Jose Padilla
Van Nuys,CA
Summary
Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Overview
9
9
years of professional experience
Work History
Medical Claims Coordinator
One Call Medical
07.2014 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Verified patient insurance coverage and benefits for medical claims.
- Managed large volume of medical claims on daily basis.
- Researched and resolved complex medical claims issues to support timely processing.
- Paid or denied medical claims based upon established claims processing criteria.
- Evaluated medical claims for accuracy and completeness and researched missing data.
- Monitored and updated claims status in claims processing system.
- Identified and resolved discrepancies between patient information and claims data.
- Responded to correspondence from insurance companies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Followed up with medical staff regarding missing information in patient records.
Education
High School Diploma -
Van Nuys Senior High School
Van Nuys, CA06.1994
Skills
- Insurance Claims Processing
- Scrupulous Records Management
- Medical Terminology
- Provider Relations
- Telephone Etiquette
- Proficiency in MS Office
- HIPAA
- Customer Service
- Interpersonal Communication
- Appointment Scheduling
- Attention to Detail
- Insurance Verification
Languages
Spanish
Native or Bilingual
Timeline
Medical Claims Coordinator
One Call Medical
07.2014 - Current
High School Diploma -
Van Nuys Senior High School
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