Cecilia Cyprian
Hesperia,CA
Summary
Talented Medical Collector with experience in managing and monitoring accounts to ensure compliance with state and federal regulations. Familiar with policies for functioning in a range of medical facilities and suppliers.
Overview
27
27
years of professional experience
Work History
Senior Patient Access Representative
Providence Health & Services/R1 Rcm
08.2016 - Current
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations, protecting privacy rights at all times.
- Enhanced patient experience with empathetic communication and personalized assistance.
- Expedited emergency department admissions through swift assessment of priority cases and rapid response time in critical situations.
- Improved patient satisfaction by providing timely and accurate appointment scheduling.
- Collected co-pays and coinsurance payments, ensuring accurate financial transactions.
Collection Specialist
Caremeridian
01.2016 - 05.2016
- Follow up on aged accounts, appeal claims on a timely manner, submit reconsiderations online for commercial accounts and workers comp claims
- Prioritize claims that are over 120 days old and high dollar amounts
Endocrinology Diabetes Specialty Group
01.2009 - 12.2015
- Follow up on aged accounts, appeal insurance claims, post payments for insurance and private pay
- Verify eligibility and benefits for multiple types of insurance carriers, HMO PPO IPA including MEDICARE and Medi-cal
- Obtain authorizations for follow up appointments
- Collect copay from patients
- Transmit claims from Zyrmed
- Schedule appointments and prepare outstanding claims and statements
Billing and Collections
MARINA MEDICAL BILLING
01.2007 - 12.2008
- Verify eligibility for all insurance carriers
- HMO PPO
- Knowledge of US400 billing system
- Follow up on aged accounts
Patient Care Coordinator
GENTIVA CARECENTRIX
01.2006 - 12.2007
- Verify third party insurance carriers
- Obtain authorizations
- Coordinate home health and DME services answer patient calls
- Follow up on work orders
Case Coordinator
VQ ORTHO CARE
01.2005 - 12.2006
- Track missing documents of incoming orders
- Enter all demographics of billing and insurance information
- Obtain authorizations for DME
- Verify eligibility
Reimbursement information Coordinator
GENZYME GENETICS
01.1998 - 12.2005
- Verify eligibility for PPO HMO MEDICARE and third party insurance
- Collections for all insurance carriers and collect payments from patients
- Monitor unpaid claims, process billing claims and statements
Education
Medical Billing Coding Course -
UEI
01.2009
Skills
- Medical Billing
- Insurance Relationship Management
- Understanding of State and Federal Guidelines
- HIPAA Compliance
- Proficient in CPT-ICD9-ICD10 HCPCS Revenue Codes
- Spreadsheet Preparation
- Database Software Proficiency
- Quality Product and Service Delivery
- Confidentiality Adherence
- Insurance verification
Languages
Spanish
Full Professional
Timeline
Senior Patient Access Representative
Providence Health & Services/R1 Rcm
08.2016 - Current
Collection Specialist
Caremeridian
01.2016 - 05.2016
Endocrinology Diabetes Specialty Group
01.2009 - 12.2015
Billing and Collections
MARINA MEDICAL BILLING
01.2007 - 12.2008
Patient Care Coordinator
GENTIVA CARECENTRIX
01.2006 - 12.2007
Case Coordinator
VQ ORTHO CARE
01.2005 - 12.2006
Reimbursement information Coordinator
GENZYME GENETICS
01.1998 - 12.2005
Medical Billing Coding Course -
UEI
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