Catrina Baez
Binghamton,NY
Summary
Quality-oriented Healthcare Management major known for successfully managing high level of patient accounts. Determined employee with over 15 years of experience applying industry knowledge to collaborate with team members and clients, process claims, and secure payment. Remains calm and poised in all types of situations.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Financial Counselor
United Health Services
Binghamton, United States
07.2018 - 01.2020
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Collaborated with support staff to generate ideas, share knowledge and commit to building successful company.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits and assistance options.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Conducted research, gathered information from multiple sources and presented results.
- Acted as outpatient pricing software subject matter expert, answering internal and external questions and inquiries.
Patient Financial Services Representative
MJHS
Brooklyn, NY
09.2014 - 04.2018
- Created invoices for hospice and palliative care services using MS Excel to develop payment formulas
- Processed debtor payments and updated accounts to reflect new balance.
- Deployed system of tracking to monitor pending Medicaid patients and meet timely guidelines for billing and reimbursement.
- Compiled and analyzed data for review by senior management that identified root causes and helped determine corrective steps.
Claims Analyst
Amerigroup Medicaid
Brooklyn, NY
07.2010 - 09.2012
- Managed large volume of medical claims on daily basis.
- Paid or denied medical claims based upon government regulations and established claims processing criteria.
- Reduced errors and increased production by examining data, trouble-shooting coding discrepancies, and obtaining missing information.
- Evaluated accuracy and quality of data entered into agency management system.
Education
Bachelor of Science - Healthcare Management
Independence University
Salt Lake City, UT06.2022
Skills
- Proficient in MS Office
- Revenue Cycle
- Patient Counseling
- Financial Advising
Affiliations
HFMA - Healthcare Financial Management Association
Certification
- Medical Billing and Coding, Manhattan Institute - 9/02
- MS Office Professional - 5/03
Timeline
Financial Counselor
United Health Services
07.2018 - 01.2020
Patient Financial Services Representative
MJHS
09.2014 - 04.2018
Claims Analyst
Amerigroup Medicaid
07.2010 - 09.2012
Bachelor of Science - Healthcare Management
Independence University