Christina Rangel
Austin,TX
Summary
Dependable professional with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Denials Specialist II
Centene Corporation
Austin, Texas
01.2022 - Current
- Generated correspondence from EMR documentation and ensured timely processing of tasks for compliance with regulatory standards.
- Updated and maintained correspondence templates based on regulatory inquiries and interdepartmental requirements.
- Coordinated data collection, analysis, and reporting activities affecting denial processes.
- Assisted with compliance and turn-around time (TAT) log for all correspondence notifications.
- Participated in ongoing training sessions to enhance compliance knowledge.
- Completed cross-training in denial letter writing and triage departments to support operations as needed.
Claims Liaison
Centene Corporation
Austin, TX
05.2021 - 10.2025
- Prepared and distributed daily inventory reports to ensure accurate tracking.
- Created pivot tables from inventory data for enhanced analysis.
- Managed approvals for manual checks to ensure compliance and accuracy.
- Reviewed and audited claims to verify correct payment processing.
- Analyzed and updated contracted hospital rates to align with current standards.
- Utilized Golden, Amisys, and Pegasus software for efficient data management.
- Collaborated with contract implementation analyst to correct pay discount and pay class codes.
Billing Claims
Npe Consulting
Austin, TX
09.2019 - 05.2020
- Processed and transmitted claims using billing software for electronic and paper submissions.
- Followed up on unpaid claims to expedite resolution.
- Identified and billed secondary or tertiary insurances to maximize reimbursements.
- Applied copayments and adjusted patient balances accurately.
- Utilized Kareo EMR to enhance workflow efficiency.
Sales Associate
Tyler's Westlake
Austin, TX
05.2019 - 12.2019
- Operated interactive fitting rooms utilizing iPads and iPhones to enhance customer experience.
- Ensured efficient opening and closing procedures for store operations.
- Managed cashier duties, maintaining accuracy and speed.
- Provided customer service across women's, children's, and men's departments with tailored assistance.
Program Coordinator I
Superior HealthPlan
Austin, TX
06.2019 - 09.2019
- Collaborated with management to ensure timely completion of project responsibilities.
- Initiated authorization requests for necessary services.
- Calculated home health care units required for patients.
- Performed data entry to maintain accurate records.
Claim Processing Specialist
EMDS
Austin, TX
01.2019 - 05.2019
- Conducted thorough research on complex denials to identify root causes and solutions.
- Authenticated medical claims by reviewing all information and correcting omissions.
- Contacted insurance companies to verify benefits and claim statuses efficiently.
- Tracked all claims until resolution or receipt of payment.
- Documented all activities accurately in Prism and EPIC for record-keeping.
- Identified rejections and denials, resubmitting corrected claims promptly.
- Handled accounts receivable by managing workable claims and write-offs effectively.
- Maintained detailed follow-ups on claims to ensure timely resolution.
Claims Analyst
Accenture
Austin, TX
11.2016 - 11.2018
- Researched claims using Darts and Phoenix systems to gather essential information for processing.
- Oversaw report generation to ensure timely resolution of claim statuses.
- Contacted TPL to obtain claim status, eligibility dates, and payment information, addressing incorrect denials.
- Confirmed receipt of double payments with service providers and recorded recoupment in spreadsheets.
- Requested medical records and itemized bills to facilitate claims processing.
- Reviewed and corrected CMS1500 and UB04 claim forms for accuracy.
- Updated ICD9 and ICD10 coding to maintain compliance with regulations.
- Trained new hires on processes and procedures, enhancing team competency.
Administrative Assistant
Ajilon Staffing
Austin, TX
01.2015 - 12.2015
- Emailed and faxed OCC health DWC forms to relevant parties.
- Sent results to employers promptly.
- Entered patient payments into electronic billing system accurately.
- Created daily deposit reconciliation for patient and insurance payments.
- Managed daily collections report to track outstanding balances.
- Developed daily balancing reports, correcting errors on claims as needed.
Customer Service Representative
Seton Family of Hospitals
Austin, TX
01.2011 - 12.2015
- Coordinated new patient registrations, authorizations, and referrals for seamless onboarding.
- Managed customer check-in and check-out processes to enhance operational efficiency.
- Executed insurance verifications across seven clinics to ensure coverage compliance.
- Administered Xolair injection coordination for patient treatment plans.
- Answered multi-line phone system while managing appointment scheduling effectively.
- Collected co-pays, balances, collections, co-insurance, and deductibles to maintain financial accuracy.
Patient Service Rep II
Austin Regional Clinic
Austin, TX
01.2007 - 01.2008
- Managed patient check-in and check-outs.
- Managed appointment schedules.
- Collected co pays or past due balances.
- As a PBX operator answered a 10- line phone.
- Prepared end of day batch and balanced all money collected.
Program Tech
Maximus
Austin, TX
01.2005 - 01.2006
- Entered CHIP and Medicaid applications into oracle system.
Education
Associate of Applied Science - Business Administration And Management
Colorado Technical University
Colorado Springs, CO04-2026
None - Accounting
Austin Community College
Austin, TX08.2025
None - Accounting
University of Texas at San Antonio
San Antonio, TXSkills
- Microsoft Office Suite
- Medical billing and coding
- Insurance verification and authorization
- Patient intake and scheduling
- Electronic medical records (EMR)
- HIPAA compliance
- Data entry and auditing
- Multi-line phone systems
- Bilingual communication (Spanish)
- Administrative support
Accomplishments
- Kappa Beta Delta Honor Society
- Recipient of The International Honor Society for Associate Degree Accredited Business Program
- Distinguished in being in the top 20% of College of Business Management at Colorado Technical University
References
References available upon request.
Timeline
Denials Specialist II
Centene Corporation
01.2022 - Current
Claims Liaison
Centene Corporation
05.2021 - 10.2025
Billing Claims
Npe Consulting
09.2019 - 05.2020
Program Coordinator I
Superior HealthPlan
06.2019 - 09.2019
Sales Associate
Tyler's Westlake
05.2019 - 12.2019
Claim Processing Specialist
EMDS
01.2019 - 05.2019
Claims Analyst
Accenture
11.2016 - 11.2018
Administrative Assistant
Ajilon Staffing
01.2015 - 12.2015
Customer Service Representative
Seton Family of Hospitals
01.2011 - 12.2015
Patient Service Rep II
Austin Regional Clinic
01.2007 - 01.2008
Program Tech
Maximus
01.2005 - 01.2006
Associate of Applied Science - Business Administration And Management
Colorado Technical University
None - Accounting
Austin Community College
None - Accounting
University of Texas at San Antonio
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