Eva Welch
NACA Inc. Flagstaff, AZ
Flagstaff,AZ
28
years of professional experience
Skilled healthcare support professional with expertise in managing patient interactions and administrative tasks. Collaborates effectively with teams to adapt to evolving needs while ensuring high levels of patient satisfaction. Delivers quality service through efficient scheduling and problem-solving, contributing to overall team goals in patient care.
Work History
Patient Service Representative
1 Year 3 Months- Checked in and checked out patients for Family Health Center and Behavioral Health to ensure smooth patient flow.
- Obtained and verified private insurance, Medicare/Medicaid, and TPL via insurance portal to facilitate accurate billing and coverage.
- Collected Insurance copays, account balances, and new patient assessment fee.
- Established and entered new patient demographics.
- Answered incoming calls and made outgoing calls.
- Managed medical records requests, pulled charts for daily appointments, and organized documents in patient charts to maintain efficient access to information.
- Assisted billing department with collecting outstanding balances, mailed out billing statements.
- Provided patients or the public with public resources that NACA has to offer and referred to outside entities.
- Volunteered for community outreach.
Customer Service Agent II
1 Year 2 Months- Received incoming inquiries and service requests from patients, employees, providers, vendors and others, via phone & e-mail and responds to each with accurate and timely information utilizing the highest customer service and quality standards.
- Received incoming inquiries and service requests from patients, employees, providers, vendors and others, via phone & e-mail and responded to each with accurate and timely information utilizing the highest customer service and quality standards.
- Scheduled and rescheduled appointments for Family Medicine, Internal Medicine and Pediatric department for the Bay area in California.
- Built and maintained collaborative relationships with customers to identify additional service opportunities and enhance overall customer satisfaction.
- Fostered an environment encouraging continuous improvement in business processes and services, promoting recognition of innovative ideas.
- Adhered to all local/federal/state/regulations, codes, policies and procedures to ensure privacy and safety of our patient and employee information.
Customer Service representative
1 Year 5 Months- Professionally greeted and checked in patients daily by verifying patient information, insurance documents, referrals, and entering changes into computer creating seamless and friendly customer service.
- Professionally greeted and checked in patients daily by verifying patient information, insurance documents, referrals, and entering changes into the computer creating seamless and friendly customer service.
- Organized and reviewed previous day's delivery route to ensure accuracy. and checked paperwork for accuracy and completeness.
- Completed Statement of Procedure and Certificate of Medical Necessity documents on tracking log.
- Complied with company policies to meet JCAHO standards.
- Coordinated patient information and processed clinic forms, preparing files for billing department with a detailed review of all documents.
- Completed Statement of Procedure and Certified of Medical Necessity documents on tracking log.
- Managed intake process, answered calls, received faxes, collected patient and referral information, and processed paperwork to support seamless operations.
Accounts Receivable
4 Months- Prepared and processed A variety of documents necessary for maintenance and follow up of outstanding patient accounts.
- Contacted Primary Insurance Companies and Third-Party Administrators for reimbursement on services that was rendered to the patients.
- Contacted Primary Insurance Companies and Third-Party Administrators for reimbursement on services that were rendered to the patients.
- Followed up with responsible parties on outstanding balances and initiated financial arrangements to facilitate timely payments in accordance with organizational policies.
- Tracked and monitored all data; performed work consisting of claims payment for services provided for reimbursement made by beneficiaries and non-beneficiaries for services as medical care and treatment.
- Prepared monthly, quarterly, and annual A/R Aging Detail of all accounts.
- Prepared A/R aging detail reports on a monthly, quarterly, and annual basis to provide clear visibility into outstanding accounts.
- Documented all activity on patient accounts and patient financial folders.
- Recorded all activities related to patient accounts to maintain accurate records. on patient accounts and patient financial folders.
- Adhered to HIPAA Rules and Regulations and Indian Self-Determination Act.
Human Resources Assistant
10 Months- Executed clerical and administrative tasks to support daily operations.
- Staffing support using an automated staffing tool such as USA Staffing.
- Provided general information and directed visitors to appropriate personnel for specific information.
- Greeted visitors and provided information, directing them to appropriate personnel for assistance.
- Obtained information from variety of sources that required extensive searching, researching, via phone, e-mail, and mail.
- Compiled and organized reports and files related to incoming calls for easy access.
- Researched and gathered information from multiple sources through phone, email, and mail.
- Prepared reports, forms, and tabular material providing proper spacing, heading, and arrangement for ease of understanding and information processing.
- Received and distributed incoming mail, prepared outgoing mail for delivery, maintained a central filing system.
Child Support Enforcement Officer II
3 Years 3 Months- Established paternity for children born out of wedlock for the purpose of collecting Child Support, Arrearage, and reimbursements.
- Obtained accurate information, documents, and collected genetic materials for use in establishing paternity and child support orders within the State of Arizona.
- Prepared legal documents for paternity and child support orders, referred cases to Attorney General for court filing, and assisted with case preparation, including attending pre-hearing conferences and court hearings.
