Betsabe (Betsy) Garza
Houston
Summary
Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Biller
MEDNAX, Children's Cardiology Associates
08.2021 - 08.2023
- Executed billing tasks and recorded information in company databases.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Determined proper codes for medical records and patient services.
- Kept all patient information secure and confidential.
- Utilized software such as Phreesia, NextGen EPM, EHR, and PMD to complete daily billing and scheduling.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Front office training
Site Coordinator
MEDNAX, The Woman's Hospital of Texas
10.2017 - 08.2021
- Supervise and manage a team of 8-11 employees.
- Organize, manage and track computer-based data in timely and accurate manner, including but not limited to, completing payroll templates, uploading data, completing monthly statistics and monitoring and fixing edit reports.
- Responsible for state reporting.
- Hire, perform initial and ongoing training to hearing screeners.
- Monitors and ensures employee files are up-to-date at all times and ensures all employees are in compliance with MEDNAX requirements as well as facility, OSHA, HIPPA and The Joint Commission requirements.
- Monitors inventory of supplies.
- Submit all expense invoices for payment on timely basis.
- Maintain hearing screen equipment, including annual calibrations, and notify appropriate vendor and management of any issues.
- Hold monthly meeting with program Medical Sponsor to review monthly program summaries and statistics.
- Hold routine staff meetings.
- Perform hearing screens on newborns in parent’s room (unless conditions do not permit) using guidelines and protocols established and approved by management.
Surgery Scheduler
Mednax, Childrens ENT Of Houston
06.2016 - 10.2017
- Schedules and re-scheduled patient appointments
- Schedules all hospital, clinical and office based related procedures
- Gives instructions (appointment policies and preps) for all procedures scheduled
- Identify and collect co-pays, deductibles and other payments.
- Confirms appointments and gives directions to patients and their families regarding procedure and sends confirmation follow-up letter
- Contacts appropriate departments to schedule and also convey all pertinent patient information
- Inputs information into scheduling book and/or scheduling system
- Reviews monthly doctor’s schedules and makes changes accordingly
- Screens and reviews incoming faxes and referral forms
- Makes any needed or required changes to schedules as need to accommodate for the day or physician
- Obtains authorizations on all scheduled procedures
- Performs other duties as assigned or requested.
Patient Services Coordinator
Mednax, Childrens ENT Of Houston
06.2016 - 10.2017
- Greet, direct and assist large numbers of visitors and refers visitors to various areas.
- Communicates effectively and courteously with and demonstrates caring attitude toward patients and their families.
- Ensure all patient demographic and insurance information is accurate.
- Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc.. as necessary.
- Identify and collect co-pays, deductibles and other payments.
- Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc.
- Patient chart management, preparation, maintenance, filing, copying, requesting records, etc.…
- Displays exceptional customer service skills in responding to all inquiries from patients, insurance carriers, outside agencies, internal departments and coworkers.
- Daily review of charts on patients who have appointments for the following day to verify that all appropriate referral and authorization information has been received.
- Data entry of registration.
- Coordinates office communication flow.
- Responsible for maintaining and recording patient schedule.
- Responsible for scheduling new and follow up appointments including patient testing.
- Train new staff as needed
Newborn Hearing Screener
MEDNAX
10.2015 - 06.2016
- Verify insurance and demographic information for proper billing
- Perform auditory brainstem response (ABR) hearing screen on newborn infants in front of parents/ guardian as well as in the neonatal intensive-care unit (NICU)
- Provide parents or guardian with important literature and hearing test results of infant
- Communicate, educate, and counsel parents if needed about their child’s hearing screen
- Import test results in to sound data and into TEHDI system
- Schedule outpatient appointments
- Assist coordinator in confirming and or rescheduling outpatient appointments.
- Perform outpatient hearing screens
- Follow up with equipment issues and training new staff as needed
- Data entry
Education
High School Diploma -
United Christian School
06.2005
Skills
- Fluent in English and Spanish
- Effective Multi-Tasking
- Time Management Expertise
- Skilled in Microsoft Office Suite
- Proficient in Electronic Health Records
- Employee Development
- Insurance Claims Processing
- Healthcare Billing Expertise
- Electronic Claims Processing
- Knowledge of HIPAA Standards
- Insurance Eligibility Verification
- CPT Understanding
- ICD-10 Compliance Knowledge
- Customer Service
Certification
CPR/AED Certified
Timeline
Medical Biller
MEDNAX, Children's Cardiology Associates
08.2021 - 08.2023
Site Coordinator
MEDNAX, The Woman's Hospital of Texas
10.2017 - 08.2021
Surgery Scheduler
Mednax, Childrens ENT Of Houston
06.2016 - 10.2017
Patient Services Coordinator
Mednax, Childrens ENT Of Houston
06.2016 - 10.2017
Newborn Hearing Screener
MEDNAX
10.2015 - 06.2016
High School Diploma -
United Christian School
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