Dependable team member trained in register operations and customer service. Contributes to smooth front-end operations and goes beyond requirements to handle customer or patient needs. Reliable, team-oriented, and efficiently completes assignments.
Overview
8
8
years of professional experience
Work History
Enrollment and Billing Specalist
Anthem
03.2021 - Current
Utilized effective active listening, interpersonal and communication skills in collaborating with different individuals on daily basis.
Supported members through navigation of enrollment process to facilitate optimal decisions.
Performed careful reviews of applicant data to ascertain compliance with eligibility criteria for economic assistance.
Granted, modified, denied, or terminated assistance based on key information and eligibility determination.
Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
Processed and sent invoices, adjustments and credit memos to customers.
Investigated and resolved issues to maintain billing accuracy.
Pre Op Coordinator
High Desert Medical Group
01.2017 - 03.2021
Accessed patient medical history, current medications and pre-procedure instructions to confirm adherence and respond to questions.
Supported successful administration of care plans by communicating with cross-functional teams.
Processed and reviewed surgery referrals
Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
Investigated rejected and denied claims, correcting applicable coding.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.