Candi Rivera
North Chesterfield,Virginia
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results. Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Ensemble Health Partners
Cincinnati, OH
12.2023 - Current
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Patient Financial Counselor
Bon Secours St. Francis Hospital
Midlothian , VA
03.2020 - 12.2023
- Developed rapport with patients to discuss sensitive financial matters in a professional manner.
- Assisted patients in understanding the details of their bills, including deductibles and co-pays.
- Documented all interactions with patients regarding billing issues in a timely manner.
- Processed credit card payments accurately and securely.
- Created monthly reports summarizing collections activity and billing trends.
- Screened patients for eligibility for state, local and federal assistance programs.
- Participated in training programs designed to improve customer service skills related to billing processes.
- Verified patients' insurance and payment methods during admissions or check-in processes.
- Initiated application processes to add patients to assistance programs at bedside and followed through until completion.
- Reported liabilities and risk management concerns to supervisor for review.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Office Manager
MRI of Richmond
Richmond, VA
02.2002 - 03.2020
- Supervised staff members, organized schedules and delegated tasks.
- Ordered supplies and equipment to maintain adequate inventory levels.
- Provided administrative support to management team including preparing reports and presentations.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Processed payroll accurately ensuring all employees were paid on time.
- Organized company events including holiday parties, team building activities .
- Ensured compliance with applicable laws regarding employment practices.
- Provided training to new hires on office policies and procedures.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Administered payroll and maintained proper documentation of employee personnel.
- Managed, scheduled and coordinated office functions and activities for employees.
- Implemented and maintained company protocols to facilitate smooth daily activities.
- Elevated customer satisfaction ratings by promptly resolving client and case issues.
- Interpreted and communicated work procedures and company policies to staff.
- Delegated work to staff, setting priorities and goals.
- Reviewed completed work to verify consistency, quality and conformance.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Assigned work and monitored performance of project personnel.
- Organized team activities to build camaraderie and foster pleasant workplace culture.
- Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
- Mediated conflicts between employees and facilitated effective resolutions to disputes.
Education
Healthcare Administration - Health Management And Clinical Assistance
Mandl School
New York, NY05-1997
Skills
- Billing Integrity specialist
- Insurance Claim Management
- Proficient Typist: 45 Words Per Minute
- Patient Collections
- Experienced with Epic Software
- Logical Reasoning Skills
- Service Excellence
- Electronic Claims Processing
- Teamwork and Collaboration
- Collection Process Optimization
- Effective Multitasking
- Effective Time Management
Affiliations
Enjoy Dancing, cooking and seasonal decorating.
Accomplishments
- Honored for an anonyms entry to the Who's Who in Richmond and was named in the book! 2011
Certification
- Certified medical interpreter for Bon Secours St. Francis Hospital.
- Certified Revenue Cycle Representative (CRCR) ( HFMA)
- Employer Standard Compliance E-Learning Certificate courses
Languages
English
Professional
Spanish
Professional
Volunteer Work
- Interpreter for Every Women's Life program - Assisted physicians & patients exchange dialog for better understanding regarding mammograms, biopsy etc.
- Community outreach with Latin Jazz and salsa show - Holiday Donations, School Back pack Donations, Food Drives, etc
Professional Membership
Healthcare Financial Management Association (HFMA)
RIO Sisterhood Organization
References
References available upon request.
Timeline
Medical Billing Specialist
Ensemble Health Partners
12.2023 - Current
Patient Financial Counselor
Bon Secours St. Francis Hospital
03.2020 - 12.2023
Office Manager
MRI of Richmond
02.2002 - 03.2020
Healthcare Administration - Health Management And Clinical Assistance
Mandl School
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