Maria Elsa Cruz
Certified Medical Administrative Specialist
Folsom,CA
Summary
Certified Medical Administrative Specialist passionate about patient care and aptitude for medical billing duties as demonstrated over 14 years. Skilled in appointment scheduling, efficient data entry, health records maintenance and insurance billing tasks. Commended for dedicated work ethic and attention into detail. Successful in managing time, prioritizing tasks and organizing projects to improve the quality of patient's care. Ability to multitask effectively, professionalism, follow up, result oriented, energetic, competent, honest and dependable, and overall a positive attitude.
Overview
17
17
years of professional experience
Work History
Administrative Assistant
Envision Motors
06.2021 - 04.2023
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Executed record filing system to improve document organization and management.
- Scheduled office meetings and client appointments for staff teams.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
- Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Supported room reservations, agenda preparation and calendar maintenance for programs, meetings and events.
- Arranged rapid office equipment repair and maintenance with vendors.
- Monitored premises, screened visitors, updated logs and issued passes to maintain security.
- Performed research to collect and record industry data.
- Coordinated travel arrangements by booking airfare, hotel and ground transportation.
- Manage advertising and office expenses.
BILLING MANAGER
MEDICAL RECORDS | FUSION PHYSICAL MEDICINE
05.2011 - 02.2021
- Process new patient’s files-review and prepare patient’s and billing information, posting charges, posting payment, follow up claims, Medicare and commercial insurance appeals.
- Handle mail, handle EOBs, collect payments, prepare daily deposit, performs bank deposit, billing audits, check and balances.
- Handle Personal Injury cases, Medical liens, Depositions, Subpoena for records and billing, Disability paperwork and Settlement.
- Review, prepare and sending records and billing for Personal Injury Lawyers, Referring Providers.
- Health and Auto Insurance companies, Disability Claims, and any Authorized individuals.
- Help train new hired employees and maintain strictest confidentiality, adhere to all HIPAA guidelines and regulations.
- Insurance verification (Health and Medpay), scheduling, check -in/ check- out, appointments confirmation, referrals, retrieve messages, answers multiple calls and emails from Law offices.
- Answer questions from Attorneys, clerical staff, patients, and auto Insurance companies.
- Reviewed billing problems, researched issues and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
FRONT DESK/AUTHORIZATION
SIENA CARDIOLOGY
01.2009 - 01.2010
- Prepare office for business, retrieve messages, prepare and distribute charges slips and schedules for providers and technician, pulling, filing and develop charts, transfer phone lines.
- Scheduling, confirm appointments (average of 250 patients per week) check-in/check-out, collect copays and deductibles and outstanding balances, handle multiple phone lines.
- Request authorizations for office diagnostic testing and out patients’ hospital procedure.
- Furnished medical records requested by referring providers, hospitals, insurance companies, disability claims, law firms and authorized individuals.
- Received and send multiple messages for each providers and staff members, handle emergency hospital phone calls and paging on call physicians.
- Handle insurance information, request lab results, referrals, call in prescription, set up appointments for vendors to present products and services to Physicians, closing daily batch.
FRONT DESK COORDINATOR
ACI PEDIATRICS
01.2008 - 01.2009
- Scheduling, check-in/check-out, confirm appointments, call in and fax prescriptions, lab results, referrals and authorizations.
- Insurance verification, prep charts, pulling and filing charts, taking messages for the providers and staff.
- Furnished medical records requested by mutual providers and any authorized individuals, cash handling, closing daily batch.
- Handle multiple calls, finishing cycles after each call, new patient’s data entry relating to personal and medical coverage.
BILLER/FRONT DESK
ASSOCIATED NEURO AND PSYCHOLOGICAL SPECIALTIST
01.2006 - 01.2008
- Performed billing duties, posting charges, posting payments, follow claims, handle EOBs and denials, appeals, Medicare re-billing, electronic and paper claims, cash handling.
- Insurance verifications, calling patients regarding their insurance coverage and benefits and financial responsibility.
- Addressed billing questions, request authorizations, referrals, prepare treatment plan and authorization forms for providers, prepare daily report.
- Appointment scheduling, confirming, check-in/check-out, filing and prepare charts, prepare daily sheets and superbills, handle mail, cash handling and closing daily batch.
Education
Medical Billing Course-Certified Medical Billing Professional- Medical Billing and Reimbursement -
Medical Billing Online
Online Course04.2014
Certification - Certified Medical Administrative Specialist
American Medical Technologist
Rosemont, IL03.2007
Certification - Medical Office Specialist
Nevada Career Institute
Las Vegas, NV02.2007
Skills
- Astute observation skills, Ability to work under pressure
- Self-motivation, Ability to follow set rules and protocol, Strong work ethic, Attention to detail
- Ability to adapt, Quick thinking skills, Ability to multi-task, Positive attitude, Resilience
- Continuous improvements, Rapport building, Time management, Teamwork, Research method
- Record keeping, Goal setting, Accomplishments, Prioritize and Confidentiality Assurance
- Insurance Regulations, Medicare, Medicaid, Tricare and Private Insurance, Billing process, Information resource
- Knowledge of Office Equipments: Fax, scanner, Copy machine, Computer, Credit card terminal, Label
- Maker, Postage meter
- Microsoft words, Excel, Collaborate MD, Misy’s Tiger, Lytec, Medinotes, Physician Centricity, Kareo,
- Chiro Suite EHR, Clinicient, ChiroTouch, E-Charm, Medisoft, Nextgen, CDK and Netstar
Timeline
Administrative Assistant
Envision Motors
06.2021 - 04.2023
BILLING MANAGER
MEDICAL RECORDS | FUSION PHYSICAL MEDICINE
05.2011 - 02.2021
FRONT DESK/AUTHORIZATION
SIENA CARDIOLOGY
01.2009 - 01.2010
FRONT DESK COORDINATOR
ACI PEDIATRICS
01.2008 - 01.2009
BILLER/FRONT DESK
ASSOCIATED NEURO AND PSYCHOLOGICAL SPECIALTIST
01.2006 - 01.2008
Medical Billing Course-Certified Medical Billing Professional- Medical Billing and Reimbursement -
Medical Billing Online
Certification - Certified Medical Administrative Specialist
American Medical Technologist
Certification - Medical Office Specialist
Nevada Career Institute
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