Bailey Tejeda
Ionia,Mi
Summary
Hardworking and passionate job seeker with strong organizational skills . Ready to help team achieve company goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
Work History
Scheduling/Authorizations
Michigan pain consultants
03.2023 - Current
- Answers phones and emails, schedules and confirms appointments, and inputs customer data into company systems
- Organizes workflow and appointment by reading and routing correspondence, collecting customer information, and managing assignments
- Completes requests by greeting customers, in person or on the telephone, and answering or referring inquiries
- Maintains customer confidence and protects operations by keeping information confidential
- Secures information by completing database backups
- Contributes to team effort by accomplishing related results as needed
- Complete authorizations and referrals for services, including appointments and procedures
- Review patient's medical history and insurance coverage for approval
- Contact referring physicians for additional information as needed
- Input new patient information and update information in our system
- Monitor schedule for potential issues
- Complete billing documentation
- Assist with other clerical tasks as needed.
ADP Claim Representative
Hastings Mutual Insurance
09.2021 - 03.2023
- Manages a personal caseload of claims to ensure the proper adjudication or settlement of those claims
- Facilitates the claim process and resolves claims in a timely manner by initiating and maintaining positive and productive communications with all customers
- Appropriately reviews and applies coverage/compensability for all claims
- Minimal independent, outside coverage analysis only as approved by the Manager
- Investigates, evaluates, and settles claims within the scope of the Company’s contractual and legal obligations to ensure that settlements are fair and equitable to the insured, claimant, and the company
- Ensures salvage and subrogation opportunities are identified and pursued to minimize claim losses
- Accurately and thoroughly documents all claim files in the Claim system of record to substantiate the disposition of the claim and minimize the possibility of erroneous payments
- Actively participates in professional development, i.e., continuing education or self-improvement
- Other duties as assigned by leadership, either verbally or in writing.
Cash posting specialist
Hope Network
06.2020 - 09.2021
- Log EFT, Lock box and check payments
- Post payments to clients’ accounts in timely manner
- Post zero pays/ denials
- Working with different insurance companies to post their payments accordingly.
Patient Service Representative
Metro Health
10.2019 - 06.2020
- Welcomes and greets all patients and visitors, in person or over the phone
- Answers and directs all incoming calls
- Takes complete and accurate patient messages that need to be relayed to the care team
- Schedules patient appointments and handles inquiries
- Collaborates with the care team to maintain and improve patient care and service
- Registers patients according to established protocols and manages assigned work queues
- Assists patients in completing all necessary forms and documentation
- Ensures accurate billing information for patients
- Maintains patient correspondence and follow-up calls
- Collects payment and reconciles cash draw
- Ensures reception area, office files and front desk are well maintained
- Maintains patient privacy and confidentiality
- Performs other clerical duties as assigned.
Patient service representative
Meddata
10.2017 - 06.2019
- Manage inbound and outbound calls, attend to patient concerns regarding medical billing, set up payment arrangements and processes payments via credit card or check
- While also being head of the excite team.
Education
Medical assistant -
Grandville high school
04.2013
High School Diploma -
Grandville high school
06.2010
Skills
- Wonderful customer service
- Researching skills
- Time management
- Computer proficiency
- Problem solving skills
- Billing, posting payments and denials
- MS word, excel, power point
- Ability to quickly learn processes
- Thrive within a busy work environment
- Amazing phone skills (cold calls, appointment scheduling, collection calls
- Handing cash or other forms of payment
- Clinical: phlebotomy, vital signs, EKGS, cultures, urinalysis
- HIPPA and OSHA trained
- First aid and CPR trained
- Highly skilled in responding to customers, managing their accounts, performing office support duties, providing information to the public, receiving payments, and addressing consumer complaints Efficiency work independently as well as collaboratively Expertly handled customers complaints as well As Accounts therefore increased the department’s efficiency by 50% Excellent communication, problem solving and time management skills together with exceptional cash handling experience
Timeline
Scheduling/Authorizations
Michigan pain consultants
03.2023 - Current
ADP Claim Representative
Hastings Mutual Insurance
09.2021 - 03.2023
Cash posting specialist
Hope Network
06.2020 - 09.2021
Patient Service Representative
Metro Health
10.2019 - 06.2020
Patient service representative
Meddata
10.2017 - 06.2019
Medical assistant -
Grandville high school
High School Diploma -
Grandville high school
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