Maggie Alvarenga
Westbury,NY
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. 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
23
23
years of professional experience
Work History
Crisis Counselor
Long Island Crisis Center
06.2023 - Current
- Provide timely assistance to individuals in crisis, utilizing active listening skills and empathy to establish rapport quickly.
- Converse with individuals in crisis which called or texted hotline for assistance.
- Manage high-stress situations with a calm demeanor, providing the necessary support to both clients and team members during challenging times.
- Evaluate risk to client or others by gathering information and conducting assessments.
- Implement evidence-based counseling techniques to assist clients in identifying triggers for their crises and developing healthy coping strategies moving forward.
- Develop resources for clients in need, connecting them with community services and programs that best suited their situation.
- Prevent further escalation of crises by effectively deescalating intense situations through skilled verbal interventions.
- Coordination with local emergency responders during critical incidents, facilitating seamless collaboration between multiple parties involved in resolving crises efficiently.
- Build safety plans to lower risk of crisis and intervened in specific manners outlined by procedures.
- Maintain accurate documentation following each client interaction, ensuring continuity of care while upholding ethical standards set forth by regulatory bodies.
- Use skills such as active listening and collaborative problem-solving daily to connect with patients and address concerns.
- Document risk to each client and context of concerns.
- Improve overall client satisfaction by maintaining a high level of professionalism and adhering to confidentiality guidelines at all times.
- Establish strong professional relationships with community partners, ensuring seamless referrals and access to appropriate resources for clients in need.
- Reduce crisis response times by streamlining communication protocols and implementing efficient triage procedures.
- Participate in relevant professional development opportunities to stay current with industry trends and enhance knowledge base as a Crisis Counselor.
- Enhance client support by conducting thorough assessments and developing personalized intervention plans.
- Provide emergency response in crisis situations to diffuse tensions and prevent violence.
- Collaborate with local agencies to coordinate comprehensive support services, ensuring holistic approach to crisis management.
- Conduct in-depth assessments to understand individual needs, facilitating tailored support plans for effective crisis resolution.
- Establish trust and rapport with clients, crucial foundation for effective crisis counseling and intervention.
- Enhance client coping mechanisms with targeted counseling techniques, significantly reducing recurrence of crisis situations.
- Ensure confidentiality and respect for client privacy, maintaining high ethical standards in all counseling and intervention activities.
- Maintain detailed case documentation, ensuring accurate tracking of interventions and outcomes for continuous improvement.
- Reduce client stress levels, offering empathetic support and practical solutions during crisis counseling sessions.
- Display sensitivity to cultural and linguistic needs of clients and families served.
- Support individuals dealing with mental health and emotional issues.
- Assist clients in exploring feelings and understanding behaviors.
Senior Medical Biller
Charlie Health
01.2022 - Current
- Conduct regular audits of billing records to identify areas for improvement and ensure compliance with industry standards.
- Enhance revenue by efficiently processing medical billing claims and ensuring accuracy.
- Manage high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.
- Improve cash flow by promptly following up on outstanding accounts receivable balances and initiating collection efforts when needed.
- Assist in training junior medical billers, sharing expertise and best practices to improve overall team performance.
- Facilitate communication between healthcare providers and insurance companies, ensuring timely payment for services rendered.
- Streamlined billing processes for increased efficiency while maintaining compliance with regulations.
- Maintain up-to-date knowledge of coding standards, resulting in fewer errors and improved claim acceptance rates.
- Provide exceptional customer service to patients, addressing billing inquiries and resolving discrepancies professionally and efficiently.
- Reduce claim denials by diligently reviewing patient information and verifying insurance coverage.
- Collaborate with healthcare providers to obtain necessary documentation for accurate billing.
- Coordinate closely with other departments, such as registration or patient finance teams, to streamline workflows across the organization''s revenue cycle management function.
- Resolve complex billing issues through meticulous research, collaboration with colleagues, and effective communication with insurance carriers.
- Accurately enter patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Deliver timely and accurate charge submissions.
- Review patient diagnosis codes to verify accuracy and completeness.
- Adhere to established standards to safeguard patients' health information.
- Respond to customer concerns and questions on daily basis.
- Use data entry skills to accurately document and input statements.
- Generate monthly billing and posting reports for management review.
- Startup telehealth mental health company when hired.
- Experience with Salesforce, Alleva, NextGen, One drive, google sheets, excel, Dropbox, and Collaborate MD.
- Review and fix rejections from clearinghouse.
Senior Billing Specialist
Long Island Kidney Care
10.2015 - 03.2024
- Conducted thorough audits of client accounts to identify discrepancies, enabling prompt resolution of any issues.
- Assisted in the development and implementation of billing policies, ensuring compliance with industry standards and regulations.
