Resourceful Team Member with proven history of reliability and excellent work. Dedicated to quality assurance and maximizing daily progress. Expert Customer Service for 10+ years, specializing in Medical Field. Pre-registration/Revenue Cycle experience. Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of medical terminology and EHR .Motivated to learn, grow and excel in Sutter Health.
Hi, I’m
MARIA ALCANTAR
Sacramento,CA
Summary
Overview
10
years of professional experience
Work History
Sutter Shared ServicesRoseville, CA
Financial Cleared Team Member II/Billing Rep
11.2014 - Current
Job overview
- Acts as first point of contact for incoming customer inquiries and requests by phone
- Manage over 80 calls per day in billing.
- Taking payments provide general account information, setting payment plan, process payments
- Other request by patients as requested, while in compliance with HIPAA
- Verify insurance eligibility via Passport, EPIC, or phone
- Add coverage if eligible, and initiate billing
- Leverages customer relationship management tools (primarily Salesforce) to perform front-line customer support and resolves majority of issues without escalation
- Records, edits, and tracks all customer interactions through customer relationship management tools(Sales Force and EPIC)
- Utilizes existing knowledge, internal training, and system resources to provide support for internal and external Sutter Health customers
- Billing and collections, including explanation of statement contents/format, charge entries, billing and collection processes
- Interpret payments, correspondence and denials from insurance companies, agencies and other departments
- Process requests quickly, accurately, and consistently with no supervision
- Serves as pre-service point of contact for patients to obtain all necessary information to pre-register and financially clear patients prior to day of service delivery.
- Verifying and process Release of Information form, for Itemized bills and medical records
- Cross trained with Risk Management
- Forward any incoming risk review request to risk manager on site
- Follow-up with status on open risk reviews
- Make any necessary adjustments at risk manager’s request
- Assist privacy with misdirected mail
- Work closely with claims and nurse auditors on risk adjustments
- Financial Clearance Duties:
- Pre-register and financially clear patients(verify demographics and contact info)
- Run estimates using Ecare and Once Source using DRG and CPT codes in Dr’s orders
- Verify eligibility and benefits
- Take incoming calls for patients calling to pre-register, updated all necessary information.
Pemco LTDSacramento, CA
Customer Service
05.2012 - 03.2014
Job overview
- Handle and redirect incoming calls effectively in a courteous professional manner
- Open, date stamp, and log in all HUD Sales Contracts, checks, and general correspondence
- Deliver all correspondence to appropriate department
- Print FedEx labels, and prepare all outgoing mail for the office
- Maintain adequate inventory of office supplies, and place orders
- Assist with clerical duties such as photocopying, faxing, and filing
- Handle courier packages and catering deliveries
- Greet and welcome visitors, buyers and agents
- Assist sales contract department with bids received by selling agents
- Maintain call logs after each call
- Train new hires
- Assist marketing department with event calendar and listing broker scorecard and provide an analytical monthly summary report to management
- Post cash,debit, and check payments for contracts via Yardi.
Education
National Career EducationRancho Cordova, CA
No Degree from Medical Assisting
03.2012
University Overview
Charter Community Collaborative SchoolSacramento, CA
High School Diploma
06.2007
University Overview
Skills
- Knowledge of medical terminology
- Strong attention to detail and Strong customer service skills
- Ability to communicate professionally and effectively with variety of customers
- Ability to adapt to change,
- Ability to work independently and as team player
- Regular and predictable attendance
- Excel, Microsoft word, PowerPoint and basic computer skill, also EPIC, Salesforce, Passport, experience
- 40-50 WPM
- Very detail oriented
- Ability to comply with Sutter Health policies and procedures Familiar with performance metrics and ability to meet identified targets
- Team member training
- Bilingual in Spanish
- 40-50 WPM
- Very detail oriented
- Ability to comply with Sutter Health policies and procedures Familiar with performance metrics and ability to meet identified targets
- Bilingual in Spanish
Timeline
Financial Cleared Team Member II/Billing Rep
Sutter Shared Services
11.2014 - Current
Customer Service
Pemco LTD
05.2012 - 03.2014
National Career Education
No Degree from Medical Assisting
Charter Community Collaborative School
High School Diploma
Obgective
Obgective
Seeking challenging work where I can utilize my skills and experience; as well as perform, enhance my knowledge, and contribute to the growth of your organization.
Obgective
Obgective
Seeking challenging work where I can utilize my skills and experience; as well as perform, enhance my knowledge, and contribute to the growth of your organization.
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