Debbie Maldonado
Smyrna,TN
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Patient Financial Specialist
FastPace Health
03.2023 - Current
- Perform daily collections and management of outstanding patient accounts, including following up with patients, reconciling accounts, filing corrected insurance claims, and following up on all patient payment plans to ensure the patient accounts are processed and resolved
- Issue refunds to patients of over payments made
- Post insurance payments to accounts based on the ERA’s
- Assist with special projects as needed by the company
- Provide effective customer service for all internal and external customers by using excellent, in-depth knowledge as well as communicating effectively with team members and strong customer service.
Patient Advocate
FastPace Health
12.2021 - 03.2023
- Provided effective customer service by exploring the needs and priorities of patients and office offerings
- Inbound/outbound calls, take payments, answer billing questions, verify insurance eligibility, set up payment plans
- Bring accounts with issues to a resolution.
Self-Pay Representative
PhyNet Dermatology
08.2020 - 10.2021
- Assists patients with billing questions, obtain insurance information and verify eligibility through eClinical works and Emdeon, send claims back to the insurance department in-house to be process/reprocess when needed, inbound and outbound calls, accurately document all interactions with the caller, manually collect, process and post payments to the patients accounts, submit refund request when patient has a credit, work return mail by obtaining patients correct demographics, upload documentation to patient account for missing/not posted payments for research, mail/email patients claim summaries and payment receipts when requested, communicate to the billing managers at the offices any disputes/discrepancies in regards to the services rendered via email or EMA, assist the insurance department with mailing out appeals to insurance companies, follow HIPPA and provide great customer service.
Patient Account Representative
Results Physiotherapy
08.2017 - 03.2020
- Assist patients and clinics with insurance and billing questions, research and audit accounts to confirm balance or credit due to the patient, document appropriate notes on accounts, incoming and outbound calls, apply over the counter payments when working accounts, identify insurance denials/recoupments and/or wrong payments made and notify in-house insurance representative, work active patient report daily, set up payment plans for patients and notify the clinics, process payments over the phone from patients and attorneys, review status of old payment plans, review accounts ready for collections and submit to manager for approval, mail/fax statements and/or ledgers to patients, assist the verification dept
- When needed to verify patients benefits, assist the posting dept
- When needed to post patients OTC payments made at the clinic to each individual account, follow HIPPA, bring accounts to a resolution and provide great customer service.
Bilingual Patient Services Coordinator
Saint Thomas Midtown Hospital
01.2017 - 08.2017
- Provide quality customer service to physician’s patients, Schedule appointments for the provided physicians, accurately enters/ updates patient information in charts, verifies insurance eligibility and obtains authorizations for dates of services, accurately takes messages and conveys information to recipient, transfers calls to physicians and nurses when medically indicated.
Bilingual Customer Service Representative
Community Health Systems
01.2014 - 12.2016
- Inbound and outbound calls, set up payment arrangements, explain in general how insurance works, explain services rendered, request for claims to be rebilled, speak with insurance about patient responsibility, explain EOB'S to patients, advice of deductible and coinsurance, notate accounts, advice of late charges and request to rebill them, find solutions to problems, follow HIPPA, state laws and regulations.
Education
High School Diploma -
Antioch High School
01.2008
Skills
Verbal and written communication
Bill Payment and Recordkeeping
Patient Registration
Computer Skills
Credit adjustments
Customer Account Management
Appointment Scheduling
Billing Adjustments and Refunds
References
References upon request.
Timeline
Patient Financial Specialist
FastPace Health
03.2023 - Current
Patient Advocate
FastPace Health
12.2021 - 03.2023
Self-Pay Representative
PhyNet Dermatology
08.2020 - 10.2021
Patient Account Representative
Results Physiotherapy
08.2017 - 03.2020
Bilingual Patient Services Coordinator
Saint Thomas Midtown Hospital
01.2017 - 08.2017
Bilingual Customer Service Representative
Community Health Systems
01.2014 - 12.2016
High School Diploma -
Antioch High School
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