- Maintained detailed records of all transactions, ensuring accuracy in financial reporting and compliance with relevant regulations.
- Optimized revenue generation by identifying under-billed accounts and working closely with clients to rectify the situation.
- Enhanced customer satisfaction by addressing billing inquiries professionally and providing effective solutions.
- Demonstrated strong attention to detail by identifying and correcting minor errors before they escalated into major issues, contributing to overall accuracy in billing processes.
- Developed customized reports for management, providing valuable insights into billing trends and areas for improvement.
- Improved cash flow for the company by promptly resolving outstanding invoices and accounts receivable issues.
- Proactively identified potential billing issues by regularly reviewing contract terms and conditions for accuracy and consistency.
- Contributed to process improvements within the department by actively participating in brainstorming sessions, offering suggestions, and implementing approved changes.
- Negotiated payment plans with delinquent clients, minimizing losses while maintaining positive customer relationships.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Worked the entirety of the revenue cycle including charge entry, extracting ICD 10 and CPT codes from physician reports, posting payments, correcting of rejected claims from clearinghouse and follow-up.
- Workflow using SequelMed Systems and Practice Fusion.
Team Leader
Mount Sinai Health System
02.2002 - 12.2021
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Empowered team members by delegating responsibilities according to individual strengths and areas of expertise.
- Managed conflict resolution among team members, fostering a positive and collaborative work environment.
- Maintained an inclusive and diverse team culture, promoting respect and understanding among all members.
- Collaborated with other department leaders to establish shared goals and ensure alignment across teams.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Streamlined workflows for increased efficiency, reducing turnaround times for critical tasks.
- Coordinated resources effectively to meet project deadlines and achieve desired results.
- Facilitated decision-making processes within group through open dialogue and consensus-building techniques.
- Established clear communication channels to facilitate timely exchange of information between team members and stakeholders.
- Led cross-functional teams to execute projects on time, within budget, and with high-quality outcomes.
- Fostered positive work environment, resulting in increased team cohesion.
- Led by example, demonstrating commitment and professionalism that inspired team members to excel.
- Coordinated cross-departmental meetings to streamline project execution, fostering collaborative work environment.
- Improved operational workflows, enabling team to handle increased workloads without compromising quality.
- Optimized resource allocation, ensuring projects were delivered within budget and scope.
- Facilitated culture of continuous improvement, encouraging feedback and innovative solutions from all team members.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Generated reports detailing findings and recommendations.
- Gathered, organized and input information into digital database.
- Worked the entirety of the revenue cycle including posting charges, extracting ICD 10, CPT, and HCPCS codes from physician reports, posting payments, and working denials.
- Multi specialty practice including cardiology, endocrinology, internal medicine, and urology.
- Proficient in billing Urology hospital procedures.
- Workflow using Epic and SequelMed.
- Proficient is navigating insurance websites.
Education
Masters In Healthcare Administration - Healthcare Administration
Utica College
Utica, NY05.2018
Bachelors In Psychology - Child Psychology
Kaplan University
New York, NY10.2013
Skills
- Patient confidentiality
- Crisis handling
- Documentation skills
- Telehealth Proficiency
- Reflective listening
- Multicultural Competence
- Suicide Prevention
- De-Escalation Techniques
- Safety Planning
- Referral Coordination
- Documentation And Reporting
- Patient Referrals
- Problem-Solving
- Time Management
- Attention to Detail
- Excellent Communication
- Organizational Skills
- Effective Communication
- Decision-Making
- Clinical Documentation
- Positive Reinforcement
- Team building
- Task Prioritization
- Mental Health Support
- Analytical Thinking
- Conflict Resolution
- Professionalism
- Adaptability
- Confidentiality Practices
- Positive patient experiences
- HIPAA Compliance
- Payment posting
- ICD-10 Proficiency
- CMS-1500 Form Completion
- Patient account management
- Medicare and Medicaid Billing
- Claim submission
- HCPCS Level II Familiarity
- Procedural Coding
- Diagnostic Coding
- Commercial Insurance Billing
- UB-04 Form Completion
- Denial Management
- Claims Processing
- Data Entry
- Medical Terminology
- Insurance claims analysis
- Coding Error Resolution
- Workflow Management
- EMR Systems
Timeline
Crisis Counselor
Long Island Crisis Center
06.2023 - Current
Senior Medical Biller
Charlie Health
01.2022 - Current
Senior Billing Specialist
Long Island Kidney Care
10.2015 - 03.2024
Team Leader
Mount Sinai Health System
02.2002 - 12.2021
Masters In Healthcare Administration - Healthcare Administration
Utica College
Bachelors In Psychology - Child Psychology
Kaplan University
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