Edith Salazar
Humble,TX
Summary
A highly organized detail-oriented professional with focus on deadlines and experienced in medical billing and administrative clerical support. Proven to accurately process and maximize reimbursement while ensuring compliance with all regulations. Team-oriented person with great decision-making skills.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist
Millennium Physicians Rheumatology
03.2022 - Current
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Worked with RCX on scrubbing infusion IV encounters through charge capture, as well as office visits.
- Worked with infusion department to obtain prior authorizations for IV drugs through specialty pharmacies.
- Helped in finding patient assistance through drug foundations exp. Johnson&Johnson
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Front Desk Receptionist
Millennium Physicians Oncology
08.2019 - 03.2022
- Enhanced customer satisfaction by providing efficient and professional front desk services.
- Streamlined office operations for improved productivity with effective organization and communication skills.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Increased guest retention by maintaining a welcoming and organized reception area.
- Expedited check-in and check-out procedures for guests, ensuring seamless experiences during their visits.
- Developed strong working relationships with team members, fostering a positive work environment.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
- Scheduled appointments accurately using reservation software, reducing conflicts or double-bookings.
- Answered multi-line phone system and transferred callers to appropriate department or staff member.
- Collected co-payments, processed transactions and updated relevant records.
Front Desk Receptionist
First Health Clinic
01.2018 - 08.2019
- Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
- Insurance Verification to assure correct collection of any copays, deductible, coinsurance amounts due at time of service.
- Expedited check-in and check-out procedures for guests.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Collected and distributed messages to team members and managers to support open communication and high customer service.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments.
Education
Associate of Arts - 54 Credits
Lone Star College System
Houston, TXCertificate - Medical Billing And Coding
Remington College
Houston, TX10.2015
Skills
- Conflict Resolution
- Patient Billing
- Organizational Skills
- Insurance Verification
- ICD-10 Coding
- Proficiency in NextGen
- HIPAA Compliance
- Data Entry Accuracy
- Attention to Detail
- CPT Knowledge
- Billing and Collection Procedures
- Team Collaboration
Profieciency in English and Spanish
Fluent to speak, read and write in both languages.
Timeline
Medical Billing Specialist
Millennium Physicians Rheumatology
03.2022 - Current
Front Desk Receptionist
Millennium Physicians Oncology
08.2019 - 03.2022
Front Desk Receptionist
First Health Clinic
01.2018 - 08.2019
Associate of Arts - 54 Credits
Lone Star College System
Certificate - Medical Billing And Coding
Remington College
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