Maria S Valencia
Granada Hills,Ca
Summary
Pragmatic Insurance Verification Specialist touting 20 years of expertise in benefits explanation and coverage tracking. A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Pre-Registration Financial Specialist
Dignity Health - Northridge Hospital Medical Center
04.2004 - Current
- Entered patient demographic and insurance data into electronic medical record system.
- Built and maintained positive working relationships with patients and staff.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Assisted in processing patient payments via cash, checks and credit cards
- Completed registration paperwork, verifying accurate patient information
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed
- Answered patient questions and inquiries regarding registration process and documentation
- Upheld HIPAA regulations and standards for protecting patient information
- Increase cash collections by 10%
Women's Center Secretary
Dignity Health Northridge Hospital Medical Center
01.2001 - 04.2004
- Scheduled appointments and conducted about 50 follow-up calls to clients.
- Maintained daily report documents, memos and invoices.
- Entered data into system and updated customer contacts with information to keep records current.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Created and updated records and files to maintain document compliance.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Maintained office supplies inventory by checking stock and ordering new supplies.
- Answered multi-line phone system and enthusiastically greeted callers.
Education
Associate of Science - Health Sciences
Los Angeles Mission College
Sylmar, CA06.2023
Skills
- Microsoft Office, MS4, Cerner, Citrix, MedePai, Noridian, Team, PowerChart
- Health Insurance Industry Knowledge
- Calculating Quotes
- Financial Aid Counseling
- Ability to manage multiple tasks simultaneously; flexible and adaptable to changes
- Ability to format and edit documents, appropriately of confidential information
- Excellent organization skills
- Ability to handle multiple phone lines, coordinate insurances and third party liability
- Ability to function independently and prioritize workload
- Customer service- excellent people skills, team player work well others
- Resourceful and conscientious
- Bilingual fluent in English and Spanish
Certification
- Hospital Fire and Life Safety, Los Angeles City Fire Department - Exp-06/25 Fitness# HC0084
Timeline
Pre-Registration Financial Specialist
Dignity Health - Northridge Hospital Medical Center
04.2004 - Current
Women's Center Secretary
Dignity Health Northridge Hospital Medical Center
01.2001 - 04.2004
Associate of Science - Health Sciences
Los Angeles Mission College
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