Hazel Diaz
Chesapeake
Summary
To leverage my three years of experience in insurance claim processing and customer service to contribute to a high-performing team, insuring accurate and timely claim resolution.
Experienced with managing accounts receivable processes and ensuring timely collections. Utilizes strong analytical skills to resolve billing discrepancies and enhance cash flow. Track record of effective financial analysis and customer service, contributing to overall business success.
AR specialist with strong expertise in accounts receivable management, reconciliation, and financial reporting. Proven ability to enhance cash flow, streamline processes, and ensure compliance with accounting standards. Known for reliability, adaptability, and effective teamwork that consistently drives results. Skilled in ERP systems, Excel, and customer communication, bringing both precision and efficiency to every task.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Ar Specialist
Sports Medicine and Orthopedics
11.2021 - Current
- Greeting patients
- Answering a high volume of phone calls
- Handle administrative tasks
- Being a resource for patients
- Exceptional customer Service and communicator
- Handle stressful and/confidential situation with ease and professionalism
- Scheduling patients using Athena
- Translator (fully bilingual Spanish and english)
- Assist patients with their questions
- Ensure patients insurance are active and within network
- Handle all patients referrals
- Ensure front desk area is clean and organize
- Chart Prep
- Secure building at the end of the day
- Analyze and resolve issues related to medical claim issues or denial
- Follow up with insurance companies to inquire about claim status and resolve issues
- Interpret Explanation of Benefits (EOBs) to ensure correct payment, adjustments, and patient responsibility
- Investigate and resolve billing discrepancies, denials, and payment delays in a timely manner
- Monitor accounts receivable balances and follow up on outstanding claims to ensure timely collection
- Maintain detailed and organized billing records in compliance with company standards and healthcare regulations
Navy CYP Lead Teacher
MWR Navy Child Youth Program
09.2020 - 11.2021
- Company Overview: This is a federal job
- Mentors assigned CY Program Assistant team
- Works with senior employees to provide instruction and training to lower-level employees
- Assists lower-level employees in completing the Standardized Module Training
- Assists the Training and Curriculum (T&C) Specialist in helping lower-level CY Program Assistants translate professional development training into practice by mentoring, guiding and role-modeling
- Models appropriate behaviors and techniques for working with children and youth
- Provides suggestions and makes recommendations to credential practicum candidates
- Assists the T&C Specialist with recording observations and charts progress of team members' on-the-job skills
- Consults frequently with the T&C Specialist for guidance on strategies to further assist team members' professional development efforts
- Plans activities for program participants based on observed needs of individual children and youth
- Continually reviews activities and plans for appropriateness
- Assists CY Program Assistants with assessment tasks when needed
- Participates in program evaluation using designated instruments such as programmatic rating scales, risk assessment tools (as required), self-inspection materials, and national accreditation tools
- Ensures assigned area achieves and maintains standards for DoD certification and national accreditation or equivalent
- Ensures compliance with law, policies, and regulations applicable to DoD CY programs
- Collects, maintains, and reports program participation data
- Performs other related duties as assigned
- This is a federal job
NAVY CYP PROGRAM ASSISTANT
MWR NAVY CYP
05.2015 - 06.2020
- Company Overview: This is a federal job
- Primarily accountable for planning and conducting an effective child development program that met the physical, social, emotional, and intellectual needs of each child in the program
- Maintained control of and accounted for the whereabouts and safety of children and youth in COMPLIANCE with LOSS policy
- Maintained professional interaction and relationships with employees, parents, and local installation command personnel
- Conducted appropriate play and learning activities to foster individual and group development
- Interacted with children during program activities, reviewed and implemented daily schedules/activity plans
- Demonstrated, instructed, lead and facilitated planned and spontaneous programs
- Planned activities for program participants based on observed needs of individual children and youth and continually revised plans and activities for appropriateness and inclusion compliance
- Acted as lead caregiver and completed all lead duties when lead Caregivers were on leave
- Helped prepare, arrange and maintain indoor and outdoor activity areas and materials to accommodate daily lesson plans
- Took inventory of supplies and equipment on a regular basis
- Completed and submitted required reports promptly while ensuring proper grammar, spelling, punctuation, and format
- Provided care, oversight, and accountability of children that complied with established standards, policies, procedures and regulations
- Help facilitate parent teacher conference as well as keeping the classroom clean and organize
- Able to identify and respond to emergency situations
- Provide a safe and nurturing environment for children to learn and grow
- Redirect children to encourage safe and positive behaviors
- Promoted healthy lifestyles and teaching positive patterns of social interaction
- Ability to communicate effectively in English and Spanish, both orally and in writing and possess strong interpersonal skills
- Current in all training and education guidelines
- Perform opening duties of the facility
- Stand front desk as needed
- Able to lift up to 40 pounds when necessary
- This is a federal job
Medical Biller
Healthcare Compliance Networking Inc.
