Marissa Salazar
Austin,TX
Summary
Seeking a challenging position in a professional environment that encourages excellence but also emphasizes opportunities for career advancement.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Patient Access Specialist
Vik Complete Care
08.2023 - Current
- Efficiently processing patient registration, verifying patient insurance information, communicating and processing payments, helping patients' complete paperwork and resolving issues that arise
- Maintain a warm and inviting atmosphere for our guests as they arrive while providing a fun attitude.
- Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Handled sensitive situations involving distressed patients with empathy maintaining professionalism throughout interactions.
Lead Billing Patient Specialist
Epiphany Dermatology
03.2020 - 08.2023
- Responsible for keeping patient's accounts accurate and within company and federal guidelines, helping patients understand their medical financial responsibilities and benefits, and working with insurance companies to make sure claims are paid appropriately and in a timely manner by performing the following duties.
- Managed prescription refill requests efficiently while adhering to medication safety guidelines.
- Assisted in coordinating diagnostic tests, obtaining prior authorizations from insurance companies when needed.
- Coordinated referrals to specialists, facilitating seamless transitions in care for patients.
- Acted as a liaison between patients and providers, ensuring clear communication of treatment plans and expectations.
- Promoted a positive work culture by actively participating in team-building activities that fostered collaboration among staff members.
- Managed high call volumes, efficiently addressing patient inquiries and resolving issues in a timely manner.
- Recommended service improvements to minimize recurring patient issues and complaints.
Claims Adjuster
Texas Mutal Insurance
08.2019 - 03.2020
- Analyze Texas Workers Compensation claims on behalf of the clients to determine benefits due, while ensuring ongoing adjudication of claims with service needs
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Documented all investigation activity and presented reports to management.
Insurance Follow up
Arise Austin Medical Center
05.2016 - 08.2019
- Gathered contracts and TDI Guidelines to obtain an accurate reimbursement amount and appealed any underpayments
- Improved claim resolution times by consistently following up on outstanding insurance claims and diligently addressing any discrepancies.
- Ran ATB excel spreadsheet for status of claim by age.
- Enhanced customer satisfaction by providing timely and accurate updates on the status of insurance claims.
- Reduced errors in claim submissions by conducting thorough audits of patient accounts prior to submission, ensuring accuracy and completeness of information.
Insurance Verification Specialist
Central Texas OB/GYN
11.2015 - 05.2016
- Interact with fellow front desk staff to obtain accurate insurance benefits
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintain an appropriate professional appearance and demeanor in accordance with Company policies
- Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies
- Participate in meetings as required
- Implemented ideas to improve processes and materials.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
Insurance Verification Specialist
Balcones Pain Consultants
02.2010 - 11.2015
- Report to Managers any issues, trends, and/or challenges associated with eligibility and/or benefits
- Interact with fellow Eligibility and Benefits Team members in regard to best practices
- Work from a queue of office inquiries regarding any issues and/or requests
- Maintain an appropriate professional appearance and demeanor in accordance with Company policies
- Ensure compliance with Company policies, as well as State, Federal and other regulatory bodies
- Participate in meetings as required
- Implemented ideas to improve processes and materials.
Education
High School Diploma Equivalent -
American Youth Works
01.2006
Skills
- Medical Terminology
- Front Desk Operations
- HIPAA Compliance
- Appointment Scheduling
Certification
Adjuster - Workers Compensation
References
- Leonor Torres, Arise Lead Collections, 512-484-8875
- Jewlee Azevedo, Epiphany Dermatology, 623-910-8261
- Jamie Snell, Vik Complete Care, 830-344-2833
Timeline
Patient Access Specialist
Vik Complete Care
08.2023 - Current
Lead Billing Patient Specialist
Epiphany Dermatology
03.2020 - 08.2023
Claims Adjuster
Texas Mutal Insurance
08.2019 - 03.2020
Insurance Follow up
Arise Austin Medical Center
05.2016 - 08.2019
Insurance Verification Specialist
Central Texas OB/GYN
11.2015 - 05.2016
Insurance Verification Specialist
Balcones Pain Consultants
02.2010 - 11.2015
High School Diploma Equivalent -
American Youth Works