Summary
Overview
Work History
Education
Skills
Certification
Quote
Timeline
Hi, I’m

Jessica Duran

Grants,United States
Jessica Duran

Summary

Medical Billing and Coding Specialist with 5+ years providing administrative and patient support in medical office settings. Talented at preparing patient charts and reviewing health records to identify proper diagnosis codes for billing.

Detail-oriented team player with extensive medical services background and strong work ethic. Excellent communications skills with the ability to handle multiple projects simultaneously with a high degree of accuracy.


Overview

16
years of professional experience
1
Certification

Work History

Presbyterian Medical Services

Customer Access Representative
08.2022 - Current

Job overview

  • Improved patient satisfaction by efficiently managing appointment scheduling and registration processes.
  • Increased efficiency in the workplace with thorough knowledge of electronic health record systems and other relevant software applications.
  • Followed document protocols to safeguard confidentiality of patient records.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Facilitated communication between patients and various departments and staff.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Greeted and assisted patients with check-in procedures.
  • Provided excellent customer service to patients and medical staff.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Verified patient insurance eligibility and entered patient information into system.
  • Organized patient records and database to facilitate information storage and retrieval.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Contacted patients on annual renewal dates to offer assistance.
  • Educated patients on importance of preventive health care and insurance coverage.
  • Resolved patient billing issues in line with established guidelines.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Fostered a positive workplace environment by actively participating in team meetings, sharing ideas for improvement, and offering support to colleagues when needed.
  • Assisted in reducing administrative errors through meticulous attention to detail in data entry tasks related to billing codes, service charges, and demographics.
  • Maintained accurate patient records, ensuring timely access to vital information for healthcare professionals.


Critical Nurse Staffing

Home Health Aide
05.2010 - Current

Job overview

  • Improved patient well-being by providing compassionate and attentive personal care.
  • Assisted clients with daily living activities, enhancing their independence and quality of life.
  • Maintained a clean and safe home environment for patients, reducing falls and accidents.
  • Administered medications as prescribed, ensuring proper dosage and timely administration for optimal health outcomes.
  • Monitored vital signs regularly, promptly reporting any abnormalities or concerns to supervising nurse or physician.
  • Assisted with meal planning and preparation according to dietary restrictions, meeting nutritional needs while adhering to personal preferences.
  • Performed laundry, grocery shopping and other light housekeeping duties as instructed by client.
  • Followed nutritional plans to prepare optimal meals.
  • Monitored client health by performing routine pulse, temperature and blood pressure checks.

Cibola General Hospital

Health Information Management Technician
12.2016 - 06.2022

Job overview

  • Enhanced patient care by accurately recording and maintaining health information data.
  • Streamlined processes for efficient record retrieval, reducing wait times for healthcare providers.
  • Ensured compliance with regulations by closely following HIPAA guidelines and protecting patient confidentiality.
  • Improved efficiency in handling release of information requests by developing an organized tracking system for prompt processing and response times.
  • Provided exceptional customer service by responding promptly to inquiries from patients, insurance companies, and other stakeholders regarding medical records issues.
  • Maintained an organized filing system for easy retrieval of medical records, adhering to strict retention policies as outlined by regulatory guidelines.
  • Upheld HIPAA regulations and standards for protecting patient information.
  • Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
  • Studied and researched various medical terms as well as software and coding systems.
  • Secured confidential patient information from unauthorized access.
  • Retrieved medical data for physicians and patients.
  • Collaborated closely with physicians and nursing staff to improve quality of patient records documentation.
  • Participated in cross-functional committees or workgroups focused on improving overall quality and efficiency within the healthcare organization related to health information management processes.
  • Actively participated in ongoing professional development opportunities to stay current with industry trends and advancements in technology related to health information management practices.
  • Supported revenue cycle management efforts through accurate coding practices that ensured timely reimbursement from insurance providers.
  • Maintained high levels of accuracy in coding diagnoses and procedures using ICD-10-CM/PCS and CPT codes for our Rural Health Clinic.

