Allscripts PM
Camila Sanabria
Eastchester,NY
Summary
Polished, yet disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in various healthcare systems for accurate claims processing, billing and coding, use of medical terminology, and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality administrative and clerical support.
Overview
5
5
years of professional experience
3
3
Certifications
Work History
Claims Examiner
Amalgamated Life Insurance
04.2023 - Current
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Verified patient insurance coverage and benefits for medical claims.
- Mastered proprietary claim processing system quickly allowing seamless adaptation to new technology initiatives within the organization. (ELDORADO)
Billing and Collections Specialist
Affinity Dental Management
09.2020 - 09.2023
- Managed high-volume accounts, prioritizing workloads to ensure timely processing of invoices.
- Enhanced collections efficiency with prompt follow-ups and clear communication with clients.
- Analyzed aging reports to identify trends in late payments and develop targeted collection efforts.
- Maintained high volume of calls and met demands of busy and productive group.
- Maintained office supplies, distributed mail and processed invoices for payment.
Data Entry Clerk
Columbia University Medical Center
06.2019 - 09.2019
- Entered data into various computer systems accurately using Microsoft Office Suite.
- Supported healthcare providers by efficiently managing appointment scheduling and updates within the database system.
- Expedited claim processing by accurately entering insurance details for prompt reimbursement.
- Scanned documents and saved in database to keep records of essential organizational information.
Education
Bachelor Of Arts - Psychology
Concordia College
Bronxville, NY05.2019
High School Diploma -
Eastchester Senior High School
Eastchester, NY06.2015
Skills
- Claims Processing
- Critical Thinking
- Medical Records
- MS Office
- Attention to Detail
- Organizational Skills
- Medical Terminology
- Anatomy knowledge
- HIPAA Compliance
- Medical Billing/Coding
- Insurance Verification
- Data Entry
- Knowledgeable in SharePoint
- Proficiency in Denticon
- EPIC Systems
Certification
Certified Professional Biller - (CPB) 2024 - AAPC
Certified Professional Coder - Apprentice (CPC-A) 2023 - AAPC
Medical Billing and Coding Fundamentals Specialization - 2023 - Coursera
Timeline
Claims Examiner
Amalgamated Life Insurance
04.2023 - Current
Billing and Collections Specialist
Affinity Dental Management
09.2020 - 09.2023
Data Entry Clerk
Columbia University Medical Center
06.2019 - 09.2019
Bachelor Of Arts - Psychology
Concordia College
High School Diploma -
Eastchester Senior High School
Work Preference
Work Type
Full TimePart TimeContract WorkLocation Preference
On-SiteRemoteHybridImportant To Me
Company CultureWork-life balanceHealthcare benefitsPaid time offPaid sick leaveWork from home optionFlexible work hoursCareer advancementQuote
Your task is not to foresee the future, but to enable it.
Antoine de Saint-Exupéry
Software
EPIC
Denticon
Eldorado
EPACES
SharePoint
Languages
English
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Interests
Medical Billing/Coding
Insurance Verification
Medical Records
Claims
Data Entry