Kyara Sedillo
Summary
To obtain a position with a stable organization that will utilize my abilities and offer a vast amount of
opportunity for advancement.
Overview
22
22
years of professional experience
Work History
Denials/Appeals Specialist
PHS
12.2021 - Current
- Responsible for all patient accounts receivable functions as assigned
- Reconcile, research, correct and submit third party claims.
Utilization Review Coordinator/Behavioural Health Tech
Desert Hills Treatment Facility
01.2019 - Current
- Review and coordinate progress notes, therapy notes, and attend treatment teams which consists of Doctor, therapists, teachers, parents and client to review clients necessity to either continue treatment or what next step may be needed for client to successfully complete residential treatment.
Patient Services Rep
UNMH
12.2019 - 12.2021
- Responsible for all patient accounts receivable functions as assigned
- Reconcile, research, correct and submit third party claims and resubmit errors or denied claims
- Communicate with insurance companies and government payers to resolve claim issues and ensure payment
- Research and correct ICD 9, CPT coding, modifiers, revenue coding, occurrence codes and value codes as appropriate
- Collaborate with the Income Support Division and the Medical Assistance Division in regards to eligibility for Medicaid
- Interview and approve patients for UNMH charity programs
- Provide customer service to patients by researching billing issues with various departments and resolving the issues
- Reconcile remittance advices and patient accounts and resolve discrepancies
- Ensure adherence to Hospital sand departmental policies and procedures
- Department of Health-Sequoyah Adolescent Treatment Facility-EA/MHT -07-19 to
MANAGEMENT Account Manager
Community College and Technical School
- 12.2019
- Audit all rebates for 5 specific high dollar vendors to insure rebates taken are correct
- Monthly reporting, constant customer contact on various contract issues
- Manage departments KRONOS system for 25 employees
- Assist and train all new employees on current and new programs implemented
- Chase
- Bankcard Service Center, inbound and outbound Collection calls Supervisor
- 5+ years, timecard and shift scheduling., Daily monitor of residents working closely with clinical, education and other Milieu staff, assist in the development of life skills update medical information system daily.
Teacher Assistant
Mountain View Private School
05.2019 - 11.2019
Customer Service Advocate
Alliance Data
04.2017 - 01.2019
- Customer service inbound call center
- Assist with questions on client accounts, take payments assist with setting up payment arrangements, specialist in promotional account.
Craig Duran Insurance and Financial Services
Roswell, NM
01.2016 - 04.2017
- Manage agency producers, timekeeping, scheduling, and Customer Service
- Inbound and outbound customer service calls, front desk duties to include taking payments and assisting customers with changes needed in their personal and business insurance needs
Unit Procurement Rep
CRLS/University Services, UNM
05.2013 - 01.2016
- Maintain phone and counter orders, place online and phone orders with over 250 vendors, Monthly Credit Card statement, invoicing, daily, monthly and yearly inventory
- Maintain student and department accounts
- Daily input into ACCESS system and BANNER
- Maintain and manage office time in KRONOS system.
Rebate Analyst/Account Manager
Cardinal Health
Osuna, NM
03.2010 - 05.2013
- Audit all rebates for 5 specific high dollar vendors to insure rebates taken are correct
- Monthly reporting, constant customer contact on various contract issues
- Manage and Maintain time in KRONOS time keeping system.
Site Specialist
Thermo Fisher Scientific
Broadway, NE, NM
05.2005 - 11.2009
- To Los Alamos, and Sandia Laboratories
- Provide dedicated customer service, order entry, order management, in a call center environment taking inbound calls stockroom services and material handling
- Possesses the ability to accept an increased level of responsibility, which include operating customer systems, non-Fisher
- Scientific mainframe systems and execute 3rd party and agent buys for all chemical and lab/supply items
- Serve as a liaison between Fisher and the customer
- Establish and foster positive customer relations.
Account Receivable Representative
Chaparral Materials
07.2003 - 05.2005
- Monitor over 1500 accounts for payment
- Review accounts for 25 sales Associates for problems, payments communicating with customers to insure accurate and prompt payment posting Process credit application for approval of credit terms Contact Customer by phone or in person for payment arrangements
Credit Administrator
Sysco Foods of NM Foods of NM, Chase Bankcard Service
Tempe, AZ
08.2001 - 07.2003
- Monitor over 1500 accounts for payment
- Review accounts for 25 sales Associates for problems, payments Communicating with customers to insure accurate and prompt payment posting Process credit application for approval of credit terms Contact Customer by phone or in person for payment arrangements Territory reviews traveling to Northern NM & Durango Co with sales force, meeting with customers to discuss payment options Manage and maintain corporate monitored goals for receivables Territory reviews traveling to Northern NM & Durango Co with sales force, meeting with customers to discuss payment options
- Manage and maintain corporate monitored goals for receivables
- Previous experience to, , inbound and outbound call center Collection calls Supervisor
- 5+ years, Financial Aid Advisor 3-5 years
Education
Business
ENMU
Timeline
Denials/Appeals Specialist
PHS
12.2021 - Current
Patient Services Rep
UNMH
12.2019 - 12.2021
Teacher Assistant
Mountain View Private School
05.2019 - 11.2019
Utilization Review Coordinator/Behavioural Health Tech
Desert Hills Treatment Facility
01.2019 - Current
Customer Service Advocate
Alliance Data
04.2017 - 01.2019
Craig Duran Insurance and Financial Services
01.2016 - 04.2017
Unit Procurement Rep
CRLS/University Services, UNM
05.2013 - 01.2016
Rebate Analyst/Account Manager
Cardinal Health
03.2010 - 05.2013
Site Specialist
Thermo Fisher Scientific
05.2005 - 11.2009
Account Receivable Representative
Chaparral Materials
07.2003 - 05.2005
Credit Administrator
Sysco Foods of NM Foods of NM, Chase Bankcard Service
08.2001 - 07.2003
MANAGEMENT Account Manager
Community College and Technical School
- 12.2019
Business
ENMU
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