Carolina Grisales
North Port,FL
Summary
Efficient billing professional with 7 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. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
10
10
years of professional experience
Work History
Billing Specialist II
Shared Services Center
11.2015 - Current
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Resolves facility claim issues on a timely basis by reviewing claim inventories and taking appropriate action, adding charges.
- Post charges for facility in a timely manner.
- Ensures accurate and complete claim submission for both paper and electronic claims in timely manner.
Customer Service Representative
Shared Service Center
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Review accounts; assist patient, attorneys , insurance companies with questions regarding the accounts, assist patients with financial assistant options.
Financial Services Support Specialist
Shared Services Center
- Review and resolve all accounts in credit and 480 report.
Phlebotomy Technician
Sarasota Memorial Hospital
04.2013 - 11.2015
- Collected blood samples using vacutainer tubes, tourniquets, syringes, butterfly needles, and straight needles.
- Drew blood from veins by vacuum tube, syringe or butterfly venipuncture methods.
- Protected patients by following infection control, sharps disposal and biohazardous waste disposal procedures.
- Stocked phlebotomy cart or carrier with appropriate supplies.
Education
Bachelor of Science - Health Administration
State College of Florida, Manatee-Sarasota
Bradenton, FL06.2023
Certificate - Management
State College of Florida, Manatee-Sarasota
Bradenton, FL06.2023
Associate of Arts -
State College of Florida, Manatee-Sarasota
Bradenton, FL05.2018
Skills
- Billing experience with hospitals
- Knowledge of insurance and governments policies
- Knowledge of interpretation of the medical terminology and revenue cycle
- Medical computer skills
- Microsoft Excel
- Microsoft Word
- Microsoft PowerPoint
- Active Listening
- Customer Relations
- Customer Data Confidentiality
- Microsoft Windows
- Medical Terminology Knowledge
- Medical Billing and Collections
- Claim Processing
- Health Information Policy and Procedure Development
- HIPAA Compliance
Languages
Spanish
Native or Bilingual
Additional Information
Future Leader Program from March 2022 to October 2022
Timeline
Billing Specialist II
Shared Services Center
11.2015 - Current
Phlebotomy Technician
Sarasota Memorial Hospital
04.2013 - 11.2015
Customer Service Representative
Shared Service Center
Financial Services Support Specialist
Shared Services Center
Bachelor of Science - Health Administration
State College of Florida, Manatee-Sarasota
Certificate - Management
State College of Florida, Manatee-Sarasota
Associate of Arts -
State College of Florida, Manatee-Sarasota
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