Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Edina Reyes

Surprise,AZ

Summary

At Estrella Pediatrics, I excel in billing, payment posting, patient support, verifying, billing accuracy and enhancing insurance claim processes. My adeptness in data entry and customer communication and achieving significant efficiency. Skilled in HIPAA compliance and multitasking, I consistently maintained confidentiality and organization, contributing to improved patient satisfaction and financial accuracy.

I have 17 years experience in billing cycles and financial transactions. Consistently ensured timely and accurate billing.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Billing Clerk/Front Desk Receptionist

Estrella Pediatrics
11.2006 - Current


  • Verified accuracy of billing data and corrected discrepancies. Submitted original claims, corrected claims, resubmissions, followed up on denied claims and appeals if needed.
  • Assisted patients with inquiries regarding bills, OHI's, providing clear explanations of charges and answering questions related to insurance coverage or payment options.
  • Ensured timely submission of claims by accurately preparing and submitting Pediatric medical bills to insurance companies within specified timely deadlines. Also submitting to secondary insurances.
  • Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
  • Verified insurance of patients to determine eligibility for private and Medicare plans. Also registered on ID.me for security.
  • Posted payments on a daily basis via check, electronically and credit card. Preformed daily drop for office when needed.
  • Scheduled, coordinated and confirmed appointments and managed high-volume phone calls. Processed patient payments via telephone and in person with focus on accuracy and efficiency..


Education

GED -

Glendale Community College
Glendale, CA
05-1991

Skills

  • Data entry proficiency
  • Payment processing and transactions
  • Paperwork and documentation
  • Payment collection and posting
  • Decision-making
  • 10-key data entry
  • Customer communication
  • Billing data verification
  • Insurance verification for private and Medicare
  • HIPAA compliance
  • Claim submission
  • Multitasking and organization

Certification

  • CPR/AED Certification
  • OSHA Certified
  • HIPPA Certified
  • Medicare Fraud, Waste and Abuse Certified

Timeline

Billing Clerk/Front Desk Receptionist

Estrella Pediatrics
11.2006 - Current

GED -

Glendale Community College

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Edina Reyes