Julisa Buentello

• Developed strong relationships with insurance providers to expedite claims processing, reducing financial stress on patients.
• Streamlined patient flow by optimizing appointment scheduling and resource allocation.
• Ensured timely completion of administrative tasks, including billing, insurance verification, and record management.
• Implemented policies and procedures to ensure compliance with healthcare regulations, maintaining a safe environment for patients and staff.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Confirm diagnosis codes and CPT codes to ensure accurate billing when filing medical claims.

Verification of medical and vision insurance with BCBS, Aetna, Cigna, United Health Care as well as other smaller companies.

Coordinating referrals answering, screening and forwarding incoming phone calls.

Check patients in and out and verify all necessary information.

Update patients' personal and financial information.

• Evaluated and settled complex insurance claims in strict timeframes.
• Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
• Followed up with customers on unresolved issues.
• Compiled and analyzed claim data to identify patterns and recommend preventive measures, reducing future claim occurrences.
• Improved claims processing efficiency by meticulously reviewing and validating each claim for accuracy and completeness.
• Maintained up-to-date knowledge of regulatory changes, ensuring compliance in all claim handling procedures.

• Participated in ongoing professional development activities to stay current on best practices within the paraoptometric field.
• Supported doctors in diagnosing eye conditions by conducting essential diagnostic tests such as visual acuity measurements and optical coherence tomography scans.
• Demonstrated strong teamwork skills by collaborating effectively with fellow technicians and optometrists to provide high-quality patient care.
• Improved patient care by assisting with comprehensive eye examinations and performing pre-testing procedures.
• Maintained a clean and organized work environment, adhering to strict hygiene protocols for infection control.
• Demonstrated commitment to patient privacy by adhering to strict confidentiality guidelines when handling sensitive medical information.

• Maintained compliance with local, state, federal policies regarding education coordination through diligent record-keeping practices.
• Attended professional educational and developmental meetings to support accreditation and grant writing.
• Provided ongoing support for educators through regular check-ins, feedback sessions, and professional development opportunities tailored to their unique needs.
• Promoted a positive learning environment through effective classroom management strategies and fostering strong relationships with students.
• Assisted in the development of individualized education plans for diverse learners, ensuring personalized support for each student''s needs.
• Improved operational efficiency, conducting regular reviews of educational programs and resources.
• Checked on instructor lessons and communication in order to assess quality of education and assistance offered to students.