Maria Mendez
Bothell,WA
Summary
Customer Retention Specialist accurately manages large volume of calls and inquiries. Adept at building key relationships and applying effective insurance research and verification techniques to increase collection efforts and revenue.
Overview
10
10
years of professional experience
Work History
Retention Specialist
Acadian Ambulance Service
, WA
01.2018 - Current
- Collaborated with internal staff members such as Billing Specialists, to resolve any discrepancies in patients' insurance information.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary verification.
- Updated patient and insurance data and input changes into company computer system.
- Utilized electronic medical records (EMR) systems for documenting verification processes.
- Navigated through multiple online portals to obtain eligibility verification.
- Maintained up-to-date knowledge of insurance policies, including Medicare and Medicaid.
- Contacted patients to confirm demographic information and communicate financial responsibilities.
- Resolved insurance-related issues and discrepancies to prevent claim rejection.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Insurance Verification Specialist
Acadian Ambulance Service
Lafayette, Louisiana
09.2016 - 12.2017
- Received, analyzed and responded to incoming calls from patients and providers regarding insurance issues.
- Reviewed patient information to ensure accuracy of data entered into the system.
- Maintained accurate records of all transactions involving insurance verifications.
- Verified insurance coverage and eligibility for services using computer software.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Data Entry Clerk
Express Employment - Acadian Ambulance
Lafayette
07.2015 - 09.2016
- Entered patient data into electronic health record systems accurately and in a timely manner.
- Reviewed source documents for accuracy and completeness before entering the data into the system.
- Verified patient information by comparing it to medical records.
- Investigated discrepancies with electronic files when necessary.
- Provided assistance with other clerical duties as needed.
Education
CPC Certificate - Billing And Coding
Unitech Training Academy
Lafayette, Louisiana03-2015
Skills
- Task prioritization
- Written communication
- Work complaint handling
- Multitasking
- Remote conferencing and communication
- Excellent communication
- Payment collection
- Goal-oriented mindset
- Call center experience
- Patience and persistence
- Account management
- Customer research
- Answering of incoming calls from patients
- Use and knowleage of: One source, Passport, Cigna, UnitedHealthcare, Tricare, Novitasphere (Medicare), Texas Medicaid, Louisiana Medicaid, Availity, Ambetter, and Epic hospital portals, ESO, word, google sheets, jabber
Timeline
Retention Specialist
Acadian Ambulance Service
01.2018 - Current
Insurance Verification Specialist
Acadian Ambulance Service
09.2016 - 12.2017
Data Entry Clerk
Express Employment - Acadian Ambulance
07.2015 - 09.2016
CPC Certificate - Billing And Coding
Unitech Training Academy