Christina Romero
Rocky Point,North Carolina
Summary
Great multitasker and critical thinker with devotion to accuracy and efficiency. I'm fluent in Spanish and English and I always make customer service a priority. I'm a great multitasker and have excellent time management abilities. I'm Devoted to giving every customer a positive and memorable experience. I do well in fast-paced environments and I'm adaptable to last-minute changes. I Thrive under pressure and consistently earns high marks for work quality and speed.
Overview
10
10
years of professional experience
Work History
Patient Eligibility and Authorization Specialist
Coastal Horizons Center (REMOTE)
Wilmington, NC
09.2022 - Current
- Ensured timely submission of accurate documentation to support payment of services rendered by providers.
- Processed prior authorization requests in accordance with departmental guidelines.
- Provided customer service to internal and external customers related to authorization requests.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Monitored changes in government regulations affecting healthcare reimbursement systems.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Updated patient and insurance data and input changes into company computer system.
- Collaborated with insurance companies regarding reimbursement issues.
- Verified insurance coverage for incoming patients.
- Organized paperwork for insurance claims purposes.
HIM Lead
Novant Health
Wilmington NC, NC
08.2021 - 08.2022
- Assisted in training new HIM staff members on proper document handling techniques.
- Developed and maintained an organized system for tracking medical records.
- Maintained patient confidentiality in accordance with HIPAA regulations.
- Assisted in the preparation of documents for filing and scanning into electronic health record systems.
- Performed data entry to update patient information in a timely manner.
- Updated indexing systems with new or amended entries as required.
- Audited charts to ensure that all pertinent documentation is present and accurate.
- Participated in professional development activities related to the field of Health Information Management.
- Utilized computer applications such as word processing, spreadsheets and databases to maintain patient data.
- Coded invoices properly based upon patient services and medical records.
- Protected medical information against unauthorized access, loss, or corruption by consistently following security protocols.
CNA
Pender County Health Department
Burgaw , NC
10.2017 - 12.2019
- Maintained a clean, safe environment for the patient by adhering to infection control policies and procedures.
- Documented patient care services by charting in designated areas.
- Participated in educational programs designed to improve knowledge of health care practices.
- Utilized appropriate safety measures when handling hazardous materials or waste products.
- Ensured compliance with HIPAA regulations regarding confidentiality of information.
- Demonstrated excellent customer service skills when interacting with patients, families and guests.
- Monitored vital signs such as pulse rate, respiration rate, and blood pressure.
- Maintained accurate, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
Processing Assistant IV
Pender County Goverment
Burgaw, NC
10.2016 - 11.2018
- Operated office equipment such as fax machines, scanners, copiers.
- Reviewed documents for completeness, accuracy and compliance with regulations or standards.
- Resolved customer inquiries in a timely manner while providing excellent customer service.
- Printed documents on demand when requested.
- Maintained accurate records of processed materials including tracking numbers and dates received and sent out.
- Entered customer information into database accurately and efficiently.
- Performed routine clerical duties such as filing, photocopying, typing and mailing correspondence.
- Trained new employees on company timekeeping systems.
- Provided administrative support to managers and other personnel as required.
- Answered inquiries from customers and staff regarding processing procedures.
Sales Associate
Dillards
Wilmington, NC
12.2014 - 10.2016
- Conducted inventories on a regular basis to track stock levels.
- Restocked shelves as needed to ensure sufficient inventory levels.
- Attended weekly team meetings to review performance goals and objectives.
- Handled customer complaints in a professional manner.
- Upsold additional items based on customer interests and needs.
- Demonstrated product features and benefits for customers' needs.
- Maintained up-to-date knowledge of store merchandise and policies.
- Developed promotional strategies to increase sales volume.
- Processed transactions using a point-of-sale system.
- Processed credit card transactions quickly and securely.
- Engaged customers in friendly, professional dialogue to determine needs.
- Sold various products by explaining unique features and educating customers on proper application or usage.
- Assisted teammates with sales-processing tasks to meet daily sales goals.
- Maintained knowledge of current promotions, exchange guidelines, payment policies, and security practices.
- Helped customers find specific products, answered questions, and offered product advice.
Education
Medical Billing And Coding I -
James Sprunt Community College
Kenansville, NC07-2021
Certified Nurse Assistant -
Cape Fear Community College
Wilmington, NC08-2018
High School Diploma -
Cape Fear Community College
Wilmington, NC05-2011
Some College (No Degree) - Paralegal Studies
Ashworth College
Norcross, GASkills
- HIPAA Compliance
- Medical terminology expertise
- Claims Management
- Insurance Verification
- Document Translation
- Strong interpersonal skills
- Problem-Solving
- Business process understanding
- FLUENT IN SPANISH
- Sales Development
- Product Sales
- Multi-tasking strength
Languages
Spanish
Professional
Timeline
Patient Eligibility and Authorization Specialist
Coastal Horizons Center (REMOTE)
09.2022 - Current
HIM Lead
Novant Health
08.2021 - 08.2022
CNA
Pender County Health Department
10.2017 - 12.2019
Processing Assistant IV
Pender County Goverment
10.2016 - 11.2018
Sales Associate
Dillards
12.2014 - 10.2016
Medical Billing And Coding I -
James Sprunt Community College
Certified Nurse Assistant -
Cape Fear Community College
High School Diploma -
Cape Fear Community College
Some College (No Degree) - Paralegal Studies
Ashworth College
Similar Profiles
John OwenJohn Owen
Counseling Practicum/Student Intern at Coastal Horizons CenterCounseling Practicum/Student Intern at Coastal Horizons Center
Christina HillChristina Hill
Physician Assistant - Pediatric Behavioral Health and Medication Management at Coastal Horizons CenterPhysician Assistant - Pediatric Behavioral Health and Medication Management at Coastal Horizons Center
Brandon SmithBrandon Smith
SAIOP Facilitator at Coastal Horizons Center IncSAIOP Facilitator at Coastal Horizons Center Inc
James RayJames Ray
Project Manager at Downeast Underground, Inc.Project Manager at Downeast Underground, Inc.
Lindsey JavorskyLindsey Javorsky
Cook at Shell Island ResortCook at Shell Island Resort