Crystal Soto
Pingree,IL
Summary
Experienced Billing Specialist and Administration Professional with an extensive background in Healthcare. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Billing Supervisor
Active Care Chiropractic & Rehabilitation
Arlington Heights, IL
05.2022 - Current
- Submit electronic and paper claims to insurance companies, to collect medical payments.
- Reduce claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Increase revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Review outgoing bills for eligibility and accurateness.
- Lead patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
- Review services rendered and completed to reconcile codes.
- Communicate with insurance providers to resolve denied claims and resubmitted.
- Insurance Verifications
- Prepared billing statements for patients and verified correct diagnostic coding.
Treatment Coordinator
Campton Square Oral Surgery
Saint Charles, IL
10.2021 - 05.2022
- Collaborated closely with dentist to develop customized treatment plans tailored specifically to each individual''s needs.
- Collaborated with insurance providers to ensure prompt claim processing for patients, resulting in improved cash flow for the practice.
- Streamlined dental office operations through efficient scheduling and coordinating appointments.
- Insurance Verification
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Provided excellent customer service to create positive experiences and build patient trust.
Certified Medical Assistant
Dupage Medical Group
Bloomingdale, IL
09.2015 - 10.2021
- Obtained and documented patient medical history, vital signs and current complaints at intake.
- Prepared lab specimens for diagnostic evaluation.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- Called and faxed pharmacies to submit prescriptions and refills.
- Routine injections and blood draws
- NST’s
- Assisted in and prepped room for colposcopy and Leep procedures
- Made sure claims were coded correctly
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
Education
Associate of Applied Business -
SNHU
05.2012
Certified Medical Assistant -
Everest College
North Aurora08-2009
Skills
- Medical coding
- Medical billing and collections
- Claims processing
Certification
Certified Medical Assistant
OSHA Certified
HIPPA Certified
Bloodborne Pathogen Certificate
Timeline
Billing Supervisor
Active Care Chiropractic & Rehabilitation
05.2022 - Current
Treatment Coordinator
Campton Square Oral Surgery
10.2021 - 05.2022
Certified Medical Assistant
Dupage Medical Group
09.2015 - 10.2021
Associate of Applied Business -
SNHU
Certified Medical Assistant -
Everest College