Chrystal Torres
Riverside,CA
Summary
Versatile and result-driven administrative worker bringing valuable experience in various roles, including Customer Service Representative, Record Retrieval, and Long-Term Care Billing. Leverages excellent organizational and problem-solving skills to maximize company productivity. Skilled in maintaining precise records and building relationships with clients, and local county and government agencies. Possessing uncompromising work ethic, time management, and prioritization qualities.
Overview
10
10
years of professional experience
Work History
Client Benefits Administrator
Independent Options, Inc
Corona, CA
02.2017 - Current
- Oversee and sustain various benefits of Long Term Care residents by employing timely submission of required documentation, i.e.: Annual redeterminations, payee reports, disability reports, client trust audits, and authorizations of treatments, in addition to all admission and discharge forms.
- Actively preserve relationships with clients' families, in addition to Regional Centers, Medi-Cal, CalOptima, Medicare, Veterans Affairs Administration, and the Social Security Administration for continued support of residents.
- Uphold responsibility as Representative Payee of over 200 residents by managing their funds and keeping well-maintained bookkeeping of each individual’s trust account.
- Conduct weekly billing submissions via MBill following bi-weekly resident audits with home Administrators and nurses to ensure census accuracy.
- Identify, research, and resolve billing variances through appeals and resubmission's to uphold system accuracy and currency.
Document Retrieval Specialist II
ABI Document Support Services
Redlands, CA
03.2015 - 02.2017
- Verify and confirm each facility's contact information, while also arranging appointments with location custodians to obtain requested records on or following the Deposition date.
- Assist with various duties as requested by Supervisor and Leads; outsourcing records, verifying offsites and status letters completed by retrieval specialist, confirming that fees have properly been provided and dispersed to appropriate departments and locations.
- Provide detailed statuses to clients in an efficient and timely manner regarding various stages an order is in. In addition, immediately advising clients should authorizations be rejected, require information to be amended, and if an Objection or Motion to Quash is set in place.
- Challenge Affidavits of “no records or treatment exists” with located or obtained proof from opposing entities, i.e.: billing offices, insurance companies, adjusters, attorneys, and other various organizations.
- Maintained three routes within two states, holding an average of approximately 500 documentation orders with 99.5% phone call rotation, and 100.8% record retrieval accuracy.
Referral Coordinator
Healthpointe Medical Group
Colton, CA
09.2013 - 01.2015
- Intake patient information on personal injuries, car accidents, slip and falls, work-related injuries, and private insurance.
- Schedule patients with physicians and specialists according to injuries sustained.
- Contact review organizations and insurance companies to ensure prior approval requirements are met. Also, present necessary medical information such as history, diagnosis, and prognosis.
- Verify that all insurance claim forms are properly completed with applicable patient, physician, and ICD-9 code/s before submission.
- Gather electronic medical records in compliance with legal requests received.
Education
Certificate of Completion - Medical Administration
American College of Healthcare
Riverside, CA09.2013
High School Diploma -
Summit View High School
Riverside, CA06.2004
Skills
- Computer Skills
- Microsoft Office Suite
- Professional Telephone Demeanor
- Data Entry
- Customer Relationship Management
- Educating families
- Budget Administration
- Paperwork Processing
- Appointment Scheduling
- Eligibility Determination
- Quality Assurance
- Record Preparation
Timeline
Client Benefits Administrator
Independent Options, Inc
02.2017 - Current
Document Retrieval Specialist II
ABI Document Support Services
03.2015 - 02.2017
Referral Coordinator
Healthpointe Medical Group
09.2013 - 01.2015
Certificate of Completion - Medical Administration
American College of Healthcare
High School Diploma -
Summit View High School
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