Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Claudia Moreno

Fort Myers,FL

Summary

Hardworking Financial Counselor proudly offering over 2 years of experience in processing financial forms and obtaining healthcare documents. Highly trained professional with background in patient account management and meeting tight deadlines. Offering exemplary time management and issue resolution skills. Overall working on the medical field for over 20 years, now I'm looking for a new challenges.

Overview

28
28
years of professional experience

Work History

Financial Counselor

Florida Gynecologic Oncology
Fort Myers, FL
03.2022 - Current
  • Assisted patients without healthcare coverage to find resources, services and assistance needed.
  • Interviewed patients and families, answering questions regarding financial process during such sessions.
  • Advocated for patients by contacting insurance carriers and obtaining necessary benefits information.
  • Liaised between physician, patient and insurance carrier to verify that each party had necessary information.
  • Calculate and provide patients cost estimate based on the procedure scheduled, also met with patients to explain about the medical benefits.
  • Closing the day for reconciliation.
  • Prepare daily bank deposits.
  • Work on all the accounts with balances to proceed for payments.
  • Handled all Bankruptcies and Estates accounts

Charge Support and Payment Poster Specialist

Millennium Physician Group
Fort Myers, Florida
09.2015 - 07.2021
  • Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
  • Processed incoming payments from patients and insurance companies in a timely manner.
  • Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
  • Researched discrepancies between patient accounts and remittance advice received from insurance carriers.
  • Reviewed denials received from payers and communicated findings with billing staff.
  • Maintained accurate records of all payments posted in an organized filing system.
  • Verified accuracy of statements sent to customers for payment reconciliation purposes.
  • Provided customer service support to patients regarding inquiries related to account status and payment history.
  • Collaborated with various departments within the organization to ensure efficient workflow processes related to payment posting activities.
  • Updated patient accounts with current information after verifying accuracy of data entered into the system.
  • Maintained a working knowledge of industry regulations pertaining to healthcare billing practices.

Patient Registration Representative

Community Health Center
Bonita Springs, Florida
10.2014 - 09.2015
  • Greeted patients and answered questions regarding registration process.
  • Collected patient demographic information, verified insurance coverage, and updated records as necessary.
  • Processed payments for services rendered in a timely manner.
  • Assisted with scheduling appointments, verifying benefits and authorizations for procedures.
  • Entered patient data into electronic medical record system accurately and efficiently.
  • Responded to inquiries from patients, families, physicians, and other healthcare personnel.
  • Provided support to the clinical staff with registration issues or concerns.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Handled all Bankruptcies and Estates accounts

Insurance Verification Specialist

Internal Medical Associates
Fort Myers, Florida
06.2005 - 07.2013
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Provided timely follow up with payers regarding payment status of claims.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.
  • Traveled to different sites for established and new employees training.
  • Handled accounts for deceased patients.
  • Review Financial Hardship Applications.
  • Other duties as assigned
  • Handled all Bankruptcies and Estates accounts.

Patient Service Coordinator

Island Coast Pediatrics
Fort Myers, Florida
03.1996 - 05.2000
  • Assisted with the completion of medical forms and records.
  • Maintained a clean and organized reception area.
  • Answered incoming calls in a professional manner.
  • Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
  • Sorted and distributed incoming mail daily.
  • Inputted patient demographic data into electronic health record system.
  • Scanned documents into electronic health record system as needed.
  • Performed administrative duties such as filing, faxing, photocopying.
  • Reviewed patient accounts for accuracy on a regular basis.
  • Assisted with scheduling follow-up appointments according to provider availability.

Education

Associate of Science - Computer Applications And System Administration

Southwest Florida College
Fort Myers, FL
06-2000

Skills

  • Payment Plan Creation
  • Client Records Oversight
  • Making Insurance Decisions
  • Patient Counseling

Languages

English
Professional
Spanish
Professional

Timeline

Financial Counselor

Florida Gynecologic Oncology
03.2022 - Current

Charge Support and Payment Poster Specialist

Millennium Physician Group
09.2015 - 07.2021

Patient Registration Representative

Community Health Center
10.2014 - 09.2015

Insurance Verification Specialist

Internal Medical Associates
06.2005 - 07.2013

Patient Service Coordinator

Island Coast Pediatrics
03.1996 - 05.2000

Associate of Science - Computer Applications And System Administration

Southwest Florida College
Claudia Moreno