08.2011 - 11.2014
- Ensure claims are entered and submitted within 48 hours and accurately apply payment to patient accounts
- Post and reconcile insurance and patient payments
- Research and resolve incorrect payments, EOB, rejections, and other issues with outstanding accounts
- Insure accuracy of insurance claims
- Verify correct ICD-9 and CPT codes for a variety of specialties and set up new patient accounts
- Assign ICD-9 to Physicians diagnosis and insure correct level of service and various other CPT codes
- Set-up practice management software for submission of electronic claims to clearinghouse
- Work with clearinghouse to resolve file compatibility issues
- Retrieve electronic Remittance Advice (ERA's)
- Send secondary claims upon processing of patient statements
- Answer and resolve patient billing inquiries
- Follow up on insurance and patient aging
- Resubmit insurance claims as necessary
- Very knowledgeable in timely filing restrictions
- Insure office practices are in compliance with HIPAA regulations
Medical Receptionist
I & O Medical Center
03.2005 - 07.2007
- Greet patients, directing all people to the appropriate locations and services in a courteous, polite and helpful manner
- Answering company telephone and scheduling appointments for patients according to established procedures
- Verify patients insurance and their eligibility
- Filing patient records
- Referring patients to other medical facilities
- Secure the building at the close of each working
- Perform loss preventions activities
- Daily responsibilities included assuring the readiness of the reception and opening the building at the designated time and having all front desk services fully operational at the start of business hours
Education
Technical or Occupational Certificate -
Kee Business College
Chesapeake, VA05.2003
Technical or Occupational Certificate -
Child Development Associate National Credentialing Program (CDA)
FPO, AEHigh School or equivalent -
Granby High School
Norfolk, VA06.2000
Skills
- Client communication
- Relationship building
- Payment tracking
- Customer account reconciliation
- Professional ethics
- Accurate payment posting
- Payment plan negotiation
- Accounting software proficiency
- Dispute resolution
- Aging reports analysis
- Customer service
- Active listening
- Critical thinking
- Data entry
- Problem resolution
- Complaint handling
- Microsoft Excel
- Scheduling
- Follow-up skills
Certification
- Medical Assistant Certificate
- CPR Certified, Virtual Lab Modules completed
Work Schedule
Full-Time
Job Type
Permanent
Timeline
Ar Specialist
Sports Medicine and Orthopedics
11.2021 - Current
Navy CYP Lead Teacher
MWR Navy Child Youth Program
09.2020 - 11.2021
NAVY CYP PROGRAM ASSISTANT
MWR NAVY CYP
05.2015 - 06.2020
Medical Biller
Healthcare Compliance Networking Inc.
08.2011 - 11.2014
Medical Receptionist
I & O Medical Center
03.2005 - 07.2007
Technical or Occupational Certificate -
Child Development Associate National Credentialing Program (CDA)
High School or equivalent -
Granby High School
Technical or Occupational Certificate -
Kee Business College
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