
Detail-oriented Bilingual Customer Service and Patient Services professional with over 5 years in call center and healthcare settings. Expertise includes patient registration, appointment scheduling, insurance verification, and medical billing. Communicates effectively with patients and providers to ensure accurate service delivery. Familiar with eClinicalWorks, electronic health records, HIPAA compliance, and Microsoft Office.
• Processed insurance claims accurately and efficiently to support timely reimbursement.
• Assisted patients with billing questions, account balances, payment status, and insurance-related concerns.
• Verified insurance eligibility and coverage to reduce claim denials and payment delays.
• Posted patient and insurance payments and processed refunds in accordance with billing procedures.
• Resolved billing discrepancies by coordinating with healthcare providers, insurance companies, and other outside entities.
• Reviewed patient accounts and claims to identify and resolve billing or payment issues.
• Greeted and checked in patients and visitors, providing front-desk assistance and directing them to appropriate departments.
• Managed patient registration, verifying demographic information and maintaining accurate records.
• Verified insurance eligibility and coverage prior to patient appointments.
• Used eClinicalWorks (eCW) to schedule appointments, update patient information, and maintain electronic health records.
• Coordinated communication between patients, clinical staff, and healthcare providers regarding appointments and patient needs.
• Trained new personnel on front-office procedures, company policies, patient registration, and customer service standards.