HILDA E. BERMUDEZ
Ocala,Florida
Summary
Over 35 years of healthcare experience. Motivated team player with 22 years of healthcare front office and billing/collections experience in pediatrics specialty divisions. Effectively surpass patient satisfaction standards. Possess all the competencies necessary for the effective daily operations of a medical specialty practice.
Overview
26
26
years of professional experience
Work History
Patient Account Representative
Memorial Healthcare System
01.2005 - 12.2023
- Answering multiple telephone lines
- Scheduling appointments and procedures
- Check in and out patients for their appointment
- Verify patient's medical insurance
- Coordinate telehealth visits
- Obtain referrals for specialty care / authorizations for procedures
- Greet patients and other visitors when they arrive
- Answer patient questions and provide assistance when necessary
- Distribute forms and paperwork to patients and check them over to ensure that required fields are completed properly
- Collect co-pays
- EMR
Billing and Collections Specialist
Memorial Healthcare System
01.1998 - 01.2004
- Obtaining referrals and pre-authorizations as required for procedure
- 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 the Epic billing software, including electronic claim processing
- Following up on unpaid claims within standard billing cycle timeframe
- Checking each insurance payment for accuracy and compliance with the contract
- 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 appeals denied claims
- Answering all patient or insurance telephone inquiries pertaining to assigned accounts
- Setting up patient payment plans and work collection accounts
Education
diploma -
Samuel J. Tilden High School
01.1992
Healthcare Certifications - Medicare Compliance, Cpr, HIPAA, OSHA, EPIC Super User
12.2024
Skills
- HIPPA Compliant
- Certified Spanish Interpreter
- Quality Customer Service
- Billing and collections
- Time management
- Knowledgeable in 9 different specialty
Timeline
Patient Account Representative
Memorial Healthcare System
01.2005 - 12.2023
Billing and Collections Specialist
Memorial Healthcare System
01.1998 - 01.2004
diploma -
Samuel J. Tilden High School
Healthcare Certifications - Medicare Compliance, Cpr, HIPAA, OSHA, EPIC Super User
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