Summary
Overview
Work History
Education
Skills
Timeline
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Janaya Abroal

Albuquerque,NM

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

6
6
years of professional experience

Work History

Medical Biller

Manhattan Gastroenterology
07.2022 - 04.2023

Liaised between patients and insurance companies while ensuring that healthcare providers received timely and accurate payments for their services.
Key Accomplishments:

  • Contacted insurance companies to verify insurance information while communicating with call center and medical offices to gather necessary information for billing purposes.
  • Performed data scrubbing for over 120 patient accounts daily.
  • Addressed customer inquiries and resolved billing discrepancies or issues promptly and courteously.
  • Ran daily report based on DOS and current A/R to identify accounts that required follow up.
  • Provided guidance and training to staff on billing procedures and software usage when necessary.

Career Break

Professionally Active
01.2022 - 07.2022
  • Laid off due to Covid-19 restrictions.
  • Worked as childcare provider.

Patient Financial Specialist

Mount Sinai Health System
04.2021 - 12.2021

Assisted patients with managing the financial aspects of their medical care while building and deepening productive relationships with customers to drive sustained growth.
Key Accomplishments:

  • Identified insurance coverage limitations with thorough examinations of benefits documentation and medical records.
  • Contacted insurance companies to request and obtain emergency and prior authorizations daily, supported clean claim submissions.
  • Organized information such as diagnoses and CPT codes into accounting software and effectively reconciled accounts for over 50 patients daily.
  • Maintained proper documentation of billing records, invoices, and payment details for future reference and auditing purposes.

Patient Care Representative

CityMD
12.2018 - 04.2021

Contributed to the overall efficiency and effectiveness of the facility by managing administrative tasks and facilitating communication between patients and the healthcare team.

Key Accomplishments:

  • Greeted and directed patients to examination rooms; verified insurance coverage and collected co-payments.
  • Screened patients for financial assistance and aided in preparing required documents.
  • Acted as main point of contact for patients, doctors, and clinical staff by answering phone calls, closely reviewing medical charts and maintaining high levels of customer service in the facility.
  • Safeguarded confidential information and adhered to company and insurance policies.

Restaurant Team Lead

Shake Shack
11.2016 - 12.2018

Ensured the team followed company policies, procedures, and guidelines regarding cleanliness, safety, and operational standards.

Key Accomplishments:

  • Excelled in every store position and regularly backed up front-line staff.
  • Trained restaurant employees to prepare food, operate cash registers and keep restaurant clean throughout shift.
  • Addressed customer concerns, complaints and questions, resulting in outstanding customer service ratings.

Education

High School Diploma -

New York City Museum School
New York, NY
06-2010

Certified in Cybersecurity

ISC2
07-2023

Google Cybsersecurity Certification

Coursera
10-2023

Skills

  • Customer service
  • Patient account analysis
  • Medical coding knowledge
  • Insurance policy
  • Compliance
  • HIPAA
  • ICD-10 & CPT
  • Organization
  • Medical terminology
  • Root cause analysis
  • Critical thinking

Timeline

Medical Biller

Manhattan Gastroenterology
07.2022 - 04.2023

Career Break

Professionally Active
01.2022 - 07.2022

Patient Financial Specialist

Mount Sinai Health System
04.2021 - 12.2021

Patient Care Representative

CityMD
12.2018 - 04.2021

Restaurant Team Lead

Shake Shack
11.2016 - 12.2018

High School Diploma -

New York City Museum School

Certified in Cybersecurity

ISC2

Google Cybsersecurity Certification

Coursera
Janaya Abroal