Developed highly-empathetic client relationships and earned reputation for exceeding sales goals
Verified that information in the computer system was up-to-date and accurate
Compiled statistical information for special reports
Organized billing and invoice data and prepared accounts receivable and expected revenue reports for controllers
Verified and logged in deadlines for responding to daily inquiries
Scheduling invoicing, marketing
Insurance Verifier/Collections
Mirage Endoscopy Surgical Center
02.2012 - 09.2012
Thoroughly investigated past-due invoices and minimized number of unpaid accounts
Recorded and filed patient data and medical records
Carefully reviewed medical records for accuracy and completion as required by insurance companies
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology, and pathology and tests ordered by the attending physician)
Monitored shared email in-boxes and ensured inquiries were addressed
Accurately entered procedure codes, diagnosis codes and patient information into billing software
Acted as a liaison between the business department, billers, and third-party payers in resolving billing and reimbursement accuracy
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
Collections
Front Office Supervisor/Referrals
Cris Armada DO and Robert Williams DO
04.2001 - 03.2004
Prepared for HIPAA and JCAHO reviews ensuring required brochures and pamphlets were available to patients in clinic
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology, and pathology reports) in support of existing diagnoses
Acquired insurance authorizations for procedures and tests ordered by the attending physician
Thoroughly investigated past due invoices and minimized number of unpaid accounts
Maintained all confidential personnel files, licensing, and CPR compliance records
Organized, updated, and maintained over patient charts
Supervised front office of 8 employees, referrals, patient registration
Insurance batching; updating demographics
OSHA compliant
Education
GED - general
Santa Fe Springs High School
Santa Fe Springs
Continuing Education for Supervisors -
Rockhurst University
Phlebotomy -
US College
Skills
Disease specialization proficiency
Referrals
Healthcare billing proficiency
Collections
Medical assisting specialist
Insurance verifier
Strong medical ethic
Counsel patient regarding health benefits
Strong clinical judgment
Patient registration
Computerized charting specialist
Maintain strict confidentiality
Problem resolution ability
Knowledge of HMOs, MediCare and Medi-Cal
Medical manager software
Extensive medical terminology knowledge
Managed care contract knowledge
STD counseling and care awareness
Electronic medical record (EMR) software
Familiarity with disease management programs
ICD-9 coding
Patient/family focused
CPT and HCPCS
Practiced in sterilization techniques
HIPAA compliance
Chart preparation/filing aptness
CPR/BLS certified
Medical coding capability
Competency in procedure development
Certification
CPR
References
Helen Salcido, So Calif Gas Co – Pipeline Integrity Team Lead, 323-806-1567, ULVMom@msn.com
Phlebotomist/Medical Assistant at Accurate Diagnostics/Accredited Accurate TestingPhlebotomist/Medical Assistant at Accurate Diagnostics/Accredited Accurate Testing