Dora Benavidez Nieto
Atlanta,GA
Summary
Detail-oriented revenue cycle specialist with comprehensive knowledge of insurance verification and HIPAA compliance. Skilled in addressing customer concerns, ensuring accuracy in billing operations, and maintaining high standards of patient privacy.
Overview
17
17
years of professional experience
Work History
Revenue Cycle Specialist
Sutherland Global
Clinton, New Jersey
10.2024 - Current
- Administered patient accounts, integrating billing operations.
- Maintained compliance with HIPAA standards, protecting patient privacy rights.
- Developed a comprehensive understanding of medical insurance claims processes, including Medicaid and Medicare.
- Resolved customers' inquiries regarding billing statements, payment options, and account balances.
- Reviewed accounts for accuracy and completeness regularly.
Receptionist
Flowers By Nino
Houston, Texas
06.2023 - 08.2024
- Greeted visitors warmly and ensured they had a positive experience when selecting an arrangement.
- Handled cash and credit card payments with accuracy.
- Answered phones professionally in accordance with organizational protocols.
- Provided superior customer service by responding to orders in an efficient and friendly manner.
- Collaborated with team members to ensure smooth daily operations.
Unit Clerk
Bergen New Bridge Medical Center
Paramus , NJ
05.2022 - 04.2023
- Performed reception duties such as answering phones, greeting visitors, scheduling appointments, and filing documents into patient charts.
- Developed strong organizational and administrative skills while managing multiple tasks simultaneously as a unit clerk.
- Provided excellent customer service by responding promptly to inquiries from patients and their families regarding the services offered by the unit.
- Collaborated with physicians and other healthcare professionals to ensure that quality patient care was provided efficiently.
- Assisted with the discharge planning process by providing necessary paperwork for follow-up visits or referrals.
Member Service Specialist
Texas Children Hospital
Houston, Texas
07.2018 - 02.2020
- Coordinated patient appointments and managed scheduling conflicts.
- Provided information on hospital services and resources to patients.
- Scheduled patient appointments using electronic medical record systems.
- Communicated with patients regarding appointment details and changes.
- Resolved scheduling conflicts through effective problem-solving techniques.
Sr. Service Specialist II
JPM Chase
Houston , TX
08.2012 - 04.2015
- Assisted customers with account inquiries and transaction issues.
- Educated clients about banking products and services available.
- Collaborated with team members to improve customer service processes.
- Processed deposits, withdrawals, transfers, payments, and check cashing.
- Monitored account activity for potential fraud or unauthorized transactions.
- Analyzed customer feedback data to identify trends in customer service issues.
Pharmacy Technician
Kelsey-Seybold
Houston, Texas
01.2009 - 06.2011
- Prepared and dispensed medications accurately for patient prescriptions.
- Assisted pharmacists in verifying prescription orders for completeness.
- Processed insurance claims and handled billing inquiries promptly.
- Operated pharmacy software for prescription processing and record keeping.
- Provided customer service by answering queries related to medications.
- Performed data entry for patient profiles, billing information, and prescription orders into the pharmacy software system.
- Flagged potential side effects and allergies to prescribed medications for patients.
Education
GED -
Houston Chicano Family Center
Houston, TX01-2001
Diploma - Medical, Code, And Billing
Gwinnett College
GASkills
- Medical billing
- Insurance verification
- Claims processing
- Electronic records management
- HIPAA compliance
- Patient account management
Languages
Spanish
Native/ Bilingual
Timeline
Revenue Cycle Specialist
Sutherland Global
10.2024 - Current
Receptionist
Flowers By Nino
06.2023 - 08.2024
Unit Clerk
Bergen New Bridge Medical Center
05.2022 - 04.2023
Member Service Specialist
Texas Children Hospital
07.2018 - 02.2020
Sr. Service Specialist II
JPM Chase
08.2012 - 04.2015
Pharmacy Technician
Kelsey-Seybold
01.2009 - 06.2011
GED -
Houston Chicano Family Center
Diploma - Medical, Code, And Billing
Gwinnett College