Presbyterian Medical Services

Customer Access Representative
01.2014 - 12.2016

Job overview

  • Improved patient satisfaction by efficiently managing appointment scheduling and registration processes.
  • Promoted a welcoming atmosphere for all patients by addressing their needs professionally while maintaining a compassionate demeanor.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
  • Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
  • Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
  • Verified patient insurance eligibility and entered patient information into system.
  • Answered incoming calls, scheduled appointments and filed medical records.
  • Provided excellent customer service to patients and medical staff.
  • Greeted and assisted patients with check-in procedures.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Trained new staff on filing, phone etiquette and other office duties.
  • Compiled and maintained patient medical records to keep information complete and up-to-date.

Dr. Terry Menning

Optometric Assistant
08.2008 - 05.2013

Job overview

  • Enhanced patient satisfaction by providing efficient and friendly service during their visits.
  • Assisted optometrists in conducting eye exams for accurate diagnosis and treatment planning.
  • Streamlined appointment scheduling, resulting in improved patient flow and reduced wait times.
  • Maintained clean and organized examination rooms to ensure a comfortable environment for patients.
  • Ensured quality patient care by assisting optometrist with pre-testing, diagnostic testing, and contact lens fittings.
  • Contributed to a positive office environment by providing excellent customer service to patients both in-person and over the phone.
  • Streamlined office processes by coordinating insurance billing and maintaining up-to-date information on coverage changes.
  • Facilitated effective communication between optometrist and patients, explaining treatment plans and procedures clearly.
  • Promoted eye health education, providing informative materials to patients on proper eyewear care and maintenance.
  • Maintained a clean and organized workspace, ensuring that all equipment was properly sanitized between uses.
  • Assisted with frame selection process, helping patients choose eyewear that best suited their lifestyle needs and preferences.
  • Supported a high standard of care by preparing examination rooms with necessary supplies before each appointment.
  • Continuously improved skills through participation in ongoing training sessions related to industry advancements or changes in technology.
  • Managed inventory levels of optical goods such as frames, lenses, and contact lens supplies, placing orders as needed to maintain adequate stock.
  • Maintained patient confidentiality at all times, adhering to HIPAA guidelines and protecting sensitive information from unauthorized access.
  • Managed administrative duties with phone reception, appointment scheduling and payment processing.
  • Coordinated patient scheduling, monitored patient flow throughout office and properly communicated delays.
  • Filled and dispensed eyeglass prescriptions, fitting frames, lenses and contact lenses for comfort and convenience.
  • Instructed patients on contact lens insertion and removal and lens care guidelines.
  • Maintained inventory levels and accurate records of contact lenses and eyeglass frames.
  • Helped patients with selecting and ordering glasses or contact lenses to encourage informed decisions.
  • Assisted with insurance questions, eligibility, and prior authorizations of medications and glasses.
  • Collaborated with optometry staff to reach individual and team goals.
  • Input patient information and exam findings into electronic medical records system to facilitate accurate record-keeping.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Oriented and trained new staff on proper procedures and policies.
  • Explained procedures to patients to reduce anxieties and increase patient cooperation.

Education

Collins College
Tempe, AZ

Associate of Arts from Graphic Design

University Overview

Grants High School
Grants, NM

High School Diploma
05.2006

University Overview

Skills

  • HIPAA Compliance
  • Multitasking and Organization
  • Medical Terminology
  • Medical Billing
  • Teamwork and Collaboration

Certification

  • CCS-P - Certified Coding Specialist - Physician - Based

Quote

Your time is limited, so don’t waste it living someone else’s life.
Steve Jobs

Timeline

Customer Access Representative
Presbyterian Medical Services
08.2022 - Current
Health Information Management Technician
Cibola General Hospital
12.2016 - 06.2022
Customer Access Representative
Presbyterian Medical Services
01.2014 - 12.2016
Home Health Aide
Critical Nurse Staffing
05.2010 - Current
Optometric Assistant
Dr. Terry Menning
08.2008 - 05.2013
Collins College
Associate of Arts from Graphic Design
Grants High School
High School Diploma

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Jessica Duran