Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kelli Arguelles

Rockport,TX

Summary

Adept at insurance plan verification and fostering collaborative relationships, I enhanced client retention and maximized profitability at Dr. Yaron Miller's practice. Leveraging secure data practices and insurance terminology, I efficiently managed insurance verifications, significantly improving operational efficiency. My proactive approach and ability to develop clientele by networking underscore my comprehensive skill set. Friendly Insurance Verification Specialist promoting a background in keeping sensitive patient data confidential while maintaining knowledge of Medicaid and private policy benefits. Possessing great relationship building and communication skills. Looking to tackle new challenges with a company that values dynamic skills and a strong work ethic. Demonstrated knowledge of admissions, insurance verification and authorization processes in hospital and medical office settings.

Overview

16
16
years of professional experience

Work History

Insurance Verification Specialist

Dr Robert Fattouch D.M.D.
Poway, CA
09.2018 - 12.2023

Pre-Checked patient's eligibility before scheduled appointments

  • Navigated through multiple online systems to obtain documentation.
  • Provided timely follow up with payers regarding payment status of claims.

Verified insurance benefits and billing

Create and present treatment plans to patients

Collect and post payments from both parties

Handled the daily payments and closed terminal

Created insurance claims and billed insurance companies

organized and completed aging reports

prepared patients statements and collected payments

  • Scheduled tests, lab work or x-rays for patients based on physician orders.
  • Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
  • Monitored and tracked the status of pending insurance verifications and authorizations.

Insurance Specialist

Dr Yaron Miller
Vista, CA
05.2014 - 07.2017
  • Developed and implemented strategies for reducing risk exposures and maximizing profitability.
  • Fostered relationships with customers to expand customer base and retain business.
  • Conducted periodic audits of policy documents to ensure accuracy of information maintained.
  • Sought out new clients and developed clientele by networking to find new customers.

Receptionist Administrator/Lead Manager

Dr Angelo Vasquez
Oceanside, CA
06.2008 - 01.2014
  • Issued work schedules, duty assignments and deadlines for office or administrative staff.
  • Researched and prepared reports required by management or governmental agencies.
  • Answered incoming phone calls, routing to appropriate parties throughout office.
  • Coordinated with other supervisors, combining group efforts to achieve goals.
  • Contracted with vendors and liaised with building management to schedule office equipment or facility repairs.

Education

Dental Assistant

Galen College
Visalia, CA
03-2001

Skills

  • Insurance plan verification
  • Collaborative relationships
  • Insurance terminology
  • Secure data practices
  • Insurance benefits verification
  • Statement preparation

Timeline

Insurance Verification Specialist

Dr Robert Fattouch D.M.D.
09.2018 - 12.2023

Insurance Specialist

Dr Yaron Miller
05.2014 - 07.2017

Receptionist Administrator/Lead Manager

Dr Angelo Vasquez
06.2008 - 01.2014

Dental Assistant

Galen College
Kelli Arguelles