CECILIA MEJIA CISNEROS
Magnolia
Summary
Skilled team player with strong background in medical environments. Works well independently to handle assignments and always ready to go beyond basics assignments. Quick learner with good computer abilities.
Overview
7
7
years of professional experience
Work History
Patient Service Representative
TOMAGWA Healthcare Ministries
Tomball
02.2024 - Current
- Managed patient check-in and check-out processes efficiently.
- Assisted patients with insurance verification and appointment scheduling.
- Maintained accurate patient records in electronic health systems.
- Handled inbound calls and addressed patient inquiries promptly.
- Communicated effectively with healthcare providers regarding patient needs.
- Coordinated with medical staff to ensure smooth workflow operations.
- Verified insurance information, collected payments, and scheduled appointments.
- Adhered to HIPAA regulations when handling confidential patient information.
- Inputted patient demographic data into electronic health record system.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Greeted patients upon arrival and directed them to the appropriate area.
- Ensured all necessary paperwork was completed prior to patient visits.
Billing Specialist
PROFESSIONAL IMAGING, LLC
10.2021 - 09.2023
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Monitored customer accounts to identify and rectify billing issues.
- Provided excellent customer service, developing and maintaining client relationships.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Developed and maintained billing procedures to make timely payments.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
Insurance Verification Specialist
CITY AMBULANCE
03.2020 - 10.2021
- Verifies basic patient/service information is available - minimum data set for scheduling service
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- If not present, initiates appropriate activity to obtain required data set, such as insurance
- Prioritizes urgency of authorization by anticipating approximate time it may take obtain authorization from insurance company, complexity of procedure and scheduled date of service; follows up with insurance company to accelerate responses and expedite authorizations
- Evaluates or assists with evaluation of cases when insurance company has denied payment to determine next steps
- Interacts with medical and professional staff to obtain appropriate clinical documentation for review; -Takes appropriate actions when it appears that authorization will be not be provided on timely basis; to include escalation
- Advises and coordinates with authorizations team regarding problematic transports requiring additional attention
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Customer Service Standards: -Support co-workers and engage in positive interactions
- Communicate professionally and timely with internal and external customers -Demonstrate friendliness by smiling while speaking to customers
- Ability to stay calm under pressure and deal effectively with difficult situations.
Admitting Representative
EMERGENCY HOSPITAL SYSTEMS
11.2018 - 03.2020
- Answers telephone and direct calls to appropriate staff
- Registered patients for emergency room.
- Greeted and assisted patients with check-in procedures.
- Provided excellent customer service to patients and medical staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Trained new staff on filing, phone etiquette and other office duties.
- Delivered support to medical staff in completion of patient paperwork.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Calculated collectible amount due for procedures if necessary.
- Arranged forms and charts for each patient.
- Complete insurance or other claim forms
- Interview patients to complete documents, case histories or forms, such as intake or insurance forms.
Education
Certificate - Medical Assisting
Bryman College
Gardena, CA12.2005
Skills
- Customer service
- Patient record management
- Verify Data
- Account Posting
- Organizational skills
- Communication
- HIPPA
- Electronic Medical Records
- Scheduling
- Operate office equipment, such as voice mail messaging systems and
- Use word processing, spreadsheet, letters, case histories or Medical Records
Languages
3
Timeline
Patient Service Representative
TOMAGWA Healthcare Ministries
02.2024 - Current
Billing Specialist
PROFESSIONAL IMAGING, LLC
10.2021 - 09.2023
Insurance Verification Specialist
CITY AMBULANCE
03.2020 - 10.2021
Admitting Representative
EMERGENCY HOSPITAL SYSTEMS
11.2018 - 03.2020
Certificate - Medical Assisting
Bryman College