Lynnette Cuenca
Palm Coast,FL
Summary
Bilingual hardworking and detail-oriented performer with over ten years of medical administrative and Insurance knowledge. Considered a team player with exemplary multitasking skills while working in a fast-paced clinical environment.
Overview
10
10
years of professional experience
Work History
Insurance Verification and Authorization Specialis
First Coast Heart And Vascular
04.2017 - Current
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
- Verified client information by analyzing existing evidence on file.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Processed and recorded new policies and claims.
- Maintained confidentiality of patient finances, records and health statuses.
- Posted payments to accounts and maintained records.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Acted as insurance expert, answering internal and external questions and inquiries.
- Reviewed and verified insurance coverage information for six offices and three satelite offices with a minimum of three providers at each office.
Medical Administrative Assistant
Daytona Heart Group
09.2015 - 03.2017
- Organized paperwork such as charts and reports for office and patient needs.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Verified insurance coverage to prepare for upcoming patient appointments.
- Located, checked in and pulled medical records for patient appointments and incomplete charts.
- Called patients to confirm scheduled appointments day in advance.
- Enhanced office productivity by handling high volume of callers per day.
- Developed and managed accurate and confidential patient records.
- Provided educational documents and pamphlets to patients.
- Communicated with patients regarding payments on outstanding accounts.
Front Desk Specialist
Associates In Internal Medicine
05.2012 - 09.2015
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Transcribed phone messages and relayed to appropriate personnel.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Completed patient referrals to other medical specialists.
- Offered ample support to team members with creative solutions to complex challenges regarding scheduling, conflict resolution and medical care.
- Disseminated sensitive patient information and coordinated with translators to offer personalized service to individuals from diverse backgrounds.
- Supported office staff and operational requirements with administrative tasks.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Medical Billing And Coding Certificate - Healthcare
Penn Foster Career School
Scranton, PA06.2023
Medical Administrative Assistant Certificate - Healthcare
Blackstone Career Institute
Allentown, PA01.2018
Bachelor of Arts - Political Science And Government
Columbia College
Columbia, SCSkills
- Bilingual-Spanish
- Diagnostic Codes
- Knowledge of EMR systems
- Coverage Determination
- Healthcare Terminology
- Authorization Verification
- Health Insurance Plan Knowledge
- Insurance Authorizations
- Eligibility Determinations
- Commercial Insurance
- CPT Coding
- Microsoft Excel
- Obtaining Authorizations
- Benefits Verifications
Languages
Spanish
Native or Bilingual
Timeline
Insurance Verification and Authorization Specialis
First Coast Heart And Vascular
04.2017 - Current
Medical Administrative Assistant
Daytona Heart Group
09.2015 - 03.2017
Front Desk Specialist
Associates In Internal Medicine
05.2012 - 09.2015
Medical Billing And Coding Certificate - Healthcare
Penn Foster Career School
Medical Administrative Assistant Certificate - Healthcare
Blackstone Career Institute
Bachelor of Arts - Political Science And Government
Columbia College
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