Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
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Erika Ceron Sanchez

Shakopee,Minnesota

Summary

Dynamic professional with proven expertise at Hennepin County in enhancing policy effectiveness and streamlining insurance verification processes. Skilled in patient advocacy and critical thinking, I successfully reduced claim denials through meticulous audits, while training new employees to ensure high standards in service delivery. Committed to optimizing patient outcomes and operational efficiency.

Professional in social services, prepared to provide comprehensive support to case managers and clients. Known for thorough documentation, confidentiality, and effective problem-solving. Collaborative team player with focus on achieving impactful results and adapting to changing needs. Proficient in client interaction and administrative tasks

Overview

16
16
years of professional experience

Work History

Financial Case Aide

Hennepin County
03.2021 - 03.2025
  • Created new policy and procedures for billing dept and Financial department.
  • Developed strategic recommendations for clients to address specific policy challenges and improve outcomes.
  • Enhanced policy effectiveness by conducting comprehensive research and analysis on various topics.
  • Met with patients face to face for financial counsel.
  • Help patients with filling out Discount programs application.
  • Helped patients with new, renewals and follow up of State insurance applications. Mncare, Medical Assistance and QHP
  • Conducted thorough assessments to identify client needs, prioritizing interventions and services accordingly.
  • Assisted with insurance verification tasks, expediting the billing process for both patients and providers.
  • Served as a liaison between patients and healthcare providers, ensuring clear communication of necessary information.
  • Assisted with medical coding and billing tasks.
  • Conducted patient intake interviews, recording and documenting relevant information.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Assisted in training new employees on best practices for efficient insurance verification processes and procedures.
  • Generated reports to track insurance verifications and claim progress.
  • Reduced errors in insurance claims by conducting thorough audits and implementing corrective measures.
  • Streamlined insurance verification process, reducing wait times for patients and medical staff.
  • Played critical role in financial counseling team, advising patients on insurance-related matters to optimize their healthcare expenditure.
  • Maintained up-to-date knowledge of insurance policies and changes, aiding in accurate verification.
  • Ensured accuracy in patient insurance information by meticulously verifying details, leading to reduction in claim denials.

Medical Insurance Biller

Children's Minnesota
01.2020 - 02.2021
  • Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
  • Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Posted payments and collections on regular basis.
  • Verified insurance of patients to determine eligibility.

Insurance Verification Specialist

Allina Health
11.2017 - 10.2019
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Played key role in minimizing financial losses by identifying and correcting discrepancies in insurance information.

Patient Service Representative

Allina Health
09.2016 - 11.2017
  • Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
  • Handled customer service inquiries in person, via telephone and through email.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Verified patient insurance eligibility and entered patient information into system.

Medical Receptionist

Allina Health
12.2014 - 09.2016
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
  • Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.

Clinic Manager

Brite Dental
03.2009 - 12.2014
  • Resolved patient complaints in a timely manner, ensuring a positive experience for all parties involved.
  • Hired, trained and supervised employees to maintain team of high performers.
  • Conducted regular staff evaluations, providing constructive feedback and setting clear expectations for future performance goals.
  • Created and implemented policies to improve operational efficiency and patient care quality.
  • Developed strong relationships with patients, fostering trust and loyalty to the clinic.
  • Demonstrated excellent leadership skills in managing a diverse team of medical professionals and support staff.
  • Monitored number of patients and wait times to create efficient flow of patients from check-in to check-out.
  • Budgeted for resources to control expenditure and maximize profits.
  • Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
  • Oversaw daily operational activities such as appointment setting, billing inquiries resolution, and inter-departmental communications within the clinic setting.

Education

MTS High School
Minneapolis

Skills

  • Administrative leadership
  • HIPAA compliance
  • Employee training
  • Employee recruitment
  • Revenue management
  • Patient flow
  • Critical thinking
  • Schedule management
  • Patient relations
  • Patient education
  • Patient advocacy

Accomplishments

  • Collaborated with team of 4 in the development of new policy and procedure for self pay estimates.
  • Created new workflows for billing department.
  • Created new workflows for Financial Case Aide's daily appointment management.

Languages

Spanish
Native or Bilingual

Timeline

Financial Case Aide

Hennepin County
03.2021 - 03.2025

Medical Insurance Biller

Children's Minnesota
01.2020 - 02.2021

Insurance Verification Specialist

Allina Health
11.2017 - 10.2019

Patient Service Representative

Allina Health
09.2016 - 11.2017

Medical Receptionist

Allina Health
12.2014 - 09.2016

Clinic Manager

Brite Dental
03.2009 - 12.2014

MTS High School

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Erika Ceron Sanchez