Crystal Quintero
Lyons,GA
Summary
Results driven billing professional with over 17 years of hands-on experience in account management, revenue generation and medical billing and coding.
Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational Success.
Overview
17
17
years of professional experience
Work History
Insurance Specialist
Wakefield & Associates Inc.
02.2022 - Current
- Reviewed, analyzed, and resolved insurance claims to ensure timely and accurate reimbursement.
- Communicated with insurance carriers to follow up on unpaid, underpaid, or denied claims.
- Verified insurance coverage, benefits, and eligibility to support accurate billing and collections.
- Maintained detailed documentation of account actions, correspondence, and resolutions.
- Identified billing discrepancies and worked collaboratively to correct errors and prevent delays in payment.
- Ensured compliance with payer guidelines, policies, and regulatory requirements.
Insurance Follow-Up Representative
Meadows Regional Medical Centet
02.2015 - 02.2022
- Kept detailed records of customer accounts, including actions taken and issues resolved
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses, and identifying errors in a timely manner
- Accurately posted and sent out all medical claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Posted charges, payments and adjustments.
- Prepared and submitted claims to insurance companies electronically and manually.
Billing Manager
Vidalia Lab Services
10.2008 - 09.2014
- Optimized personnel coverage, preparing work schedules based on staff availability and demands.
- Managed daily operations within office by supporting continuous delivery of excellent services and care.
- Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
- Coordinated travel arrangements, including booking hotel rooms, car rentals and airfare for staff traveling to domestic and international locations.
- Oversaw training and daily performance of staff
- Coordinated office activities and operations to secure efficiency and compliance with company policies.
Education
High School Diploma -
Toombs County High School
Lyons, GASkills
- Ability to prioritize
- Schedules coordination
- Account reconciliation
Scheduling and calendar
Revenue generation management
Medical billing
Accounts reconciliation
Bilingual (Spanish)
- Data entry with high accuracy
- Documentation & record maintenanc
- Accounts receivable (AR) management
- Underpayment identification
- Payer guidelines & compliance
- Account reconciliation
Data entry with high accuracy
Documentation & record maintenance
Timeline
Insurance Specialist
Wakefield & Associates Inc.
02.2022 - Current
Insurance Follow-Up Representative
Meadows Regional Medical Centet
02.2015 - 02.2022
Billing Manager
Vidalia Lab Services
10.2008 - 09.2014
High School Diploma -
Toombs County High School