Dominique Vallejos
Colorado Springs,Colorado
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
12
12
years of professional experience
Work History
Administrative Assistant
Wallram
08.2023 - 03.2024
- Completed clerical tasks such as filing, copying, and distributing mail
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions
- Assisted with human resources tasks such as updating employee files or submitting time-off requests per company policy guidelines
- Updated spreadsheets and databases to track, analyze, and report on performance and data
- Ensured accurate documentation, maintaining detailed records of shipments, invoices, and receipts for compliance purposes
- Provided exceptional customer service, addressing inquiries and resolving issues related to orders
- Managed purchase order processing from initiation to completion, verifying accuracy at each stage to prevent errors or delays
- Documented received materials into JobBoss and backlog system
- Handled high-volume paperwork and collaborated with administrators to resolve invoicing and shipping problems
- Generated documentation and information required for customer shipments
- Coordinated shipping requests for expedited delivery and documented accurately to achieve correct billing
- Tracked orders and notified customers of status or potential delays
Patient Service Representative
Preferred Homecare
02.2016 - 11.2017
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Taught patients and families to use at-home medical equipment.
- Greeted and assisted patients with check-in procedures.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Posted payments to accounts and maintained records.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Receptionist - Ortho Front Desk
Academy Kids Dental & Orthodontics
10.2014 - 01.2016
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
- Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
- Helped patients complete necessary medical forms and documentation.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
- Obtained payments from patients and scanned identification and insurance cards.
- Assisted with medical coding and billing tasks.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Prepared and processed patient referrals and transfer requests.
Teller
Pinnacle Bank
01.2014 - 09.2014
- Answered customer inquiries regarding account balances, transaction history, services charges, and interest rates.
- Assisted customers with compromised debit cards and issued new credentials.
- Identified sales opportunities and referred customers to branch partners in financial services.
- Balanced cash drawer daily and resolved discrepancies to provide accurate data regarding cash flow.
- Maintained accurate records of customer transactions in line with bank procedures.
- Disbursed cash and checks accurately while maintaining security of cash drawers.
- Logged cashier's checks and other transactions to maintain accurate account records.
- Placed orders for customer checks and verified starting numbers.
- Answered telephone inquiries on checking and savings accounts, loans, and lines of credit.
- Educated customers on use of banking website and mobile apps.
Patient Service Representative /Registered Dental Assistant
Aspen Dental
11.2011 - 08.2013
- Balanced deposits and credit card payments each day
- Took copayments and compiled daily financial records
- Resolved billing inquiries and disputes in timely fashion
- Entered patient demographic and insurance data into electronic medical record system
- Filed and maintained patient records in accordance with HIPAA regulations
- Investigated insurance claims denials and appeals
- Trained new staff on filing, phone etiquette and other office duties
- Prepared patient x-rays and images for dentist review
- Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety
- Prepared and arranged instruments, medications, and required materials for dental procedures
- Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges, and other dental prosthetics
- Recorded patients' health histories, documented current symptoms, and pulled up records from prior visits for dentists to view and evaluate
- Educated patients by giving oral hygiene, plaque control, and postoperative instructions
- Verified patient insurance eligibility and benefits
- Measured and recorded vital statistics by taking patients' blood pressure, temperature, and pulse
Education
Certification - Medical Billing And Coding
Penn Foster
Scranton, PA01-2025
Associate of Science - Business Administration
Colorado Technical University
Colorado Springs, CO05.2023
Certificate - Dental Assisting
Intellitec Medical Institute
Colorado Springs, CO06.2011
Diploma - General Studies
William J. Palmer High School
Springs, Colorado05.2010
Skills
- HIPAA compliance
- Medical billing procedures
- Claims processing
- Revenue cycle management
- Insurance verification
- Data entry and management
- Healthcare claim coding
- Anatomy
- Insurance coding (ICD-9 and CPT)
- Document control
- Account reconciliation
- Claims appeal procedures
Timeline
Administrative Assistant
Wallram
08.2023 - 03.2024
Patient Service Representative
Preferred Homecare
02.2016 - 11.2017
Receptionist - Ortho Front Desk
Academy Kids Dental & Orthodontics
10.2014 - 01.2016
Teller
Pinnacle Bank
01.2014 - 09.2014
Patient Service Representative /Registered Dental Assistant
Aspen Dental
11.2011 - 08.2013
Associate of Science - Business Administration
Colorado Technical University
Certificate - Dental Assisting
Intellitec Medical Institute
Diploma - General Studies
William J. Palmer High School
Certification - Medical Billing And Coding
Penn Foster
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