Edith Zamora Velasquez

Customer service oriented professional, capable of providing timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to ensure consistent quality and maintains and safeguards patient privacy and confidentiality.multitasking

• Payment Posting
• Scheduling
• HIPAA Compliance
• Medical Terminology
• Insurance Verification
• Insurance Claim Processing
• EOBs
• Co-Payments
• Deductibles
• Managed Care (HMO, PPO, POS)
• Government Payers
• Third Party Payers
• Greenway Prime Suite EHR
• Electronic Medical Records (EMR)
• Electronic Health Records (EHR)
• Medical Billing
• Medical Coding
• ICD-9
• ICD-10
• HCPCS
• CPT
• Medicare
• Medicaid
• Tricare
• CMS 1500
• CMS 1450 (UB-04)
• Fee Schedules
• Medical Office Procedures

• North Park Health and Rehabilitation Center, McKinney, TX, Patient Care Technician, 2017-06-01, 2017-07-01, Attended to the individual needs of patients including assistance with grooming, bathing, oral hygiene, feeding, incontinent care, toileting, prosthetic appliances, transferring, ambulation and range of motion exercises, Lifted, moved and transported residents, utilizing proper body mechanics or lifting devices for accident prevention, Maintained the comfort, privacy, and dignity of patients by completing duties in a manner that displayed warmth and promoted a caring environment, Performed all responsibilities in accordance with prescribed safety and infection control procedures
• DebtBlue, Plano, TX, Debt Collector, 2020-11-01, 2021-04-01, Manage inbound and outbound calls and handle correspondence, Engage directly with customers regarding account status and program knowledge requests, Research and determine appropriate solutions for the client and follow-up as needed, Develop, nurture, and manage client relationship to prevent negative ratings, Consistently perform above the Key Performance Indicator (KPI), Preserve client confidentiality and comply with all federal and state regulations
• Stay-at-Home Parent, McKinney, TX, Homemaker, 2017-07-01, Present, Ensure household duties are completed in a timely manner, Develop, manage, and maintain a budget effectively, Coordinate medical care, meals, and social activities
• A-Max Auto Insurance, McKinney, TX, Agent Representative, 2020-07-01, 2020-11-01, Managed inbound and outbound calls and promoted company to customers in need of insurance, Educated customers on different insurance coverage plans and made recommendations based on their needs, Maintained all insurance documents confidential
• KFC | Quick Service Restaurant, Plano, TX, Crew Member / Cashier / Customer Service, 2019-07-01, 2019-09-01, Performed a multitude of tasks including food production and serving customers at the cash register, Operated cash register, accepted payments, and made accurate change, Ensured accuracy of cash drawer and kept work area clean and organized, Worked in a team environment and communicated effectively with managers and co-workers
• TYG Products | Warehouse, McKinney, TX, Quality Control Clerk, 2015-08-01, 2016-02-01, Ensured that product being sold was not in any way harmful or defective and ensured that it worked properly, Noted problems and rejected defective items and sent them for repair, Completed any combination of light cleaning duties to maintain the establishment
• Children’s Choice Pediatrics | Pediatric, McKinney, TX, Front office receptionist, 2021-12-01, 2022-07-01, Greet all patients when walking into the clinic, Check patients in to be seen by the providers, Check patients out and schedule them for their yearly, ADHD, Depression, same day sick visits, office visits, appointment, Call next day appointment and confirm insurance benefits, Fax/Emails, Open/Close
• PM Pediatrics Urgent Care, Dallas, TX, Front Desk Receptionist, 2022-07-01, 2023-07-01, Check in patients, Check out patients, Verify insurance and commercial insurance, Open/close, Clean lobby, Scan labs, DME’s Major DME’s, Answer inbound and outbound calls, Make sure patients are in office to be seen, EHR, EMR