Cristal Cervera

Qualification Skills

• Patient intake/Medical history/Check in and out/update new patient info, updated new addresses, phone numbers, new insurances and update pharmacy information, and update their medication list, and medical history
• Patient care(Number one most important role in the office)/ Vital signs/ Room Prep, restock room and clean/sanitize after every patient
• Booking appointments and confirming 1-2 days before, reschedule any appointments that get canceled
• Phlebotomy (Venipuncture)/Equipment set up/Centrifuge/ prep for lab pick up, filling up lab forms
• EKG’s/ prepping the patient/ performing the EKG/ reporting the results with the physician
• Administration of injections/Vaccines such as TB test, Flu Vaccines, Vitamin B 12/B-complex shots,Hep A, Hep B, etc
• Ear lavage, room prep, providing assistance to the physician, cleaning after the procedure, documentation of the procedure
• Skin tag removal, prepping the room, providing assistance to the physician and cleaning after the procedure , documentation of the procedure
• Refilling patient medication through E-Prescribe (Office Ally) and completing prior authorization through (Cover My Meds)
• Completing EDD,SDI and Hartford forms along with progress notes(EMR) and WHO DAS 2.0 for approval
• Knowledge in billing Insurance companies for Medicare, Blue Shield, Cigna, United healthcare, familiar with billing OV and Physical Therapy claims ICD-10 and CPT coding knowledge as well as CPT modifier coding and billing.
• Medical Claims, Insurance Audits , taking care of repairable claims, fixing any issues with ICD-10 codes, or CPT codes and modifiers that might have been filed wrong in the claim
• Claim Adjuster, provide proper documentation(medical records) for the insurance companies to accept the claims and pay for the services that the physician rendered.
• Dispute unpaid insurance claims with the insurance companies and submit any missing paperwork or information requested.
• Knowledge of Medicare reimbursements
• Familiar with Contract Negotiations
• Familiar with provider relation roles
• Familiar with fee for service model processing
• Extensive knowledge of medical terminology and anatomy
• Medical Scribe (EMR), Medical Records(EMR) for Physical Therapy notes and PI cases
• Completing unfinished charts for the physician and make sure they are diagnosed and routed out for billing to decrease workload
• Insurance verification/ checking co pays, patient responsibilities and collecting new insurances, verification of insurances and updating into the system
• Completing any and all insurance audits of 50+ patients or more from insurance companies such as Blueshield, Bluecross Medicare, Cigna, United Health Care, Optum, Episource,.etc
• (succeeded in all medical records task especially for Physical Therapy)
• Generating PI reports/ Intake PI history/ PI billing sheet Submitted MIPS Quality Measures at the end of the year Physical Therapy Medical Records through (EMR using Report Master) SOAP Notes through EHR/EMR through Office Ally
• Payroll Management for all the employees, making calculations, using spreadsheets if needed, making sure that everyone gets paid on time.
• Guide, teach, train and coach others, giving them feedback in order to excel in their work and the office
• Train new co workers in every aspect of the office
• Provide explanations to difficult issues when needed