Chrystal Cortijo
Brooklyn,NY
Summary
An accomplished and collaborative professional with comprehensive medical field background as a billing coordinator in behavioral health, Certified medical assistant & expertise in customer service rep, administartive operation's, issue resolution, and data management focus on resolving discrepancies, providing data-driven insights & reports, adapting to changing needs and priorities. Extensive experience in medical operations, initiating appropriate action, following instructions, and efficiently completing task. Team player with a positive attitude. Recognized for maintaining accurate documentation and building cross-functional relationships.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Customer Service Advocate
Centene Corporation
Remote
09.2022 - 10.2023
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Verified B&E for Medicaid , Medicare & marketplace plans
- Viewed claims on amysis for reprocess , adjust claims through Omni
- Completed opening and closing functions to meet operational needs.
- Meeting all metrics needed
REMOTE BILLING COORDINATOR
BLEULER PSYCHOTHERAPY CENTER
Queens, NY
01.2020 - 09.2022
- In the event of a claim being denied, it is my responsibility to resubmit the claim
- Maintain a high degree of accuracy
- Generating failed claims report and process reversal in Carelogic
- Approve all claims in Carelogic
- Ensure that patients’ claims are processed based on the services rendered by the clinic
- Create claims batches
- Submit claims and resubmit denied claims via ABILITY clearing house
- Ensure processing of payments from insurance companies
- Issues invoice by entering service data; calculating charges; mailing invoices
- Track and resolve billing discrepancies
- Verify patients’ insurance coverage
- Perform appeals on denied claims
- Manage accounts receivable reports
- Provide billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends
- Accomplishes clinic mission by completing related results as needed.
Certified Medical Assistant, RECEPTIONIST
ProHEALTH Urgent Care
Brooklyn, NY
02.2016 - 02.2019
- Verifying insurances on navinet, availity , intranet .
- Serves patients by greeting and helping them, scheduling appointments, and maintaining records and accounts
- Welcomes patients and visitors in person or on the telephone, and answering or referring inquiries
- Optimizes patients’ satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
- Keeps patient appointments on schedule by notifying provider of patient’s arrival, reviewing service delivery compared to schedule, and reminding providers of service delays
- Comforts patients by anticipating patients’ anxieties, answering patients’ questions, and maintaining the reception area
- Ensures availability of treatment information by filing and retrieving patient records
- Maintains patient accounts by obtaining, recording, and updating personal and financial information
- Obtains revenue by recording and updating financial information, recording and collecting patient charges, controlling credit extended to patients, and filing, collecting, and expediting third-party claims
- Maintains business office inventory and equipment by checking stock to determine inventory level.
- retrieving clients vital signs
- phlebotomy
- EKG
- taking clients height & weight
Education
High school diploma or GED -
Associates Degree - Medical Assistant
ASA College
07.2019
Bachelor of Science - Health Administration
ASA College
Brooklyn, NY07.2021
Skills
- Avality
- EMR
- Customer relationship management (5 years)
- Medical Records
- Insurance Verification
- Availity
- Epaces
- OMNI
- Cenpas
- Portico
- Amysis
- Emdeon
- Zendesk
- EHR systems
- Medical terminology
- CPT Coding
- Medical Billing
- Centricty
- Customer service
- Claim Processing
Certification
Certified Professional Coder
Certified Medical Assistant
Timeline
Customer Service Advocate
Centene Corporation
09.2022 - 10.2023
REMOTE BILLING COORDINATOR
BLEULER PSYCHOTHERAPY CENTER
01.2020 - 09.2022
Certified Medical Assistant, RECEPTIONIST
ProHEALTH Urgent Care
02.2016 - 02.2019
High school diploma or GED -
Associates Degree - Medical Assistant
ASA College
Bachelor of Science - Health Administration
ASA College