- Initiated interstate cases to establish paternity and set up child support orders for non-custodial parents residing out of state.
- Initiated sanction process on TANF and AHCCCS recipients for uncooperative custodial parents.
- Referred all Native American cases to the Attorney General to determine if Apache and Coconino Counties had subject matter jurisdiction to work cases on behalf of the custodial parent.
- Investigated and determined a location of the non-custodial or absent parent.
- Interviewed individuals who are parties to the case, analyzed and evaluated information, received verbal and written forms.
- Researched and collected all pertinent data to case(s).
- Managed case activities independently by applying rules and regulations, communicating effectively with custodial and non-custodial parents, prioritizing daily tasks, and updating automated case management system.
- Handled frequent public contact, including contact with individuals who are uncooperative.
- Collected payments from non-custodial parent or third party to apply to their child support obligations.
- Managed the process of opening and closing cases efficiently, ensuring all documentation was complete.
Medical Support Assistance
1 Year- Managed overall patient experience including check-ins, checkouts and wait times while maintaining 95% patient satisfaction.
- Scheduled and rescheduled appointments for patients and/or per the doctor's request.
- Contacted other facilities to schedule referral appointments.
- Managed clinic schedules for surgical, orthopedic, urology, and podiatry services using RPMS and Stockell database, enhancing appointment flow.
- Reviewed and analyzed patient care components for completion for billing.
- Requested patient charts for thorough review by the medical team.
- Completed lab and radiology forms for the clinical staff.
- Mailed appointment reminders to patients to confirm upcoming visits.
- Interpreted for non-speaking English patients per the doctor's or Nurse request.
Payroll Technician
3 Months- Ensured that timecards are entered accurately and in a timely manner on all 5/23+ employees by the end of each pay period on biweekly basis.
- Ensured that timecards are entered accurately and in a timely manner on all 5/23+ employees by the end of each pay period on a biweekly basis.
- Compiled employee time, production, and payroll data from time sheets and records to ensure accurate payroll processing.
- Verified attendance, hours worked, and pay adjustments, and posted information onto designated records.
- Completed timesheets showing employees' arrival and departure times.
- Collected employee timecards at the end of each pay period for processing.
- Maintained competency in ADP database.
- Maintained thorough knowledge of corporate computerized payroll system to support efficient payroll operations.
- Completed timesheets showing employees arrival and departure times.
- Collected timecards each pay period.
- Assisted budget analysts, senior accountants, and accounts payable technicians with the processing of various financial transactions.
Accounts Payable Technician
1 Month- Processed accounts payable transactions, including entry of invoice data, matching invoices with purchase orders, and processing payment requests.
- Paid vendors, where possible in a timely manner to take advantage of discounts.
- Processed accounts payable transactions as assigned, including entry of invoice data, matching of invoices with purchase orders, processed payment request, and other payment authorizations.
- Initiated accounts payable checks for payments to vendors to be printed by the corporate computerized accounts payable system.
- Maintained organized accounts payable document files, preventing duplicate vendor payments and facilitating efficient management review.
- Maintained a thorough working knowledge of the corporations computerized accounts payable and computerized financial systems.
Claims Assistant
2 Months- Served as a primary contact for the Veteran and his or her representative.
- Acted as the primary contact for the Veteran and his or her representative.
- Educated veterans on VA benefit programs and entitlement criteria to enhance understanding and access.
- Advocated for successful resolution of compensation and pension claims to support veterans' needs.
- Analyzed claimed and determined if the disposition of the claim and control action has been appropriately identified.
- Analyzed claims and determined if the disposition of the claim and control action has been appropriately identified.
- Prepared reports of contact.
- Provided administrative support to the team.
- Executed core responsibilities aligned with team objectives. aligned with the assigned team's mission.
Collection Specialist II
5 Years 4 Months- Initiated a variety of documents necessary for maintenance and follow up of all outstanding patient accounts.
- Coordinated with primary insurance companies and third-party administrators to secure reimbursements.
- Followed up with responsible parties on outstanding balances and made financial arrangements in accordance with organizational policies and procedures.
- Initiated primary contact via telephone, correspondence, e-mail to Third Party Administrators and the beneficiary regarding additional information that was needed to complete the processing of claim.
- Initiated primary contact via telephone, correspondence, e-mail to Third Party Administrators and the beneficiary regarding additional information that was needed to complete the processing of the claim.
- Set goals and prioritized work to reconcile accounts that were delinquent or beyond 90 to 120+ days.
- Documented all activity related and performed on patient accounts and patient financial folder.
- Established goals and prioritized efforts to reconcile delinquent accounts over 90 to 120+ days.
- Adhered to HIPAA Rules and Regulations and Indian Self-Determination Act.
Medical Biller
4 Months- Third party billing for Hospital Emergency Room Physicians.
- Billed medical claims to Private Insurance, Medicare, Medicaid, Workman's Compensation and Auto Insurance.
