Laura Bautista
14544 S Harris Ave,CA
Summary
Currently pursuing career growth within our Organization Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
Work History
Biller
Acclara
08.2022 - Current
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Monitored customer accounts to identify and rectify billing issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Eligibility Specialist
St Joseph Heritage Health
01.2016 - 08.2022
- Verify insurances MPV, research for authorizations for future appointments, assist site with eligibility and notify them with insurance discrepancies
- Call health plans to verify regarding secondary insurances
- Resolve eligibility inquiries though email
- Work TES Edits.
- Resolved discrepancies with client applications to verify eligibility.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Devised and implemented strategies to streamline eligibility verification processes.
Enrollment Processor 2
St Joseph Heritage Healthcare
03.2012 - 01.2015
- Process request for immediate entries; emails, faxes with in required turnaround times
- Work MPV files for appointments and pended insurances within 48 hrs handle phone calls from sites, providers and health plans, resolves eligibilities issues with health plan, send capitations checks on a monthly basis
- Research eligibilities issues (verify eligibility on website, phone calls to health plans ect).
Inventory Clerk
St Joseph Heritage Healthcare-NSS
01.2008 - 01.2012
- Manages all paper claims, keeps a manual inventory for the NSS Claims Dept
- Makes sure all claims are worked in a timely manner
- Scans all paper claims and PDR's
- Runs daily reports for the all Managers and Directors
- Assists Document Control as needed.
Document Control-Sorter
St Joseph Heritage Healthcare-NSS
12.2007 - 01.2008
- Batched all incoming manual claims received by mail
- Sorted Forward to Health plan claims, senior claims, commercial claims
- Fast tracked claims that need processing immediately.
Education
Bachelor of Science -
AIU
Los Angeles, CA01.2007
Medical Assistant -
UEI
Huntington Park, CA01.2005
Central High School
01.2000
Skills
- Adaptability
- Effective communication
- Team collaboration
- Attention to detail
- Problem-solving abilities
- Epic,Practice Vision, Waystar,Meditech,Citrix,Ecare ,CodoniXNotes
References
Upon request
Languages
Spanish
Native or Bilingual
Timeline
Biller
Acclara
08.2022 - Current
Eligibility Specialist
St Joseph Heritage Health
01.2016 - 08.2022
Enrollment Processor 2
St Joseph Heritage Healthcare
03.2012 - 01.2015
Inventory Clerk
St Joseph Heritage Healthcare-NSS
01.2008 - 01.2012
Document Control-Sorter
St Joseph Heritage Healthcare-NSS
12.2007 - 01.2008
Bachelor of Science -
AIU
Medical Assistant -
UEI
Central High School
Similar Profiles
Ada Oke, CRCRAda Oke, CRCR
Director, Client Experience at AcclaraDirector, Client Experience at Acclara
Dennesha McCleanDennesha McClean
Patient Service Representative at AcclaraPatient Service Representative at Acclara
Tara JohnsonTara Johnson
Patient Solutions at AcclaraPatient Solutions at Acclara
MICHELLE CAROPRESOMICHELLE CAROPRESO
Payment POSTER at AcclaraPayment POSTER at Acclara
TAMMY M. Hamric-Gouge, MHHSTAMMY M. Hamric-Gouge, MHHS
Lead Dental Hygienist at DR. STEVEN PARKER DDSLead Dental Hygienist at DR. STEVEN PARKER DDS