Julia Cabriales
Arlington,TX
Summary
Dedicated and detail-oriented insurance verification specialist and surgery scheduler with over 7 years of experience. Proficient in assessing patient needs, insurance verification, billing and obtaining prior authorizations. Committed to providing the highest level of service and contributing to the success of the organization.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist/Clinic Surgery Scheduler
Texas Health Surgery Center Arlington Opthamology
Arlington , TX
01.2017 - Current
- Hourly- $26.26
- Conducted pre-authorization and verification of insurance benefits for surgical procedures for ophthalmology , ensuring coverage and minimizing patient financial burden.
- Verified insurance for 450+ patient's monthly.
- Liaised with insurance providers to obtain necessary authorizations and resolve any discrepancies in coverage.
- Reviewed patient insurance information for accuracy and completeness during the appointment scheduling process.
- Assisted patients in understanding their insurance benefits and financial responsibilities, providing guidance on payment options and plans.
- Worked 3 weeks in advance to provide patients amount due
- Developed and maintained strong relationships with insurance representatives to facilitate effective communication and issue resolution.
- Coordinate and attend scheduler luncheons, open houses, and other events.
- Developed an ongoing communication plan with physician office schedulers to asses satisfaction and identify opportunities for improvement
- Coordinate schedule with physician time, staffing, procedure complexity, patient age/needs and equipment availability in mind.
- Coordinate with anesthesia group to confirm scheduling coverage
- Accurately used procedure codes to ensure proper billing.
- Worked with business office manager to determine reimbursement when new procedures scheduled.
Front Desk Receptionist
First Step Chiropractic
Arlington , Texas
04.2015 - 01.2016
- Hourly $11.00
- Answer telephone calls, redirect calls accordingly, assist callers with questions or concerns and take messages as needed
- Schedule all new patient appointments and follow up appointments
- Rescheduling of patient appointments as necessitated due to schedule changes
- Enter all patient insurance and demographic information, to include all new patient data and updates to existing patient accounts when scheduling appointments
- Review all patient demographic information on file and identify any information needing
- to be updated by patients coming in for anesthesia
- Scan patient demographics, identifications and medical insurances into the electronic
- medical records (EMR) system
- Mail out new patient forms, packets, and reminders as needed
- Sort and distribute incoming mail
- Calculate fees/charges and collect copayments or allowable, other applicable charges
- Post payments
Education
High School Diploma -
Arlington High School
Arlington, TX06-2014
Skills
- Technical and Computer skills- very skilled and educated in regards to computers
- Languages- Fluent English and Spanish
- Knowledge of CPT and ICD 9 codes
- Knowledge of medical terminology
- Patient communication
- Collections
- Attention detail
- Billing and insurance
- Ability to evaluate problematic situations and multiple alternative scenarios and come to independent conclusions
- Certifications/Awards- The National Society of High School Scholars, National
Education and Training
Arlington, TX
Contact
Arlington, TX 76017
Timeline
Insurance Verification Specialist/Clinic Surgery Scheduler
Texas Health Surgery Center Arlington Opthamology
01.2017 - Current
Front Desk Receptionist
First Step Chiropractic
04.2015 - 01.2016
High School Diploma -
Arlington High School