Summary
Overview
Work History
Education
Skills
Languages
Additional Information
Timeline
Generic

Helen Del Pozo

Bronx,USA

Summary

I am goal-oriented and strongly committed to performing at the highest level of quality. I have excellent organizational and problem-solving skills, and the utmost, communication skills. In my positions within the healthcare field, I excelled in high-pressure, fast-paced environments.

Experienced with managing executive schedules, travel arrangements, and meeting coordination. Utilizes strong interpersonal skills to facilitate communication and collaboration among team members. Knowledge of office management software and administrative protocols.

Overview

22
22
years of professional experience

Work History

Executive Assistant to Chief Operating Officer

Union Community Health Center
07.2022 - Current
  • Executed objectives and projects in response to executive team and board members.
  • Collaborated with staff to streamline procedures and HR policies.
  • Assist HR with Onboarding process with new hire’s.
  • Maintained executive’s appointment schedule by planning and scheduling meetings, conferences, teleconferences, and travel.
  • Monitor and respond to emails, phone calls, and other inquiries, prepare expense reports, manage executive budgets, and reconcile corporate credit card statements. Coordinate and plan events, such as staff meetings, conferences, among other special events
  • Updated and implemented administrative and executive support policy changes and monitored effects.
  • Contribute to unit effort by accomplishing related duties as required.
  • Maintain personnel records. Assist with interviewing for faculty or staff assistant positions.

Receptionist/Authorization Specialist

Eschen Prosthetics & Orthotics
03.2019 - Current
  • Electronically and manually retrieve and enter patient information into EMR system (medflex)
  • Verify Insurance coverage, communicate with insurance companies regarding claims/obtain authorization from health insurance, worker’s comp - collect all documents as needed for prompt approval.
  • Answer phones, schedule established patients/potential patients, fax, file scan and make copies of medically related documents
  • Prepare charts for billing - scan all documents into patient electronic account in a timely manner.
  • Provide customer service to patients/ hospital- clinic staff with proper information regarding patient DME device with current authorization statuses.
  • Prepare and process in house hospital orders.

Call Center Agent/ Revenue Cycle Specialist

NY MINIMALLY INVASIVE GYNECOLOGIC SURGERY P.C
11.2015 - 12.2018
  • Answer very high call volume of calls for OB/GYN practice, scheduling office based procedure using EClinical Works, scheduling consultations with providers, monitor ZOCDOC & patient pops, reply to all patients e-mails that have submitted inquires about booking appointment, Coordinate Surgeries./ Medical Biller submit claims to insurance companies, Identify and resolve patients’ billing problems and discrepancies/Processed payments from insurance companies and prepared daily deposits -Verified completeness and accuracy of all billing records and claims prior to submission -Electronically submitted claims through the use of software systems. Printed paper claims for insurance companies who did not accept them electronically. Updated and processed insurance claims for time and accuracy. Submitted claims to Medicare, Medicaid, and private health insurance providers.
  • Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
  • Examine patients encounter forms to verify diagnosis codes, and reconcile codes against services rendered.
  • Accurately input procedure and diagnosis codes into billing software to generate invoices.
  • Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time.
  • Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.
  • Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements.obtaining referrals and pre-authorizations as required for procedures.

VERIFICATION SPECIALISTS/FRONT DESK/CUSTOMER SERVICE

All City Medical Plaza
08.2012 - 10.2015
  • Managed front desk by answering office phone calls, scheduling appointments and collecting co-payments.
  • Verify all patient's insurance eligibility, for Internalist, Podiatrist, Urologist, Neurologist &Opthamologist
  • Set up accounts for new patient's
  • Obtaining authorization from insurance for visits
  • Answer heavy switch board and high call volume.
  • Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Reviewing patient bills for accuracy and completeness and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of patient follow-up.
  • Researching and appealing denied claims.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up patient payment plans and work collection accounts.

Receptionist

Broadway Medical, Total P.C
03.2009 - 05.2012
  • Set up patient Medical Records
  • Call insurances to obtain eligibility, pre-approvals and claims information
  • Monitor front desk area, multi line phones, expedite patient and perspective patients registration flow.
  • Scheduled general medical appointments.
  • Greet and check-in patients, and collect personal, medical, and insurance information.
  • Schedule, reschedule, and verify patient appointments; schedule appointments with secondary care providers.
  • Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.

Receptionist/Intake Specialist

Doshi Diagnostics Imaging
09.2008 - 02.2009
  • Participates in the rotation of department responsibilities and performs other projects and duties as related to the organization's objectives
  • Researches each patient entry to insure that only one patient record exists by matching designated criteria in the database. Identifies duplicates patients and completes patient merge requests following established guidelines
  • Files and sorts reports and charts, faxes patient reports to the referring doctors and specialists and provides verbal reports via phone system
  • Is proficient in scheduling Ultrasound, mammograms, and xray exams
  • Checks voicemail according to the daily schedule routine and follow-up appointments.
  • Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPAA and

Wilens & Baker P.C
01.2004 - 08.2008
  • File paperwork with courts, insurance companies, hospitals, clients, etc. involved in the case
  • Greet clients in the office and direct them to appropriate location
  • Scheduled and confirmed appointments with clients and other personnel
  • Performed clerical work such as filing, copying, faxing, emailing, etc.
  • Answer A 15 line switchboard and direct phone calls.

Education

GED -

Monroe College
Bronx, NY
01-2005

Skills

  • Bilingual, (speak, read and write English & Spanish) Customer Service Oriented, Empathy, Flexibility, Computer and office equipment literate Medical Billing (3 years)
  • Proficient in Microsoft Excel
  • Microsoft Word

Languages

Spanish
Native or Bilingual

Additional Information

  • Administrative Skills - Understand insurance benefits and deductibles, HIPPA Medical Office Procedures, Health Insurance Claims Processing, etc. SKILLS
  • Bilingual - Fluent in English and Spanish(speak, read & write)

Computer application skills - ECW , MS Office, MS Word Type 50-75WPM


Timeline

Executive Assistant to Chief Operating Officer

Union Community Health Center
07.2022 - Current

Receptionist/Authorization Specialist

Eschen Prosthetics & Orthotics
03.2019 - Current

Call Center Agent/ Revenue Cycle Specialist

NY MINIMALLY INVASIVE GYNECOLOGIC SURGERY P.C
11.2015 - 12.2018

VERIFICATION SPECIALISTS/FRONT DESK/CUSTOMER SERVICE

All City Medical Plaza
08.2012 - 10.2015

Receptionist

Broadway Medical, Total P.C
03.2009 - 05.2012

Receptionist/Intake Specialist

Doshi Diagnostics Imaging
09.2008 - 02.2009

Wilens & Baker P.C
01.2004 - 08.2008

GED -

Monroe College

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