Summary
Overview
Work History
Education
Skills
Timeline
RegisteredNurse

JOELENE VILTZ

Pearland,TX

Summary

Reliable and ambitious with 10+ years of experience and a strong background in performing a variety of administrative and medical billing functions-supporting daily operations within fast pace medical office clinics, emergency room, facilities and hospital admission. Self- motivated and compassionate individual able to quickly learn new tasks and overcome medical billing challenges.

Overview

7
7
years of professional experience

Work History

Senior Patient Access Associate

Houston Methodist Clearlake
08.2021 - Current
  • Perform various patient access duties registration, insurance verification, scheduling admission
  • Inpatient/Outpatient, clinics, emergency room
  • Provide high level customer services in all internal and external customers, adhere to all policies such as PHI, HIPPA, EMTALA laws /regulations
  • Obtain demographics, and financial information and explain all required form to patient or guarantor discuss payment options
  • Post payments in computer system and generates patient receipts, perform related duties as needed
  • Monitors, reviews and resolves patient account issues on assigned reports
  • Communicate information to patient or guarantor and obtaining necessary signature
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Trained new staff on hospital processes and procedures.

HIM Technician

Parallon-HCA Medical Center-PRN
05.2021 - Current
  • Resolve accounts in HPF/MPF work queues such as cancelled accounts, unknown documents, workflow trigger
  • Process medical records received for HEDIS and other related projects
  • Research and analysis coding pending for work queues, resolved unbilled accounts, merge duplicate charts
  • Prepare medical records and loose documents for scanning, post-scanned documents retention chart pick-up (Rounding) and reconciliation
  • Scan & Index medical records documents in ERM, HPF, MPF and/or EPIC, quality control validation
  • Assist in gathering documentation, History and Physicals, Operative reports, urgent requests, complete birth and or death certificate contact
  • Support physician documentation queries by calling monitoring, and assisting physician with HPF/MPE, retrieves discharged medical records from various department and reconcile them
  • Audits accuracy of electronic and manual entry, review scanned documents for accuracy, and appropriate identification, prepping, quality review /validation

Claim Specialist/Support Services

Conifer Health Solutions
04.2016 - 12.2019
  • Prepare documents for scanning, resolve accounts assigned to various work ques
  • Retrieved data from database, electronic files
  • Led in verifying claims adjudication, utilizing proper resources and applications
  • Initiated contact to patients to obtain additional information as needed
  • Investigate and resolve complex claim issues
  • Review and process insurance claims in timely and accurate manner
  • Check patient eligibility
  • Follow up on unpaid claim, appeals, claim resubmissions and patient collections
  • Research and resolve discrepancies perform posting charges and completions of claim to payors in a timely manner
  • Excellent ability to manage and lead effectively, perform assigned duties
  • Knowledge of the practices and principles of healthcare management and the operation of healthcare, perform daily task pre-registration, denials, chart prep, orders entry
  • Ability to motivate and inspire peers to achieve higher levels of performance
  • Assisted admissions clerk with patient processing and information intake
  • Prepare weekly admission reports, assist in daily & on call schedule
  • Identified and resolve concerns patients had with treatment, staff or clinic operations

Education

High School Diploma -

Franklin Senior High School
Franklin, LA
08.1984

Some College (No Degree) - Education

San Jacinto College District
Pasadena, TX

Skills

  • Microsoft Office (Word, Excel, Outlook) All scripts
  • Star Navigator Chart Maxx
  • Epic
  • Horizon PF
  • Meditech
  • Audit Logic
  • Cerner
  • Mckesson PF
  • MPF-workflow queues
  • Medical records
  • HIPAA
  • Medical receptionist
  • EHR systems
  • Medical scheduling
  • HEDIS

Timeline

Senior Patient Access Associate

Houston Methodist Clearlake
08.2021 - Current

HIM Technician

Parallon-HCA Medical Center-PRN
05.2021 - Current

Claim Specialist/Support Services

Conifer Health Solutions
04.2016 - 12.2019

High School Diploma -

Franklin Senior High School

Some College (No Degree) - Education

San Jacinto College District

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JOELENE VILTZ