Candy Serrano

• Increased efficiency in data entry tasks by consistently maintaining high levels of accuracy and speed.
• Streamlined patient admissions by accurately collecting and verifying insurance information.
• Developed positive relationships with physicians, nurses, and other hospital staff, fostering effective communication across departments.
• Contributed toward achieving revenue cycle goals by diligently following up on pending insurance authorizations and obtaining required documentation.
• Created a positive first impression by greeting patients and visitors warmly.
• Collected and verified patient information for accurate admission processing.
• Managed patient registration using electronic health record systems.
• Coordinated with medical staff to ensure smooth patient flow.
• Assisted patients in understanding admission forms and procedures.
• Responded to inquiries about services available at the medical center.
• Maintained confidentiality of patient information in compliance with regulations.
• Managed incoming calls from patients, families, and other health care providers regarding admissions related issues.
• Maintained confidentiality of all patient records according to HIPAA regulations.
• Assisted with the collection of payments from patients.
• Provided support during emergency situations within the admitting area.
• Managed financial counseling for uninsured or underinsured patients including providing assistance with applications for public aid programs such as Medicaid and Medicare.
• Processed admissions paperwork accurately and efficiently.
• Coordinated pre-admission testing with physicians, nurses, or other staff members.
• Verified insurance eligibility prior to patient admission.
• Resolved any discrepancies between billing statements and actual charges incurred by the patient.
• Reviewed medical records for accuracy prior to patient discharge.
• Followed up on pending claims with insurance companies or government agencies.
• Maintained a high level of quality customer service when interacting with patients, families, visitors, and medical staff members.
• Coordinated patient paperwork and charts.
• Applied knowledge of medical terminology and insurance processes to support office administration productivity.

Secured timely reimbursements from insurers through persistent appeals of denied claims backed up with detailed evidence supporting each case made.

• Software used was Medic, we used EHR/EMR to implement correct information and data entry.

Spearheaded interdepartmental

• collaboration efforts to address systemic issues impacting overall financial performance.
• Implemented new software solutions, streamlining processes and alleviating administrative burden on staff.
• Worked alongside healthcare providers to secure essential documentation for precise billing.
• Reviewed patient accounts for accuracy and compliance with insurance policies.
• Collaborated with healthcare providers to resolve billing discrepancies and inquiries.
• Trained junior staff on billing procedures and system navigation techniques.
• Maintained up-to-date knowledge of insurance regulations and reimbursement guidelines.
• Communicated effectively with patients regarding billing questions and payment plans.
• Trained other staff members in medical billing processes and procedures.
• Reviewed and corrected medical billing documents for accuracy prior to submission.
• Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
• Analyzed patient records and insurance data to verify coding accuracy, ensuring proper reimbursement from insurance companies.
• Maintained accurate documentation of all activities related to medical billing functions.
• Participated in regular meetings with senior management teams regarding financial performance metrics.
• Provided technical assistance to office personnel regarding billing inquiries or problems encountered during daily operations.
• Performed eligibility checks on patients' insurance coverage prior to services being rendered.
• Worked collaboratively with providers, coders, billers, auditors, and finance team members as needed.
• Applied HIPAA privacy and security regulations while handling patient information.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Reviewed claims for coding accuracy.
• Coordinated communications between patients, billing personnel and insurance carriers.