Daisy Cruz Chavez
Stockton,CA
Summary
Dedicated individual with 10 years of experience in a variety of medical specialties looking to work and grow in a professional environment where my knowledge and creativity can be put to good use.
Overview
9
9
years of professional experience
Work History
Insurance Claims Representative
Blue Shield of CA
Lodi
11.2023 - Current
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Educated customers on insurance policy coverage, procedures, regulations.
- Communicated effectively with policyholders, providing updates and explaining the claims process clearly.
- Handled billing related activities focused on medical specialties.
- Collaborated with healthcare providers to verify treatments and ensure accurate claim payments.
Office Manager/Medical Billing Specialist
Stockton Family Chiropractic
Stockton, CA
10.2020 - 10.2023
- Submit claims to insurance companies, research/resolve explanation of benefit rejects
- Handle past due accounts, collections, and status reports
- Adjust patient financial plans to coordinate with their current care and provide new quotes based on insurance benefits
- Collect information and meet with patients during consultations to better understand their complaints or personal injury status
- Contact insurance providers to verify insurance and obtain billing authorization
Medical Assistant
Community Medical Centers
Stockton, CA
01.2019 - 08.2020
- Greet patients and document their symptoms to communicate with the physician
- Assist as needed in Pain Management, Internal Medicine, OB/GYN, Pediatrics and Family Practice
- Assist with diagnostic testing by collecting and packaging biological specimens for laboratory analysis
- Secure patient information and maintain patient confidence by completing and safeguarding medical records
Office Manager/Medical Assistant
Stockton Injury Center
Stockton, CA
06.2017 - 01.2019
- Trained and mentored staff members in company policies, daily tasks and in best practices
- Negotiate reduction of liens with law offices and third-party payers for the resolution of the injured parties’ claim
- Managed payment processing, invoicing, and collections
- Prepare patients for routine exams and medical procedures such as injections, cyst, skin tag, spirometry exams, and cervical exams
Back Office Medical Assistant
Dr. Purewal M.D. Oncology/Hematology
Manteca, CA
12.2015 - 05.2017
- Obtained a variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles, and updated results into electronic charts
- Manage scheduling, billing, charting, and discharge planning for over200 patients weekly
- Assist in Bone Marrow Aspiration and Biopsy’s
- Handled in office lab daily and generated CBCs on every patient seen
Education
Carrington College
Stockton, California01.2015
Graduate -
Franklin High School
Stockton, California01.2014
Skills
- Injections, Minor Procedures, Spirometry Exam’s
- Medical billing
- Claims Processing
- EHR systems, Epic, NextGen, Health Fusions ChiroTouch
- HIPAA compliant
- Routine Laboratory Testing
- Medication Administration
- Data Entry
- Lien Negotiation and Resolution
- Fluent in Spanish
- Financial Administration
- Customer Service
- Proficient in Outlook, Excel & Word
Languages
English & Spanish
Timeline
Insurance Claims Representative
Blue Shield of CA
11.2023 - Current
Office Manager/Medical Billing Specialist
Stockton Family Chiropractic
10.2020 - 10.2023
Medical Assistant
Community Medical Centers
01.2019 - 08.2020
Office Manager/Medical Assistant
Stockton Injury Center
06.2017 - 01.2019
Back Office Medical Assistant
Dr. Purewal M.D. Oncology/Hematology
12.2015 - 05.2017
Carrington College
Graduate -
Franklin High School