Highly driven to provide exceptional customer service while being a team player, maintaining a positive attitude, and applying my excellent communication and administrative skills. Specializing in offering emergency response on top of normal care and assistance. Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Billing Specialist
SleepQuest Inc
01.2021 - Current
Processed and verified patient billing information for accuracy and completeness.
Managed accounts receivable, ensuring timely follow-up on outstanding balances.
Collaborated with healthcare providers to resolve billing discrepancies and inquiries.
Implemented improvements to streamline billing procedures, enhancing workflow efficiency.
Researched and resolved billing discrepancies to enable accurate billing.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing write offs.
Strengthened client relationships through effective communication regarding billing issues and concerns.
Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
Used data entry skills to accurately document and input statements.
Ongoing Care Coordinator
SleepQuest Inc
04.2018 - 01.2021
Communicate with all departments: billing, intake, shipping, and clinics.
Investigated and reported issues relating to patient care and conditions which might hinder patient well-being.
Helped verify eligibility and benefits with patients insurance.
Worked with Blue Shield, United health care, Aetna, Anthem and Tricare insurances.
Check on DME benefits and call patients to explain.
Reviewed new referrals and sent to the right department as well as reached out to the patients.
Worked with supervisory medical staff to review cases and improve care.
Communicate with patients to determine and confirm their CPAP supply needs.
Arrange and coordinate provision of special equipment for sleep therapy and at home care.
Assist the care team with goal setting by contributing to team effort and accomplishing related results as needed.
Handel inbound calls and patient questions.
Connect with new patients via phone and email.
Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
Provided ongoing compassionate patient care for each client.
Medical Office Representative
Dignity Health Medical Group Cardiovascular Medicine
07.2016 - 04.2018
Ability to multi-task in a fast paced environment.
Proficient in checking patients in and out of appointments while obtaining up to date information including insurance and all required forms.
Efficient in answering 10 multiple lines (7 office lines, 3 hospital lines) and ensuring they are transferred to the appropriate department.
Coordinate doctor calls for 6 providers.
Verify 300-400 insurances per week.
Check schedule a week in advance for eligibility to ensure patients are seen in a timely manner.
Update all insurance FSC for accuracy for electronic health records and billing.
Verify new patients insurances if we are contracted.
Send provider letters and referrals to various doctors.
Assist with medical records as needed.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Conducted patient intake interviews to collect medical information and insurance details.
Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
Took messages from patients and promptly relayed to appropriate staff.
Informed patients of financial responsibilities prior to rendering services.
Answered multi-line phone system and directed callers to requested personnel and departments.
Authorizations Supervisor
Silicon Valley TMS
12.2015 - 07.2016
Coordinate with doctors to review patients appropriate for treatment.
Interview patients and thoroughly obtain information about their social life to ensure proper approach.
Initiate and follow up on all prior authorizations for medical treatment.
Schedule all patients for all 5 physicians in office.
Efficient auditing of patient charts to ensure patient's insurances are approved and patients are able to receive treatment in a timely manner.
Constant communication with providers to approve medical necessity and follow up on making adjustments with current treatment received.
Following up with patients per physician orders.
I prepare a little graduation for the patients to get their certificate.
Participate in monthly meetings with all physicians and staff.
Send out reports every Friday on what's being processed and worked on Back Office/Medical records.
Resolved customer complaints and adjusted policies to meet changing needs.
Performed scheduled and surprise inspections of worksites to gauge technician skill and performance in field.
Provided ongoing training to address staff needs.
Education
Associate of Arts - Liberal Arts: Mathematics, Science And Engineering
De Anza College
Cupertino, CA
06-2025
Education and First Aid Certification -
Foothill College
Los Altos, CA
12.2015
Graduate Certificate - Medical Billing And Coding
Institution Of Business And Technology
Santa Clara, CA
06-2014
High School Diploma -
Lincoln High School
Texas City, TX
12.2012
Skills
Medical Billing and Coding
ICD-9
ICD-10
Knowledge of MediSoft
Familiar with Nextgen
Experienced with Microsoft Word Office/PowerPoint
Triaging patient concerns
Microsoft Office
EClincalWorks EMR
Word
PowerPoint
Bright Tree
Snapworks
Excel
Microsoft Teams
Compassionate patient care
Administrative Skills
Auditing
Billing
First Aid
Goal setting
Medical Billing
MediSoft
Microsoft Word and Office/Power
Coding
Supervisory
Progress monitoring
Multidisciplinary team collaboration
Adaptable under pressure
Billing systems and software
Invoice processing
Insurance verification
Customer service
Claim submission
Certification
Certified Medical Billing and Coding, IBT, Santa Clara, 2014
Timeline
Billing Specialist
SleepQuest Inc
01.2021 - Current
Ongoing Care Coordinator
SleepQuest Inc
04.2018 - 01.2021
Medical Office Representative
Dignity Health Medical Group Cardiovascular Medicine
07.2016 - 04.2018
Authorizations Supervisor
Silicon Valley TMS
12.2015 - 07.2016
Associate of Arts - Liberal Arts: Mathematics, Science And Engineering