Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Maribel Arriaga

Sanford,FL

Summary

Adaptable professional with extensive knowledge in the Health Insurance, Records Management, Data Entry, and Customer Service in an Emergency Room Hospital setting. Proficient in applied and benefit applications search . Worked with all US Insurance carriers as well as International based upon client coverage needs. Knowledge of applied systems including EHR/EMR system (EPIC), Kronos and Lawson. Well-versed in HIPPA Law, COBRA, FMLA, No Fault, etc. Acquainted with Microsoft programs. Bilingual (Spanish) both written and verbal. Highly motivated Financial Coordinator with proven success scheduling appointments and effectively communicating with various personalities. Smart, reliable and possessing extensive billing and fee calculation experience. Meticulous professional with a background in verifying insurance benefits and coordinating financial plans for patients. An established Financial Coordinator known for taking on additional responsibilities with poise and grace.

Overview

20
20
years of professional experience

Work History

Financial Coordinator

Bright Light Pediatric Dentistry
04.2023 - Current
  • Completed journal entries, reconciliations, and account analysis to prepare quarterly financial documents and general account management.
  • Explained insurance benefits, fees and procedures to patients.
  • Contacted insurance carriers to discuss policies and individual patient benefits.
  • Submitted claims to insurance companies on same day as patient treatment.
  • Managed accounts payable and receivable functions, ensuring timely payments and accurate recordkeeping.
  • Answered questions over phone and in-person regarding billing, scheduling and treatment.
  • Maintained a high level of confidentiality when handling sensitive financial information and employee records.
  • Increased departmental efficiency, implementing standardized procedures for all financial coordinator tasks.
  • Followed up with delinquent accounts to obtain funds and reduce aging balances.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
  • Oversaw invoicing processes, ensuring prompt billing of clients while minimizing errors in calculations or account entries.

Clinical Care Coordinator

United Healthcare Group
11.2022 - 04.2023
  • Served as a liaison between RN's, administration, and insurer's to ensure optimal service delivery throughout the continuum of care.
  • Made certain all Authorizations were processed. Patients records were received. Doses for home infusions were correct. Expedited expired scripts, made certain insurance was up to date.
  • Maintained thorough documentation of all clinical interventions, ensuring accurate records for continuity of care and regulatory compliance.

Coordinator, ER Registration/Financial

Jamaica Hospital Medical Center
01.2020 - 07.2022
  • Responsible for reviewing several work queues such as claim denials and quality control checks to ensure timely, accurate billing
  • Create and maintain a monthly schedule, monitoring daily for sick calls, tardiness, and adjusting staffing related to patient volumes
  • Provide assistance for all staffing needs, and staff ensuring optimal patient flow and production goals in absence of Manager
  • Payroll processing and timekeeping using Kronos for up to 60 employees
  • In charge of ordering all office supplies using Lawson
  • Make sure all Re-call letters are sent out on behalf of providers
  • Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.

Ambulatory Care Rep, Family Medicine/ER Dept

Jamaica Hospital Medical Center
01.2005 - 01.2016
    • Registered all patients on EPIC (Electronic Medical Records), also on Patcom, for Medical, Pediatrics, OB/GYN, Sports Medicine, Dermatology, Radiology, PSYCH, and Eye Clinic
    • Verified all insurance, made certain authorizations and referrals were completed before patients came in for appointments
    • Scheduled appointments, answered phones, directed all calls to respective parties
    • Scanned in all Identification, Insurance cards, all Paperwork, Physicals for work/school/WIC forms
    • Faxed paperwork for doctors, provided work/school letters
    • Ensured patients transportation was contacted for pick up
    • Distributed MetroCard's
    • Scheduled Interpreters for patients as needed
    • Maintained and calculated all monies for co-pays and self-pay patients
    • Registered all patients on EPIC (Electronic Medical Records)
    • Ensured all demographics are entered correctly
    • Obtained all identification and insurance cards and scanned them into system
    • Verified all insurance information
    • Referred patients to the Financial Office if no insurance is available
    • TAG- (Triage Ambulance Greeter)
    • Arrived patients in emergency triage area
    • Made sure Pt was provided with a bracelet for identity
    • In charge of emergency registrations consisting of all Codes, Notifications, Trauma Teams, Code 66, Code 99, LVO's, STEMI's, intoxicated and overdosed patients in a fast paced environment

Lead ER Financial Investigator

Jamaica Hospital Medical Center
01.2016 - 01.2020
    • Conducted interviews to obtain relevant demographic and insurance data; obtained appropriate signatures on medical, legal and financial forms
    • Verified insurance, for successful billing (benefit coverage/limits, co-pay/deductible amounts, authorization and precertification and referral requirements, etc.)
    • Performed financial assessments of patients who are uninsured, made appropriate referrals for financial assistance
    • Ran insurance verifications and eligibility via Internet and applied Epic RTE system
    • Submitted completed charts to the financial office for billing including CPT and ICD-10 Codes

Education

High School Diploma -

Franklin K. Lane
Brooklyn, NY
01.1995

Skills

    • Verbal and written communication
    • Accounts Receivable
    • Accounts Payable
    • Benefits Explanation
    • Teamwork and Collaboration
    • Customer Service
      • Attention to Detail
      • Multitasking and Organization
      • Problem-solving abilities
      • Phone and Email Etiquette
      • Authorizations

References

Furnished Upon Request

Timeline

Financial Coordinator

Bright Light Pediatric Dentistry
04.2023 - Current

Clinical Care Coordinator

United Healthcare Group
11.2022 - 04.2023

Coordinator, ER Registration/Financial

Jamaica Hospital Medical Center
01.2020 - 07.2022

Lead ER Financial Investigator

Jamaica Hospital Medical Center
01.2016 - 01.2020

Ambulatory Care Rep, Family Medicine/ER Dept

Jamaica Hospital Medical Center
01.2005 - 01.2016

High School Diploma -

Franklin K. Lane
Maribel Arriaga