Cynthia Valdes
Hialeah,FL
Summary
Highly-professional and organized Healthcare Administrator with strong experience in managing and overseeing daily administrative functions and ensuring compliance. Possess strong leadership and team working skills along with the effective communication abilities, computer proficiency, and knowledge of medical terminology.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Biller/Business Office Payment Poster
Cukierman & Koepnick
04.2020 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Insurance Verification Specialist
Pediatric Associates
08.2017 - 04.2020
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Updated patient records with accurate, current insurance policy information.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
Education
Master of Science - Psychology
Capella University
06-2027
Skills
- Claim Entry & Payment Posting
- Insurance & Patient Aging
- Receiving and handling911 calls
- Quality Assurance
- HIPPA Compliance
- Microsoft Office proficiency
- Excellent Interpersonal Skills
- Fluent in both English and Spanish
- Experienced in AdvancedMD PM & EHR Certified, eClinicals, Practice Fusion, Waiting Room Solutions, TeamWorks
Certification
- Medical Billing and Coding Certification
- Registered Behavior Technician
Accomplishments
- Establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
- Developing, implementing, and administering work processes.
- Detail oriented and tolerant of frequent interruptions and distractions from patients and staff.
- Effectively communicate with physicians, patients, insurers, colleagues and staff.
- Proficient in Microsoft Office, including Outlook, Word, and Excel.
- Ability to deal in an organized manner with problems involving multiple variables within the scope of the position.
- Proactive in making independent decisions when circumstances warrant; make prompt and accurate judgments regarding AR, billing and other office duties.
- Ability to recognize, evaluate, solve problems, and correct errors, and to develop processes that eliminate redundancy.
- Ability to communicate effectively in writing, over the telephone, and in person.
Timeline
Medical Biller/Business Office Payment Poster
Cukierman & Koepnick
04.2020 - Current
Insurance Verification Specialist
Pediatric Associates
08.2017 - 04.2020
Master of Science - Psychology
Capella University
Similar Profiles
Alana BenitezAlana Benitez
Phone Technician at Best BuyPhone Technician at Best Buy
Yeinly PerezYeinly Perez
Lead - Sailor Services at Virgin VoyagesLead - Sailor Services at Virgin Voyages
Rosa GarciaRosa Garcia
Server at Latin Cafe 2000Server at Latin Cafe 2000