Loris Soto
Paterson,NJ
Summary
Driven Billing Specialist and Administrative Manager with a proven track record at Sportsmed Physical Therapy and Gewant Chiropractic Center. Expert in billing systems, insurance verification, and fostering strong stakeholder relationships. Achieved significant reductions in billing discrepancies and enhanced patient trust through effective communication and HIPAA compliance.
Overview
21
21
years of professional experience
Work History
Billing Specialist
Sportsmed Physical Therapy
09.2021 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Maintained high levels of accuracy in data entry, ensuring proper documentation for each claim processed.
- Streamlined communication channels with customers, ensuring prompt responses to inquiries and concerns.
- Built strong working relationships with insurance adjusters, attorneys, medical providers, and other stakeholders involved in the claims process.
- Reduced claim handling errors by thoroughly reviewing policy coverages and applying accurate loss evaluations.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Administrative Manager
Gewant Chiropractic Center
01.2004 - 04.2020
- Ensured smooth daily operations with timely completion of all essential administrative tasks and responsibilities.
- Provided exceptional administrative support for executive-level staff, ensuring that their needs were met promptly and accurately in order to facilitate smooth daily operations.
- Supervised staff and delegated tasks to maintain positive, productive administrative operations.
- Maintained accurate record-keeping systems to ensure easy access to critical information for decision-making purposes.
- Answered phones to respond to customer questions, provide information and schedule appointments.
- Developed strong rapport with patients leading to high levels of trust and satisfaction, fostering long-term relationships.
- Prepared examination rooms with necessary equipment, promoting efficient appointment flow while prioritizing sanitation protocols.
- Educated patients on chiropractic care benefits, resulting in increased referrals and new client acquisition.
- Managed billing processes accurately and efficiently, ensuring prompt payments from insurance companies and patients.
Education
Bachelor of Science - Psychology
William Paterson University of New Jersey
Wayne, NJ05.2016
Associate of Arts - Liberal Arts And General Studies
Passaic County Community College
Paterson, NJ05.2012
Skills
- Billing systems and software
- Insurance Verification
- Invoice Processing
- Claims Processing
- HIPAA Compliance
- Claim submission
- CPT coding knowledge
- Medical record review
- ICD-10 Proficiency
- Fluent Bilingualism
- Medical Terminology
- Policy Interpretation
- Insurance regulations knowledge
Languages
Spanish
Native or Bilingual
Timeline
Billing Specialist
Sportsmed Physical Therapy
09.2021 - Current
Administrative Manager
Gewant Chiropractic Center
01.2004 - 04.2020
Bachelor of Science - Psychology
William Paterson University of New Jersey
Associate of Arts - Liberal Arts And General Studies
Passaic County Community College