JENNIFER MERCADO
Las Vegas,NV
Summary
Passionate, responsible and carrying. Graduated as as a CNA. and with over 5 years of clinical experience and advanced medical degrees.Hardworking medical administrative professional offers great people skills Detail-oriented professional offering 7 years of experience in the medical field. Familiar with medical terminology such as IDC10, CPT codes. Familiar with reading EOB, Deductible, Out of pocket, Coinsurance E.T.C.
Overview
11
11
years of professional experience
Work History
Customer Service Advocate
Anthem BCBS
Las Vegas, NV
10.2022 - Current
- Maintained records of customer interactions and transactions.
- Provided accurate, valid, and complete information to customers in a timely manner.
- Verified insurance coverage and eligibility for services provided.
- Provided education and guidance on appeal rights when a claim is denied or partially paid.
- Investigated complex cases involving multiple providers, services, or diagnoses.
- Reviewed provider reimbursement requests for accuracy and adherence to contractual agreements.
- Communicated decisions about claims via phone or written correspondence with providers.
Parallon
Las Vegas, NV
02.2021 - 10.2024
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Answered questions and informed customers of current account balance.
- Managed all payments processing, invoicing and collections tasks.
- Checked claims coding for accuracy with ICD-10 standards.
- Reviewed EOB, based on patient's request.
Insurance Verification Specialist
HCA- PARALLON
Las Vegas, NV
11.2018 - 02.2021
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Performed verification of Medicare coverage.
- Identified important patient and demographic information.
- Managed incoming telephone calls, took messages and directed callers to personnel.
- Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
- Provided accurate information to all parties, including patients, insurance providers, healthcare staff and office personnel by using effective written and verbal communication skills,
Medical Appointment Scheduler
Steinberg Diagnostic Medical Imaging Centers
Las Vegas, NV
03.2015 - 11.2018
- Communicated with patients to gather intake data and verify chart information.
- Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
- Called patients to schedule appointments, consistently double-checking information and availability
- Managed incoming telephone calls, took messages, and directed callers to personnel.
- Answered eighty average daily phone calls to schedule appointments and address patient inquiries.
CNA
Del Mar Garden
Las Vegas, NV
05.2017 - 12.2017
- Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
- Facilitated activities of daily living, personal hygiene management, feeding and ambulation.
- Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
- Managed and maintained patient rooms, shared-living areas and nursing stations.
- Rendered hands-on nursing care under direct RN supervision, adhering to medical center policies and procedures.
Chiropractic Assistant
Back To Health Chiropractic Medical Center
Las Vegas, NV
01.2014 - 03.2015
- Performed electric muscle stimulation, massage and mechanical traction therapies on patients under doctor supervision.
- Scheduled appointments for patients via phone and in person.
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
- Prepared patients for examinations, taking vital signs, and updating medical histories.
- Directed, Bills and records to attorneys office per their request, following HIPPA guidelines.
Education
CNA -
CSN
Las Vegas, NV04.2017
High School Diploma -
The Learning Source
Las Vegas, NV06.2014
Skills
- CPR Certified
- Problem-Solving
- CNA certified
- knowledgeable in CPT coding and ICD-10 code
- Flexible Schedule
- Fluent in English and Spanish
Timeline
Customer Service Advocate
Anthem BCBS
10.2022 - Current
Parallon
02.2021 - 10.2024
Insurance Verification Specialist
HCA- PARALLON
11.2018 - 02.2021
CNA
Del Mar Garden
05.2017 - 12.2017
Medical Appointment Scheduler
Steinberg Diagnostic Medical Imaging Centers
03.2015 - 11.2018
Chiropractic Assistant
Back To Health Chiropractic Medical Center
01.2014 - 03.2015
CNA -
CSN
High School Diploma -
The Learning Source