Ida Izaguirre
Mercedes,TX
Summary
To obtain a challenging career where I can utilize my effective communication skills; research and leadership skills; ability to relate with customers; and enable me to make a positive contribution.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Billing and Coding Specialist
Pediatric Associates at Ridge
11.2022 - 12.2023
- Prepare and submitted claims forms to insurance companies and other third-party payers.
- Performed insurance verification.
- Entered procedure and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management.
- Responded to staff and client inquiries regarding CPT and diagnosis codes.
- Maintained communication with insurance carriers or other responsible parties to confirm payment dates and details, denials, rejections, and balances.
- Enhanced team productivity by streamlining processes and implementing time-saving strategies.
- Developed strong client relationships through consistent communication and attentive service.
Receptionist
Weslaco Pediatrics
09.2018 - 11.2022
- Comfort patients by anticipating patients' anxieties, answering patients' questions, and maintaining the reception area.
- Ensure availability of treatment information by filing and retrieving patients' records.
- Obtain revenue by recording and updating financial information, recording and collecting patient charges, and controlling credit extended to patients.
- Insurance verification.
- Scheduling patients.
- Maintain operation by following policies and procedures, and reporting needed changes.
- Protect patients' rights by maintaining confidentiality of personal and financial information.
- Scan documents into electronic medical records system and certify HIPAA compliance.
- Provide coordination and delivery pertaining to release of medical records as allowed by HIPPA regulations.
- Provide medical information to authorize individuals, law offices and government agencies following HIPAA regulations.
- Provide medical information to doctors, insurance providers or government medical programs like Medicare & Medicaid.
Receptionist
Harlingen Kid's Clinic
02.2018 - 12.2018
- Comfort patients by anticipating patients' anxieties, answering patients' questions, and maintaining the reception area.
- Ensure availability of treatment information by filing and retrieving patients' records.
- Obtain revenue by recording and updating financial information, recording and collecting patient charges, and controlling credit extended to patients.
- Insurance verification.
- Scheduling patients.
- Maintain operation by following policies and procedures, and reporting needed changes.
- Protect patients' rights by maintaining confidentiality of personal and financial information.
Customer Care Representative
Maximus
03.2015 - 06.2017
- Research, verify, and document provider credentialing information through various government agencies and license boards as part of provider enrollment regulations.
- Contact providers either by phone or email to clarify or obtain missing documents from the provider application submission.
- Communicate with providers or office staff and walk them through the application and update process and requirements.
- Document communication notes and resolution outcomes.
- Review the application; update submission in its entirety; confirm that all data is accurate; and check that all verification documents are complete and uploaded.
- Respond to inquiries on the status of application and update submissions for various providers and support the department's administrative requirements, including preparing educational documents and supporting other reporting needs.
Receptionist
Mercedes Pediatrics
09.2011 - 05.2014
- Comfort patients by anticipating patients' anxieties, answering patients' questions, and maintaining the reception area.
- Ensure availability of treatment information by filing and retrieving patients' records.
- Obtain revenue by recording and updating financial information, recording and collecting patient charges, and controlling credit extended to patients.
- Scheduling patients.
- Maintain operation by following policies and procedures, and reporting needed changes.
- Protect patients' rights by maintaining confidentiality of personal and financial information.
Ophthalmic Technician/Call Center
The Eye Experts
02.2010 - 03.2011
- Greeting patients and visitors.
- Gathering medical records and patient information.
- Scheduling patients.
- Taking ocular measurements, both anatomical and functional.
- Administering or preparing medications.
- Providing eye care and contact lens information to the patient.
- Maintaining and cleaning ophthalmic instruments.
- Assisting the ophthalmologist in basic procedures.
Education
Medical Insurance Coding and Billing Specialist -
Valley Grande Institute
Weslaco, TX02.2018
South Texas College
Weslaco, TX06.2012
High School Diploma -
Weslaco East High School
Weslaco, TX05.2004
Skills
- Scheduling
- Filing
- Data Entry
- Organizational Skills
- Microsoft Office & Microsoft Excel
- ICD-10 & CPT Coding
- Medical office experience
- Customer service
- Medical Billing
- Communication skills
- Supervising experience
- Computer skills
- Bilingual
- Medical collection
- Medical records
- Medical terminology
- EMR systems
- Account management
Certification
- National Certified Insurance Coding Specialist, 02/01/18
Languages
English
Native or Bilingual
Spanish
Full Professional
Timeline
Medical Billing and Coding Specialist
Pediatric Associates at Ridge
11.2022 - 12.2023
Receptionist
Weslaco Pediatrics
09.2018 - 11.2022
Receptionist
Harlingen Kid's Clinic
02.2018 - 12.2018
Customer Care Representative
Maximus
03.2015 - 06.2017
Receptionist
Mercedes Pediatrics
09.2011 - 05.2014
Ophthalmic Technician/Call Center
The Eye Experts
02.2010 - 03.2011
Medical Insurance Coding and Billing Specialist -
Valley Grande Institute
South Texas College
High School Diploma -
Weslaco East High School
Similar Profiles
Andrea Soto-RivasAndrea Soto-Rivas
Medical Assistant at Pediatric Associates at RidgeMedical Assistant at Pediatric Associates at Ridge
Miriam Alvarado ChaconMiriam Alvarado Chacon
Dental Assistant at Desert Ridge Pediatric DentistryDental Assistant at Desert Ridge Pediatric Dentistry
Lauren FolkersLauren Folkers
Registered Dental Hygienist at Chestnut Ridge Pediatric DentalRegistered Dental Hygienist at Chestnut Ridge Pediatric Dental
Victoria SustaitaVictoria Sustaita
Office Administrative Assistant at Munoz DrillingOffice Administrative Assistant at Munoz Drilling
Cecilia RomeroCecilia Romero
District Library Clerk at Horizon Montessori Public SchoolsDistrict Library Clerk at Horizon Montessori Public Schools