Kiara J. Cartagena-Rojas
Greer,SC
Summary
Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology, scheduling. Ready to bring 5 years of relevant work experience to your team. Friendly insurance professional experienced in investigating and processing insurance claims. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.
Overview
10
10
years of professional experience
Work History
Patient Access Representative
Spartanburg Regional Hospital System
03.2021 - Current
- Research and resolve all registration occurrences for demographic, clinical and insurance accuracy.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
Self Employed
Rene’s BBQ Restaurant
07.2019 - Current
- Payroll and Scheduling
- Hiring new employees
- Budgeting and Cost Control
- Establishing relationships Catering and Supplier.
Endoscopy Technician
Bon Secours Healthcare System
02.2020 - 11.2020
- Responsible for labeling specimens, logging them into pathology notebook.
- Set up endoscopy suites with equipment and supplies needed for procedures.
- Supported physicians and nursing staff during procedures.
Patient Service Representative
Prisma Health Pediatric Pulmonology
08.2019 - 02.2020
- Responsible for posting all payments and balancing with the computer reports at day end.
- Responsible for complete and accurate patient registration, pre-certification, charge capture and accurately coding diagnoses given by physicians.
- Processes unpaid accounts by contacting patients and third party payers.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Verified insurance eligibility and coverage for patients.
Medical Assistant
Wellspan Health
03.2018 - 07.2019
- Temperature, blood pressure, weight, BMI, respirations and pulse.
- Maintaining strict confidentiality of patient’s health information
- Under the direct supervision of a licensed nurse or provider, prepare and administer vaccines, medications and controlled substances/narcotics as prescribed by the provider and as skilled competencies permit.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Lead Sales Associate
Goodwill Industries
11.2013 - 01.2017
- Ensure high levels of customer satisfaction through excellent sales service
- Organizes and rotates merchandise on the sales floor
- Supports and promotes organizational programs and special events as required.
- Trained, coached, and mentored new sales associates for maximum performance.
- Handled cash register operations and customer transactions to process payments.
Education
Associate of Arts - Specialized Business
Consolidated School of Business
03.2018
Skills
- Collection Management
- Claims Handling and Coverage Verification
- Bilingual in Spanish and English
- Payment Processing
- Insurance Form Processing
- Insurance Coordination
- Medical Terminology
- Team Leadership
- Benefits Explanations
Languages
Spanish
Native or Bilingual
Timeline
Patient Access Representative
Spartanburg Regional Hospital System
03.2021 - Current
Endoscopy Technician
Bon Secours Healthcare System
02.2020 - 11.2020
Patient Service Representative
Prisma Health Pediatric Pulmonology
08.2019 - 02.2020
Self Employed
Rene’s BBQ Restaurant
07.2019 - Current
Medical Assistant
Wellspan Health
03.2018 - 07.2019
Lead Sales Associate
Goodwill Industries
11.2013 - 01.2017
Associate of Arts - Specialized Business
Consolidated School of Business
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