Marissa Escalante
Summary
Accomplished Patient Payment Specialist skilled in financial transactions and patient service communication. Proven ability in managing accounts, resolving billing discrepancies, and advocating for patient reimbursements, contributing to streamlined operations and enhanced client satisfaction.
Overview
14
14
years of professional experience
Work History
Patient Payment Specialist
Healthyskin Dermatology
01.2024 - Current
- Perform day-to-day financial transactions, entering all patient payments that were scanned from practice.
- Tracked patient payments and mailed statements, final notices, and dismissal letters to maintain accurate account status.
- Submitted patient accounts to collections agency and monitored payment status to facilitate timely resolution of outstanding balances.
- Managed and directed all incoming telephone calls to ensure efficient communication and patient support.
- Continuous patient communications in real time through secure texting relations system.
Biller
Specialists in Dermatology
09.2022 - 01.2024
- Perform day to day financial transactions, including verifying, classifying, computing, posting and recording accounts receivables’ data.
- Verified and resolved clients’ billing discrepancies to enhance accuracy of financial records.
- Drafted weekly appeals on denied claims to advocate for patient reimbursements.
- Recorded payment transactions to maintain updated financial records.
- Calling patient to verify insurance information/payment information.
- Managed and directed all incoming telephone calls to ensure effective communication and patient support.
- Answered phones, faxes, and emails while upholding all patient confidentiality protocols and standards.
- Mailing disputes and supporting documents.
Medical Records Clerk
Specialists in Dermatology
08.2021 - 09.2022
- Retrieved, prepared, and scanned hard copy reports into electronic medical records.
- Facilitated communication with patients and external offices to ensure timely information exchange.
- Executed office clerical activities, including drafting emails and letters to support administrative functions.
- Answered phones, faxes, and emails while upholding all patient confidentiality protocols and standards.
- Managed office equipment operations, including personal computers, photocopiers, and scanners, to maintain efficient workflow.
Front Office Clerk
Northwest Primary Care
Tucson
02.2019 - 07.2021
- Coordinated patient scheduling for appointments
- Answered phones, faxes, and emails while upholding all patient confidentiality protocols and standards.
- Screened and directed all incoming telephone calls, ensuring efficient communication for office operations.
- Performed all clerical activities, including correspondence, supporting upper management, tracking financial documents, and coordinating provider schedules.
- Operated office equipment, such as personal computers, photocopiers, scanners, voicemail systems, and facsimile machines.
- Retrieved, prepared, and scanned hard copy reports into electronic medical records.
- Managed customer billing cycle, processed payments, and generated past-due notices to maintain accurate financial records.
- Communicated with customers and other offices regularly.
Library Clerk/Intervention Specialist
Acacia Elementary
Vail
07.2015 - 02.2019
- Helped members of the public locate desired materials and use the library's resources.
- Classified items with the correct numbers and headings based on the Dewey Decimal system.
- Compiled and updated records for the library staff, including past-due books and damaged items.
- Examined returned books and organized re-shelving to ensure timely return to circulation.
- Assisted academics with research by identifying and obtaining sources.
- Attended seminars and training to enhance knowledge and skills for better service delivery.
- Coordinated lesson plans based around current age level curriculum.
- Monitored and regularly assessed students for progress reporting.
- Communicated students' progress and development to parents, fostering strong support networks.
Special Needs Paraprofessional
Acacia Elementary
Vail
08.2012 - 07.2015
- Collaborated with multidisciplinary team to tailor care strategies that address individual student needs, promoting effective skill development.
- Collaborated with therapists and implemented protocols to help children develop important skills.
- Maintained daily routines of activities and care needs to support educational/life skills development.
- Reviewed activities to identify and implement improvements enhancing student engagement and skill development.
- Supported clients in self-care by adapting tasks to their abilities, fostering independence and confidence.
- Offered companionship during the day, facilitating conversation and interactive activities.
- Responded to issues swiftly to maintain a positive environment.
- Observed self-administration of medications to adhere to medication regimen.
Education
Medical Assistant Certification: CCMA - insurance basics, scheduling/handling procedures, assisting providers, basic health care knowledge, HIPAA regulations
National Healthcare Association
Tucson, AZ12-2022
General Studies - Reading/Writing/Mathematics
Pima Community College
Tucson, AZTucson, AZ
GED - General Education
Arizona Department of Education
Tucson, AZ01-2017
Skills
- Payment processing
- Insurance verification
- HIPAA compliance
- Patient service communication
- Appeal drafting
- Team collaboration
- Task prioritization
- Multitasking ability
- Team collaboration
- Typing proficiency (40 wpm)
- HIPAA compliance
Medical Billing Experience
- Worked with EHR systems; EMA, Athena
- Communicated frequently with payor representatives of; Medicare, Arizona Complete Health, Banner University Family Care, Centene, Indian Health Services, Aetna, Blue Cross Blue Shield, United Healthcare, Tricare, Humana, and Cigna.
- Verified patient insurance coverage eligibility to ensure smooth claim processing.
- Consistent call volume ranges between 30-50 calls daily.
- Submitted reconsiderations,appeals and applied patient responsibility to denied claims.
- Basic understanding of medical coding.
- General knowledge of insurance plans and processing
- Simplifying complicated medical insurance jargon for better patient understanding.
References
- Reanna Vicari, Healthyskin Dermatology, Billing Manager, 2023, Current, 520-390-9962, Rvicari72@yahoo.com
- Marcie Gonzales, Specialists in Dermatology, Billing Manager, 2010, Current, 520-240-7964, mgonzales@specialistsindermatology.com
- Carrie Burdon, Tucson Unified School District, Math Specialist, 520-247-2300, mrsburdon4@gmail.com
Timeline
Patient Payment Specialist
Healthyskin Dermatology
01.2024 - Current
Biller
Specialists in Dermatology
09.2022 - 01.2024
Medical Records Clerk
Specialists in Dermatology
08.2021 - 09.2022
Front Office Clerk
Northwest Primary Care
02.2019 - 07.2021
Library Clerk/Intervention Specialist
Acacia Elementary
07.2015 - 02.2019
Special Needs Paraprofessional
Acacia Elementary
08.2012 - 07.2015
Medical Assistant Certification: CCMA - insurance basics, scheduling/handling procedures, assisting providers, basic health care knowledge, HIPAA regulations
National Healthcare Association
General Studies - Reading/Writing/Mathematics
Pima Community College
GED - General Education
Arizona Department of Education