Lydia Sanchez
Santa Fe,NM
Summary
Dynamic medical billing professional with extensive experience at NM Department of Health, excelling in HIPAA compliance and patient billing. Proven track record of enhancing cash flow through effective claims resolution and strong insurance relationships. Adept at multitasking and organization, consistently surpassing accuracy standards while fostering a collaborative team environment.
Reliable Medical Biller with 18 years coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills,
Detail-oriented with strong understanding of bookkeeping principles and customer service. Considered focused and an organized team player.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
45
45
years of professional experience
1
1
Certification
Work History
CMS Medical Billing Clerk
NM Department of Health
06.2008 - Current
- 24 years experience in standard clerk duties, 16 years experience in medical billing and coding.
- Collected payments and applied to patient accounts.
- Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
- Improved cash flow by effectively following up on unpaid claims and resolving discrepancies between billed and received amounts.
- Maintained strong knowledge of current industry regulations and guidelines, ensuring compliance within all aspects of the medical billing process.
- Increased efficiency by utilizing advanced billing software tools, streamlining the entry of data and generating reports to track progress.
- Developed strong working relationships with insurance companies, fostering effective communication for swift resolution of claim issues.
- Managed high volume of daily billing tasks, prioritizing work efficiently in order to meet tight deadlines without compromising accuracy.
- Continuously updated professional skills through ongoing education and training opportunities, staying informed on changes in healthcare industry standards and trends.
- Streamlined the billing process by implementing efficient medical coding practices, resulting in reduced errors and improved revenue collection.
- Ensured timely submission of claims by accurately preparing and submitting medical bills to insurance companies within specified deadlines.
- Used data entry skills to accurately document and input statements.
- Generated monthly billing and posting reports for management review.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
- Participated in training programs to enhance product knowledge and customer service skills.
- Completed data entry tasks with accuracy and efficiency.
- Sorted documents and maintained organized filing process.
- Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
- Maintained a high level of accuracy and speed through continuous self-assessment, surpassing company standards consistently.
Shipping Clerk
NM Department of Health Vaccines for Chi
06.2001 - 05.2008
- 8 years inventory/shipping clerk experience
- Coordinated with 8 warehouse staff members to ensure timely order fulfillment and delivery.
- Reduced shipping errors by implementing a thorough quality control system for outgoing orders.
- Handled high-volume paperwork and collaborated with administrators to resolve invoicing and shipping problems.
- Maintained accurate inventory records, ensuring seamless order processing and shipment tracking.
- Expedited urgent flu and child vaccines shipments when necessary, coordinating closely with involved parties to ensure timely delivery without compromising quality standards.
- Participated in regular safety training sessions, maintaining a secure working environment for all team members.
- Enhanced overall productivity by maintaining a well-organized and efficient work area.
Dance Coach
St. Michael's High School, Santa Fe
08.1987 - Current
- 40 years experience in coaching dance teams, Pom, Military, Jazz, kick and hip hop
- Enhanced team performance by implementing innovative dance techniques and strategies.
- Organized successful dance competitions, fostering a competitive spirit among students.
- Facilitated workshops on injury prevention and proper stretching techniques, promoting dancer safety and wellness.
- Developed diverse choreographies for various age groups, resulting in engaging performances.
- Organized fundraising events to support the growth of the dance program and provide scholarships for deserving students.
- Coordinated with costume designers to create visually stunning ensembles that perfectly complemented each routine''s artistic vision.
- Utilized video analysis tools to assess dancer technique, identifying areas for improvement more effectively.
- Successfully prepared dancers for high-stakes showcases by utilizing performance simulation exercises to increase their comfort on stage.
- Maintained a positive learning environment by addressing any conflicts or concerns promptly and professionally.
- Established strong relationships with parents and guardians, providing updates on student progress.
- Increased student confidence through personalized coaching and constructive feedback.
- Provided feedback, guidance and support to students on participation and performance.
- Worked with fellow teachers to devise and implement support plans to help students excel.
Warehouse Inventory Clerk
Origins
06.1980 - Current
- 40 years Inventory clerk Origins. (High End Women's clothing store)
- Enhanced warehouse efficiency with the organization and arrangement of stored items, ensuring easy accessibility for order picking.
- Assisted in annual physical inventory counts, demonstrating strong attention to detail and accuracy while verifying item counts against system records.
- Contributed to team success by cross-training in various roles within the warehouse operation, increasing overall flexibility and adaptability of staff members.
- Streamlined order fulfillment processes, coordinating with shipping and receiving teams to ensure timely delivery of goods to customers.
- Demonstrated commitment to company values through active participation in team meetings and staff development opportunities, contributing to a positive work environment for all employees.
- Performed data entry and completed proper paperwork.
- Verified orders by comparing names and quantity of items packaged with shipping documents.
- Moved shipment materials to and from designated areas.
Education
Some College (No Degree) - Business Communication
College of Santa Fe
Santa FeHigh School Diploma -
St. Michael's High School
Santa Fe, NM05-1980
Skills
- ICD-10 proficiency
- CPT knowledge
- HIPAA compliance
- Medical terminology
- Patient billing
- Meeting planning
- Billing and collection procedures
- Multitasking and organization
- Customer service
- Billing and coding
- CMS-1500 billing forms
- Data entry
- Insurance billing
- Account reconciliation
- Accounts receivable management
- Knowledgeable in Word, Excel, Availity, Claim MD
Accomplishments
- Monetary Transactions - Handled cash, check, credit and automatic debit card transactions with 100% accuracy.
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of 12 and 2 staff members.
- 29 State Championships, 3 National Championships.
- Over 30 Top Ten National finishes.
Certification
CPR
NMAA Fundamentals of Coaching and
NMAA First Aid /Health and Safety for Coaches
NMPED Level 1 and Level 2 Coaching License
Background check
Catholic Course on Sexual Harassment
NM State Government Sexual Harassment class
DOH Civil Rights
DOH New Employees Course
Defensive Driving Certificate
DOH required HIPAA Courses 1/2
DOH Medical Billing and Coding
DOH Cyber Security Awareness
Languages
English
Full Professional
Interests
- Swimming
- I participate in low-impact exercises to strengthen core muscles
- Pilates
- Team Sports
- Dancing
- Hiking
- Stand-up Paddleboarding (SUP)
- Acting and Theater
- Dance
Timeline
CMS Medical Billing Clerk
NM Department of Health
06.2008 - Current
Shipping Clerk
NM Department of Health Vaccines for Chi
06.2001 - 05.2008
Dance Coach
St. Michael's High School, Santa Fe
08.1987 - Current
Warehouse Inventory Clerk
Origins
06.1980 - Current
Some College (No Degree) - Business Communication
College of Santa Fe
High School Diploma -
St. Michael's High School
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