Margarita Moralez
Milwaukee,WI
Summary
Dynamic professional with extensive experience in customer care and medical billing. Proven ability to resolve complaints and enhance customer satisfaction through effective communication and billing expertise. Bilingual in Spanish, skilled in managing high-volume requisitions while ensuring compliance with billing regulations.
Overview
15
15
years of professional experience
Work History
Office Asssistant
Ascension
Greenfield, WI
05.2025 - Current
- Managed office correspondence and documentation to ensure efficient communication among departments.
- Coordinated scheduling of meetings and appointments, optimizing time management for team members.
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Increased customer satisfaction by providing professional and courteous front desk support.
- Promptly received and forwarded incoming communications, such as phone calls, emails, and letters, to appropriate staff.
Security Supervisor
GardaWorld Security
Milwaukee, WI
11.2023 - Current
- Conducted regular patrols of facility to detect and deter security threats.
- Recorded incident reports with detailed accounts of occurrences.
- Supervised and evaluated security staff performance to determine compliance with safety regulations.
- Closely monitored alarm systems, responding promptly to alerts and coordinating appropriate action when necessary.
Customer Care Representative
Northwestern Mutual Life Insurance
Franklin, WI
05.2024 - 04.2025
- Managed high call volume with exceptional professionalism and efficiency.
- Navigated multiple computer systems and applications to find information.
- Resolved customer inquiries efficiently, enhancing overall client satisfaction.
- Provided support in policy administration and claims processing for diverse client needs.
Insurance Verification Specialist
ProHealth Waukesha Memorial Hospital
Milwaukee, WI
10.2020 - 01.2024
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Trained new staff on current, correct insurance verification procedures.
- Updated patient records with accurate, current insurance policy information.
- Established and maintained relationships with insurance providers for productive communications.
- Prepared and processed patient referrals and transfer requests.
- Chased insurance companies to achieve accurate and timely payments.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations
Senior Billing Specialist
Rejuvinix
Elm Grove, WI
02.2020 - 09.2020
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Improved cash flow for the company by promptly resolving outstanding invoices and accounts receivable issues.
Medical Biller
R1 Rcm
West Allis
10.2018 - 02.2020
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Medical Biller
Infinity HealthCare Inc.
Milwaukee, WI
03.2015 - 07.2018
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Streamlined call flow processes for more efficient response times and increased productivity.
- Verified insurance of patients to determine eligibility.
- Handled account payments and provided information regarding outstanding balances.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Enhanced customer satisfaction by efficiently addressing and resolving inquiries in a timely manner.
Medical Biller
State Collection
West Allis, WI
01.2014 - 03.2015
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Addressed customer account discrepancies and concerns.
- Placed outbound customer service or customer satisfaction calls to follow up on issues.
- Attended telephone skills and program information training sessions to boost aptitude.
- Processed debit and credit card and electronic check payments.
- Posted payments and collections on regular basis.
- Investigated and resolved customer inquiries and complaints quickly.
Medical Secretary
Midwest Nephrology
Milwaukee, WI
11.2011 - 01.2014
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Organized paperwork such as charts and reports for office and patient needs.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing calendars for multiple physicians.
- Maintained current and accurate medical records for patients.
- Facilitated new patient prescriptions, refills and prescription pre-authorizations.
- Prepared and processed patient referrals and transfer requests.
Education
High School Diploma -
Parkway Christian Academy
Oak Creek, WI06-1999
Skills
- Bilingual Spanish
- Inbound customer service
- Medical Terminology
- Knowledge of Billing Regulations
- Billing and Collections
- Complaint resolution
- Verbal and written communication
- Medicare and Medicaid process
- Appointment scheduling
- Data entry
- ICD-10 proficiency
- Claims processing proficiency
- HIPAA compliance
- Electronic health records experience
- Healthcare revenue cycle management
Languages
Spanish
Limited Working
Timeline
Office Asssistant
Ascension
05.2025 - Current
Customer Care Representative
Northwestern Mutual Life Insurance
05.2024 - 04.2025
Security Supervisor
GardaWorld Security
11.2023 - Current
Insurance Verification Specialist
ProHealth Waukesha Memorial Hospital
10.2020 - 01.2024
Senior Billing Specialist
Rejuvinix
02.2020 - 09.2020
Medical Biller
R1 Rcm
10.2018 - 02.2020
Medical Biller
Infinity HealthCare Inc.
03.2015 - 07.2018
Medical Biller
State Collection
01.2014 - 03.2015
Medical Secretary
Midwest Nephrology
11.2011 - 01.2014
High School Diploma -
Parkway Christian Academy