Britt' Nee Beltran
San Bernardino,CA
Summary
A dedicated professional with a proven ability to maintain confidentiality of benefits and to ensure that projects are completed in a timely manner. Organized and people oriented, who can communicate and collaborate with all levels of personnel by using excellent interpersonal skills, outstanding customer service, and creative leadership skills. Adept at learning new industry laws and standards, as well as incorporating relevant best practices. Integrity, passion, and drive Efficient billing professional with 6 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
16
16
years of professional experience
Work History
Patient Advocate
Air Methods
San Bernardino, CA
01.2017 - Current
- Responded to patient concerns and questions with compassionate and knowledgeable service.
- Entered details into computer systems and managed database of information.
- Worked effectively with staff from all departments to coordinate resolutions.
- Assisted patients in understanding individual rights and responsibilities in regards to care, coverage and payment.
- Collected and reviewed patient information to assess eligibility .
- Helped patients file appeals to insurance denials and worked with insurance companies to resolve disputes.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Kept current with literature and felid advancements to advocate to and for patients.
- Worked with customer to create debt repayment plan based on current financial condition using PARO and CARE
- Listened to customers and negotiated solutions that met creditor and debtor needs.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
HIM Specialist
Air Methods
San Bernardino, CA
01.2017 - Current
- Followed all company policies and procedures to deliver quality work.
- Listened and responded to customer requests and forwarded necessary information to superiors.
- Interpreted clients' needs and introduced services to fit specific requirements.
- Maintained patient confidence by keeping patient records information confidential.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Uploaded physician progress notes, history and physicals into electronic medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
- Trained new employee's on direct reports on department procedures and policies to maximize department productivity.
- Collaborated in special project to revamp filing system and improve department productivity.
- Maintained accuracy, completeness and security for medical records and health information.
Billling and Collections Specialist
Rocky Mountain Holdings
San Bernardino, United States
01.2017 - Current
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Communicated with verifications to facilitate decision-making for patient admissions and insurance coverage.
- Coordinated with contracting department to resolve payer issues.
- Acted as Medical necessity subject matter expert, answering internal and external questions and inquiries.
- Processed appeals, ADR Hearings, Peer to peer
Education
State License - Pharmacy Technology
Four-D College - Colton
Colton, CAHigh School Diploma -
Pacific High School
San Bernardino, CA05.2007
Skills
- Building Rapport and Credibility
- Administrative and Office Support
- Communicating to Patients and Families
- Calm and Effective Under Pressure
- Caring and Empathetic
- HIPAA Compliance
- Professional Development
- Account Monitoring
- Negotiation and Resolution
- Skip Tracing
- Discrepancy Resolution
- Analytical and Critical Thinking
Timeline
Patient Advocate
Air Methods
01.2017 - Current
HIM Specialist
Air Methods
01.2017 - Current
Billling and Collections Specialist
Rocky Mountain Holdings
01.2017 - Current
State License - Pharmacy Technology
Four-D College - Colton
High School Diploma -
Pacific High School
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