Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jacinta DiVestea

Dunedin,FL

Summary

Warm Admissions and Billing Coordinator with in-depth knowledge of administrative and insurance procedures. Hands-on experience handling pre-admissions interviews and screenings. Expertise in medical benefits, performing intricate billing procedures with undeniable level of detail. Familiar with private and commercial insurance carriers.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Medical Billing Coordinator

Fairwinds Treatment Center
Clearwater, FL
01.2021 - 03.2023
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Interpreted medical terminology information to translate information into coding system.
  • Reviewed claims for coding accuracy.
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments.
  • Researched and identified unpaid claims using systematic procedures and processes.
  • Completed and submitted appeals for denied claims.

Admissions Coordinator

Fairwinds Treatment Center
Clearwater, FL
01.2018 - 03.2023
  • Interview incoming patients and assessed clinical information to identify if the prospective patient is appropriate.
  • Work on call after hours and on weekends to answer questions about the treatment program and obtain insurance information if caller is appropriate.
  • Explain regulations of program and answer patients' questions concerning our treatment program sensitively and articulately.
  • Created a census for admissions and clinical team, and updated sensitive adjustments daily.
  • Handled insurance claim duties and verified that each met standards of admissions.
  • Verify patient insurance coverage from insurance companies for all levels of care.
  • Obtain authorizations with insurance companies for the appropriate level of care.
  • Complete all initial paperwork with new patient upon admission.
  • Oriented new employees in department procedures.

Admissions Coordinator

Oak Manor Assisted Living Facility
Largo, FL
12.2013 - 12.2017
  • Did initial assessments to evaluate prospective resident's needs in regards to assisted and independent living environment.
  • Completed initial paperwork for the facility with resident and family.
  • Counseled the residents as they adjusted to their new living environment.
  • Handled paperwork for the resident and their medical insurance companies.
  • Complied statistics for weekly staff meetings.

Education

Bachelor of Arts - Psychology

The State University of New York College
Buffalo

Skills

  • Consultation and advisory
  • Client relations
  • Process management
  • Hospitable and friendly
  • Understanding of insurance options
  • Medical terminology proficiency
  • Experience in medical admissions
  • Planning and coordination
  • Relationship development
  • Problem resolution
  • Insurance billing
  • First Aid/CPR
  • Customer service
  • Computer skills
  • Microsoft Office
  • CPT code modifiers
  • Data entry
  • ICD-10 coding
  • Claim review
  • Billing codes
  • Insurance claims
  • Reimbursements
  • Medical coding understanding
  • Account management
  • Database systems
  • Information inputting
  • MS Office
  • KIPU
  • Perfect Care
  • 50 WPM

Certification

  • First Aid/CPR
  • Trauma Certification
  • HIV Training
  • De-escalation Certificate

Timeline

Medical Billing Coordinator

Fairwinds Treatment Center
01.2021 - 03.2023

Admissions Coordinator

Fairwinds Treatment Center
01.2018 - 03.2023

Admissions Coordinator

Oak Manor Assisted Living Facility
12.2013 - 12.2017

Bachelor of Arts - Psychology

The State University of New York College
  • First Aid/CPR
  • Trauma Certification
  • HIV Training
  • De-escalation Certificate
Jacinta DiVestea