MARICELA CAMPOS
Fontana,CA
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Well-qualified medical professional with experience triaging patients, capturing information and completing basic procedures such as wound care. Excellent communication, prioritization and multitasking abilities with sound judgment and compassionate nature. Background in clinic and hospital environments.
Overview
18
18
years of professional experience
1
1
Certification
Work History
LVN
Meridian Prime Concierge
04.2021 - Current
- Administered medications accurately and in a timely manner, ensuring proper treatment for various conditions.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Monitored vital signs and assessed patients regularly, swiftly identifying any changes in condition and addressing concerns promptly.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
Internal Claims Processor
Kaiser Permanente
11.2006 - Current
- Evaluated accuracy and quality of data entered into agency management system.
- Followed up with customers on unresolved issues.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
- Checked documentation for accuracy and validity on updated systems.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Maintained confidentiality of patient finances, records and health statuses.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Calculated adjustments, premiums, and refunds.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
LVN
Kaiser Permanente
03.2022 - 04.2022
- Assessed patients' temperature, pulse and blood pressure and recorded in electronic medical records.
- Documented patient vitals, behaviors and conditions to communicate concerns to supervising RN.
- Responded to patient requests with appropriate clinical and personal assistance.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Took samples to complete diagnostic and routine assessment tests.
Education
Vocational - Nursing
Pacific College
Costa Mesa, CA10.2011
Skills
- Accounts Payable and Accounts Receivable
- Customer Relationship Management
- Professional Development
- Data Integrity
- Billing Software
- Payment and Investigation Escalations
- Work Organizing and Prioritizing
- Compassionate Care
- Direct Patient Care
- Medication Administration
- Immunization Administration
Certification
- BLS, American Heart Association - 11/01/2020
- IV Therapy and Blood Withdrawal Certified, Genesis Medical College - 5/23/2021
Timeline
LVN
Kaiser Permanente
03.2022 - 04.2022
LVN
Meridian Prime Concierge
04.2021 - Current
Internal Claims Processor
Kaiser Permanente
11.2006 - Current
Vocational - Nursing
Pacific College
- BLS, American Heart Association - 11/01/2020
- IV Therapy and Blood Withdrawal Certified, Genesis Medical College - 5/23/2021
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