Graciela Zuniga-Cruz
Santa Clarita,CA
Summary
Results-driven Mid Shift Team Lead accustomed to overseeing PAS ED with strong attention to detail. History of meeting demanding group objectives through employee training, motivation and performance management. Working knowledge of optimal practices and safety behavior for PAS ED Registration.
Overview
16
16
years of professional experience
1
1
Certification
Work History
TEAM LEAD - MID SHIFT PAS ED
Henry Mayo Newhall Hospital
Valencia, CA
11.2017 - Current
- Preceptor to PAS ED new hires. Coach team members in techniques necessary to complete job tasks.
- Fill positions due to Call Outs / Short Shifts.
- Prepare accounts for billing including Workers Compensation, Third Party Liability plus all forms of PPO and HMO medical insurance health plans.
- Verify third party insurance and obtaining patient demographics.
- Collections of up front cash for patient copays and estimations of coinsurance.
- Completion of physician admission orders.
- Assisting patients with HPE Emergency Medi-Cal applications.
- PBX trained and knowledge and understanding of codes.
- Provide supportive link between ED and other hospital departments.
- Work with supervisor to implement proper division of responsibilities.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency.
- Adhered to established standards to safeguard patients' health information.
- Directed and supervised Mid/Night Shift Team.
- After Hours point of contact for incoming Registration request via email, phone.
CASH APPLICATION AUDITOR
U.S. HealthWorks
Valencia, CA
02.2009 - 06.2014
- Researching monies received that require additional examination for proper application.
- Responsible for ensuring and organizing accuracy of all payments which are not clearly identified as well as resolving any payments creating credit balances.
- Liaised to County San Diego which involved processing all transfer of payments, refunds, and/or any billing/payment discrepancies.
- Posted payments and collections on regular basis.
- Reviewed and audited accounts for accuracy.
ASSISTANT OFFICE MANAGER
Silver City Chiropractic, P.S
Silverdale, WA
12.2002 - 12.2008
- Insurance verification, obtained referrals, submitted weekly paper and EDI claims.
- Prepared and mailed monthly patient statements.
- Processed all medical records request.
- Audited all payment variances and unpaid bills on bi-monthly basis
- Maintained accurate schedule for required reports on all workers compensation accounts.
- Prepared deposits, audited petty cash.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
Education
MEDICAL BILLING HEALTH CLAIMS EXAMINER - MEDICAL BILLING AND CODING
ETON TECHNICAL INSTITUTE
PORT ORCHARD,WASkills
- Staff Education and Training
- Patient Complaint Resolution
- MediTech Software Experience
- Priority Management
- MAB Certification
- Motivational Leadership
- Complex Problem Solving
- Spanish Fluency
- Adaptable and Resilient
- Attention to Detail
- Shift end procedures
Certification
MAB Certification, Management Assaultive Behavior.
Languages
Spanish
Full Professional
Timeline
TEAM LEAD - MID SHIFT PAS ED
Henry Mayo Newhall Hospital
11.2017 - Current
CASH APPLICATION AUDITOR
U.S. HealthWorks
02.2009 - 06.2014
ASSISTANT OFFICE MANAGER
Silver City Chiropractic, P.S
12.2002 - 12.2008
MEDICAL BILLING HEALTH CLAIMS EXAMINER - MEDICAL BILLING AND CODING
ETON TECHNICAL INSTITUTE