leanna GARCIA
Salem,Oregon
Summary
Medical Insurance Specialist with a customer service background looking to lend my skills to an Insurance team. Authorized to work in the US for any employer.
Overview
10
10
years of professional experience
Work History
Receptionist/Insurance Specialist
Northwest Urology
Portland, OR
07.2017 - Current
- Keep insurance information up to date, verify the correct package is selected
- Verify benefits, diagnosis, referral/prior authority requirements
- Complete all required forms needed for a patient’s appointment
- Verify specific coverage and document for visit, procedure, surgery, or medication
- Consider future appointments and other potential charges
- Calculate what a patient will owe when they arrive for their visit.
Provider Relations Specialist
Cypress Benefit administrators
Salem, OR
02.2015 - 12.2016
- Provide high levels of customer service as the company’s primary contact to establish and maintain strong relationships
- Precisely inform, assist and educate our providers with respect to the benefits awarded to our members by our self-funded groups
- Accurately enter claims and respond to claim inquires in a prompt and timely manner.
Medical Billing and Coding Extern (200 hours)
Amazing Treatments
Salem, OR
10.2014 - 01.2015
- Provided quality and friendly customer service on a daily basis both face-to-face and in person through scheduling and billing questions
- Timely and efficient processing of daily claims within the Medicaid/Medicare and Blue Cross Blue Shield systems, EOBs, and accurate coding (ICD-9/10, CPT, and HCPCS)
- Thorough and friendly follow-up with various carriers on patient prior authorizations and proof of coverage
- Accurate and timely processing of credentialing for facility Director.
Education
Medical Insurance Billing and Coding Diploma -
Everest Institute
Tigard, OR01.2015
GED -
Barbra Roberts
Salem, OR01-2005
Skills
- Thorough knowledge of medical terminology, anatomy and physiology, ICD-9/10, CPT and HCPCS coding
- Ability to prepare EOBs, basic bookkeeping, insurance verifications, request referral, and prior authorizations
- Clear and concise communication with ability to work independently or as part of a team
- Knowledge of various EMR Systems and Microsoft Office
- Proven track record in providing quality customer service and accurate cash handling skills
- Front office skills including filing, faxing, multi-line phones, scheduling and patient reminders
- OSHA and HIPAA trained with BLS Healthcare CPR Certification
Timeline
Receptionist/Insurance Specialist
Northwest Urology
07.2017 - Current
Provider Relations Specialist
Cypress Benefit administrators
02.2015 - 12.2016
Medical Billing and Coding Extern (200 hours)
Amazing Treatments
10.2014 - 01.2015
Medical Insurance Billing and Coding Diploma -
Everest Institute
GED -
Barbra Roberts