Heather Morales Montano
Wildomar,CA
Summary
Experienced medical office professional with a Bachelor's degree and 3 years experience overseeing tasks related to health administration and management. Highly organized with vast knowledge in various health insurances and hospital admissions.
Overview
5
5
years of professional experience
Work History
Patient Service Representative- Emergency Room
Tri-City Medical Center
08.2023 - 11.2023
- Proficient in registering over 150 patients daily and filling out check-in and payment paperwork.
- Collects copayments and compile daily financial records.
- Knowledgeable in utilizing Passport Onesource, Availity, Medi-Cal and various insurance provider portals for insurance verification and billing purposes.
- Experience in processing Hospital Presumptive Eligibility for self-pay patients.
- Follow HIPAA document protocols to safeguard confidentiality of patient records.
Medical Front Office Supervisor
Neighborhood Healthcare
12.2019 - 02.2023
- Hired, managed, developed and trained staff of 8, established and monitored goals, conducted performance reviews.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Collaborated with site leadership team of 6 and company executives to create and streamline work flows and policies that improve customer and employee satisfaction.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Trained employees/new hires via Microsoft Teams and SharePoint applications.
- Provided backup to front desk and stepped in to assist with various tasks for registration and check in.
- Processed Pregnancy presumptive eligibility for Medi-cal, processed CHDP, FPACT and Every Woman Counts applications through Medi-cal portal.
- Communicated with insurance companies to verify insurance, payment information, benefits explanation, and primary care changes.
Medical Billing Clerk
MBSC Consultants
12.2018 - 04.2019
- Updated patient financial information to guarantee accuracy for 5 surgery centers.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prepared billing statements for insurance carriers and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
Education
Bachelor of Science - Medical Health Administration Management
University of Phoenix
Tempe, AZ03.2018
Associate of Science - Medical Billing And Coding
Westwood Career College
Ontario, CA11.2015
Skills
- Extensive Knowledge of HMO's, PPO's, Medi-cal and Medicare
- Use of insurance provider portals verifying insurance eligibility
- Appointment scheduling and confirmation
- Knowledge of CHDP, FPACT, EWC, Hospital PE applications and programs
- Confidential records management
- Hospital admissions and registration procedures
- Emergency room registration policies and procedures
- Knowledge of HIPAA regulations
- Microsoft Office 365 and Microsoft Teams
- SharePoint proficient
Timeline
Patient Service Representative- Emergency Room
Tri-City Medical Center
08.2023 - 11.2023
Medical Front Office Supervisor
Neighborhood Healthcare
12.2019 - 02.2023
Medical Billing Clerk
MBSC Consultants
12.2018 - 04.2019
Bachelor of Science - Medical Health Administration Management
University of Phoenix
Associate of Science - Medical Billing And Coding
Westwood Career College
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