Arianna Farias
Lakeland ,FL
Summary
Self-motivated and independent in preforming task Good conflict mediation and multitasking abilities. Versed in applying strong communication, problem-solving skills and polite, professional demeanor to resolve customer issues and maximize satisfaction. Experienced in exceeding performance goals in fast-paced call center environments. Trained in connecting with customers to build positive relationships and strengthen loyalty. Flexible Insurance Processor reports and arranging service. Well-versed in providing helpful answers and relevant information to retain clients. Caring and kind with focus on providing effective solutions to complex problems. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. 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. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Biller, Accounts Receivable
Lakeland Regional Hospital
Lakeland, FL
09.2021 - Current
- Gathered information from multiple sources to simplify billing and organize accounts.
- Set up and maintained new electronic billing system.
- Adhered to established standards to safeguard patients' health information.
- Posted surgical charges for practice providers.
- Delivered timely and accurate charge submissions.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Trained new employees on multiple medical billing programs and data entry software.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Orchestrated medical coding, payment posting, accounts receivables and collections
- Prepared billing statements for patients and verified correct diagnostic coding
- Communicated with insurance providers to resolve denied claims and resubmitted
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies
- Reviewed patient diagnosis codes to verify accuracy and completeness
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues
- Set up and maintained new electronic billing system
- Liaised between patients, insurance companies and billing office
- Filed and updated patient information and medical records
- Identified, researched and resolved billing variances to maintain system accuracy and currency
Hospital Registration
Lakeland Regional Hospital
Lakeland, FL
09.2019 - Current
- Delivered clear instructions to direct patients to specific areas, including outpatient unit and cardiac care floor.
- Assessed methods of payment for services, initiated processing and made referrals to specialists for financial options.
- Cross-trained in Scheduling, Translation and Registration to assist during staff member absences.
- Advised patients of monies required to be paid prior to services.
- Thoroughly explained facility policies, prepared and distributed patient identification bands and arranged for transportation to assigned rooms.
- Maintained HIPAA compliance and integrity of hospital policies and procedures.
- Maintained daily calendars, set appointments with clients and planned daily office events.
- Scheduled and confirmed appointments.
- Verified patient information, including demographics, income and insurance for input into 1st Net and Ecare system.
- Processed cash, debit and credit card payments for services rendered and printed receipts detailing services.
- Managed health record database using Ecare, keeping all information confidential in accordance with federal privacy laws
- Collaborated with nurses and other personnel to process patient paperwork and direct to appropriate departments.
- Worked with nurses and other clinic staff to process patients and direct to appropriate departments.
- Politely and personably welcomed incoming clients and offered seats prior to beginning registration process.
- Explained forms and documents to patients, guardians and family members, distributing copies as needed and confirming comprehension.
- Collaborated effectively with Nurses and other personnel to process Medical and insurance paperwork and direct to appropriate departments.
- Responded to incoming department phone calls and directed callers to appropriate team members based on need.
- Adhered to HIPAA guidelines and maintained integrity of hospital policies and procedures.
- Scanned Medical documents, POA, Photo ID, including insurance cards to include in patient charts.
- Kept processes moving along smoothly so that wait times were minimized to 3-4 minutes.
- Provided customer service support and advice on regulations and requirements regarding various registration programs.
- Asked various questions from clients to obtain the information necessary for paperwork.
- Welcomed patients to facility and assisted with registration sign-in process.
- Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
- Maintained confidentiality of all patient information by adhering to HIPAA and facility procedures.
- Registered patients for outpatient procedures and emergency services.
Sales Associate
Walmart
Auburndale, FL
12.2017 - 12.2019
- Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Sold various products by explaining unique features and educating customers on proper application.
- Assisted customers by finding needed personal items and checking inventory for items at other locations.
- Trained all new sales employees on effective sales, service and operational strategies to maximize team performance.
- Helped average of 60 customers per day by responding to inquiries and locating products..
- Collaborated with fellow sales team members to achieve group targets, frequently exceeding quotas 50% or more.
- Processed orders through Atlas and coordinated product deliveries.
- Offered product and service consultations and employed upselling techniques.
- Kept apprised of emerging trends and provided informative customer service to assist in product selection.
- Coached team members on security risks and loss prevention to aid in mitigating store theft.
- Reset store displays for special events and seasonal merchandise changes.
- Reduced process lags by training employees on best practices and protocols.
- Recruited, hired and trained new hires to optimize profitability.
Call Center Representative
American Call Centers
Guayas, Guayaquil
03.2015 - 03.2017
- Consulted with customers to determine best methods to resolve service and billing issues.
- Managed customer expectations by clarifying needs, identifying options and recommending products and services.
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Shared detailed information regarding plan service options to help customers make decisions.
- Met or exceeded call speed, accuracy and volume benchmarks on consistent basis.
- Evaluated customer account information to assess current issues and determine potential solutions.
- Documented conversations with customers to track requests, problems and solutions.
- Pursued opportunities to advance client relations skills and further enhance customer satisfaction in every interaction.
- Documented customer inquiries and feedback, including service delivery suggestions in company database.
Education
Some College (No Degree) - Electric And Electronic Ingeniree
Universidad Politecnica La Salesiana
Guayas Certified - Medical Insurance Billing And Coding
Florida Technical College
Orlando, FL06.2021
Skills
- Service scheduling
- Documentation skills
- Time management abilities
- Fluent in Spanish and English
- Accounts receivable expertise
- Medical billing and collections
- Claims processing
- Training experience
- Payment processing
- System documentation
- Call documentation skills
- Account updating
- Medical terminology
- Healthcare claim coding
- Computer skills
- Microsoft Office
- Conflict resolution
- Transcribing
- Basic math
- Verbal and Written Communication
- Itemized Statement Preparation
- Critical Thinking
- Signature Verification
- Patient Account Reviews
- Information Updates
- Outpatient Procedures
- Diagnostic Codes
- Diagnostic Procedures
- Reviewing Patient Information
- Account Posting
- System Updates
- Account Reconciliation
- Check Inspection and Validation
- Statement Distribution
- Clerical Support
- Commercial and Private Insurance
- Information Confidentiality
- Accounts Payable and Accounts Receivable
- Adding, Calculating and Billing Machines
- Claim Processing
- Billing and Collections Procedures
- Chart Auditing
- Time Management
- Records Management
- Revenue Operations
- Equipment Monitoring and Troubleshooting
- Insurance Claim Requirements
- Invoice Documentation Management
- Teamwork and Collaboration
- Past Due Balance Management
- Billing Data Verification
- Statement Billings
- Workers' Compensation Knowledge
- CMS-1500 Billing Forms
- Invoice Coding
- Electronic Claims
- Training Classes
- Medicare and Medicaid Knowledge
- Sage 50 Accounting Software
- Claim Verifications
- Tax and Tariff Calculation
- ICD-10
Certification
- National Certified Insurance & Coding Specialist by NCCT, Florida Technical College - ID Number 1113934
Timeline
Medical Biller, Accounts Receivable
Lakeland Regional Hospital
09.2021 - Current
Hospital Registration
Lakeland Regional Hospital
09.2019 - Current
Sales Associate
Walmart
12.2017 - 12.2019
Call Center Representative
American Call Centers
03.2015 - 03.2017
Some College (No Degree) - Electric And Electronic Ingeniree
Universidad Politecnica La Salesiana
Certified - Medical Insurance Billing And Coding
Florida Technical College
- National Certified Insurance & Coding Specialist by NCCT, Florida Technical College - ID Number 1113934
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