LAURIE ARGUELLO
Austin,TX
Summary
To obtain a position where my extensive understanding of medical procedures and terminologies for the betterment of healthcare organization. Competent Accounts Receivable Specialist bringing 7 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
24
24
years of professional experience
Work History
Access Services Representative II
Baylor Scott And White Regional Medical Center
2022.11 - Current
- 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.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Providing excellent customer service by promptly answering patient inquiries.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Performed patient registration functions to serve as initial contact point for medical office visits.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Provided excellent customer service to patients and medical staff.
- Processed payments using credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
- Followed document protocols to safeguard confidentiality of patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
A/R Medicaid Follow-Up Specialist
Sonic Reference Labs / Clinical Pathology
2015.07 - 2022.06
- Responsible for the management of Medicaid accounts through patient written and verbal directions
- Work Medicaid Rejection reports for the accurate and timely filing of claims
for maximum reimbursement - Work with Team Leader and Supervisor on areas that may be improved and appeals minimized
- Comply with CPL's compliance policies and procedures
- Work with minimal direction ,consulting with Team Leader and Supervisor as needed
- Ability to type and demonstrate 10 key proficiency
- Provide support to other Accounts Receivable departments as needed
- Post Payments for SRL EFT payments received
- Train new team members
- Audit new team members work and go over errors
- Am able to initiate and submit corrected claims using Change Heath Website
- Work ATB , rejection, credit and suspense reports for SRL
- Work all of the reference labs
- Able to locate active or termed insurance
- Ability to submit clean claim online using available insurance web portals
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Maintained energy and enthusiasm in fast-paced environment.
- Worked flexible hours; night, weekend, and holiday shifts.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Carried out day-day-day duties accurately and efficiently.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Insurance Verification Specialist
SAN ANTONIO SHARED SERVICES
2007.04 - 2015.07
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with Admissions department to facilitate decision-making for patient admissions and insurance coverage.
Receptionist
Administaff Services
2006.05 - 2007.02
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give visitors positive first impression.
- Confirmed appointments, communicated with clients and updated client records.
- Answered central telephone system and directed calls accordingly.
- Responded to inquiries from callers seeking information.
- Managed multiple tasks and met time-sensitive deadlines.
- Provided clerical support to company employees by copying, faxing and filing documents.
- Collected Co-pay, deductible or coinsurance for office visit
Front Desk Receptionist
SPECIALLY FOR CHILDREN (SETON HEALTH NETWORK
2005.09 - 2006.05
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
- Used internal software to process reservations, check-ins and check-outs.
- Collected room deposits, fees and payments.
- Kept accounts in balance and ran daily reports to verify totals.
Patient Access Representative
Seton Medical Center Austin
2004.05 - 2005.09
- 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.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Resolved patient financial problems with guidance from documented guidelines and procedures.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Explained estimated cost for medical treatments and answered patient questions to promote good understanding of proposed services.
- Contributed to reduction of accounts receivables by adhering to predetermined policies and procedures to recover amounts due from patients.
- Followed document protocols to safeguard confidentiality of patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
Admissions Counselor
Brackenridge Hospital (SETON HEALTHCARE)
2000.11 - 2004.02
- Ability to relay insurance information to clients in laymen's terms
- Very active in obtaining required certifications for all types of visits
- Talented in explaining required fees and requirements for services
- Verification of demographic information to insure no medical records are duplicated
- Updated any demographic and Insurance Information
- Insured correct I-Plan was used to insure proper payment
- Insured appropriate forms were explained and signed for treatment
- Explained HIPAA policy
- Explained ABN and had forms signed advising whether or not the services would be covered whenever necessary
Education
John H. Reagan High School
Austin, Texas1991
Skills
- Credit Accounts
- Posting
- 10-key
- Sceris
- EPIC
- RTE
- MYSIS FIN
- MICROSOFT EXCEL
- MICROSOFT WORD
- Bilingual Spanish/English
Languages
Spanish
Native or Bilingual
Timeline
Access Services Representative II
Baylor Scott And White Regional Medical Center
2022.11 - Current
A/R Medicaid Follow-Up Specialist
Sonic Reference Labs / Clinical Pathology
2015.07 - 2022.06
Insurance Verification Specialist
SAN ANTONIO SHARED SERVICES
2007.04 - 2015.07
Receptionist
Administaff Services
2006.05 - 2007.02
Front Desk Receptionist
SPECIALLY FOR CHILDREN (SETON HEALTH NETWORK
2005.09 - 2006.05
Patient Access Representative
Seton Medical Center Austin
2004.05 - 2005.09
Admissions Counselor
Brackenridge Hospital (SETON HEALTHCARE)
2000.11 - 2004.02
John H. Reagan High School
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