliance
- EMR/EHR(Epic)
- Bilingual
- Cultural awareness
- Customer service-oriented
- Pleasant demeanor
- Medical Terminology
- Skill building
- Data archiving
- Phone etiquette
- Multitasking
- Initiative
- Billing systems and software
- Insurance verification
- Research and due diligence
- Conflict resolution
- Billing dispute resolution
Certification
- Certified Revenue Cycle Representative, HFMA - March 2025
Languages
Spanish
Native or Bilingual
Timeline
Billing Specialist II
CHEYENNE REGIONAL MEDICAL GROUP
03.2023 - Current
Customer Service Representative, The Align Team (LIEAP program)
EXPRESS EMPLOYMENT PROFESSIONALS
10.2022 - 02.2023
Medical Receptionist
CHEYENNE VISION CLINIC
08.2021 - 10.2022
Server Trainer
APPLEBEE’S BAR AND GRILL
04.2019 - 01.2021
Shift Manager
MCDONALD’S
01.2016 - 04.2019
Medical Billing - Medical Billing
TEXAS A&M UNIVERSITY
Associate of Applied Science -
CLOVIS COMMUNITY COLLEGE
Diploma -
CLOVIS HIGH SCHOOL