- Recorded patient demographic information into medical records system.
- Revised patient records with latest personal and medical details.
- Assessed patient accounts to clarify status and facilitate timely billing.
- Contacted third party payers to resolve outstanding balances.
- Established payment arrangements and negotiated remaining balances.
- Received and responded to correspondence on a daily basis.
- Surpassed established benchmarks for service quality and productivity.
Claims Reviewer
3 Months- Repriced incoming medical claims through outpatient surgical procedure database within strict turnaround time.
- Coordinated client and service representative inquiries to ensure timely claims processing.
- Performed patient call process and Provider inquiries.
- Submitted repriced claims to insurance companies for payment processing.
- Conducted final resolution calls to patients after claims settlement process.
- Advocated for patient rights and needs during the claims process.
Claims Examiner
3 Months- Entered Hospital and Physician claims from source documents into computer database, supporting timely claims processing.
- Transcribed pre-coded alphanumeric data from source documents and phone calls into automated system, enabling efficient data retrieval.
- Verified accuracy and completeness of data, contributing to reliable claims management.
- Received and reviewed incoming correspondence from clients and vendors.
- Executed various assigned duties to support team operations.
Claims Customer Service Representative II
4 Years 2 Months- Processed complex Hospital and Physician claims for all types of services for the Federal Employee Program.
- Handled claims on a daily basis and corrected edits, audited, when necessary, the entry of claims to ensure accuracy.
- Conducted medical reviews and contract determinations using manual procedures and current coding/procedural guidelines.
- Processed any adjustments needed online with necessary research.
- Explained benefits, claim payments, denials, and adjudications to subscribers, group representatives, hospitals, and physician offices.
- Consulted Marketing, Enrollment Services, Provider Relations and Medical Review departments to obtain required information. Exceeded standards for quality and quantity. Displayed working knowledge of systems procedures forms and contract types.
Education
Certificate - Medical Billing and Coding
No Degree - General Studies
No Degree - Front Office Medical Assistant/Internship
Skills
Patient registration
Appointment scheduling
Insurance validation
Patient check-in
Appointment confirmation
Appointment reminders
Patient follow-up
Appointment coordination
Medical terminology
Insurance verification
Eligibility determination
Medical billing
Data entry skills
HIPAA compliance
Patient confidentiality
Patient education
Medical insurance
Electronic health records
Data entry proficiency
Clinical data entry
Data protection
Workflow optimization
Reception management
Facility navigation
Directing callers
Phone etiquette
Telephone communication
Conflict resolution
Problem-solving
Scheduling appointments
Insurance billing
Patient identity verification
Check-in management
Appointment verification
Patient feedback collection
Records organization
Patient interviewing
Patient surveys
Scheduling diagnostic procedures
Phone and email communication
Virtual care coordination
Payment processing
Fee collection
Document filing
Records maintenance
Billing procedures
Policy understanding
Work quality evaluation
Payment facilitation
Patient pre-registration
Multitasking and organization
Flexible schedule
Punctuality
Friendly and outgoing
Verbal communication
Client follow-up
Customer follow-up
Complaint management
Scheduling
Patient record management
Claims processing
Issue resolution
Insurance billing
Identity confirmation
Detail orientation
Registration management
Timeline
Patient Service Representative
NACA Inc. Flagstaff, AZ
12.2023 - 03.2025Read More
Customer Service Agent II
Sutter Healthcare Salt Lake City, UT
07.2022 - 09.2023Read More
Customer Service representative
Rotech Healthcare Flagstaff, AZ
08.2019 - 01.2021Read More
Accounts Receivable
Tuba City Regional Healthcare Corporation Flagstaff, AZ
01.2016 - 05.2016Read More
Human Resources Assistant
Department of The Interior Flagstaff, AZ
06.2014 - 04.2015Read More
Child Support Enforcement Officer II
Department of Child Support Services Flagstaff, AZ
02.2011 - 05.2014Read More
Medical Support Assistance
Tuba City, AZ
05.2009 - 05.2010Read More
Payroll Technician
Tuba City, AZ
09.2008 - 12.2008Read More
Accounts Payable Technician
Tuba City, AZ
07.2008 - 08.2008Read More
Claims Assistant
Department of Veterans affairs Phoenix, AZ
04.2008 - 06.2008Read More
Collection Specialist II
Tuba City, AZ
12.2002 - 04.2008Read More
Medical Biller
Professional Management Group Salt Lake City, UT
01.2002 - 05.2002Read More
Claims Reviewer
Concentra Preferred Systems Salt Lake City, UT
10.2001 - 01.2002Read More
Claims Examiner
ACS Process Solutions Sandy, UT
07.2001 - 10.2001Read More
Claims Customer Service Representative II
BCBS of AZ Phoenix, AZ
01.1997 - 03.2001Read More
Phoenix College
No Degree from Front Office Medical Assistant/Internship
Read More
Coconino Community College
No Degree from General Studies
Read More
Devry University
Certificate from Medical Billing and Coding
Read More