Melba Serna
Raymondville,USA
Summary
Fast learning and willing to take on new tasks with enthusiasm and considered a valuable and gifted team player. Seeking a challenging opportunity where experience and knowledge can be applied to help the organization accomplish its goals and objectives.
Overview
9
9
years of professional experience
Work History
Patient Account Representative
Prime Healthcare Services
Harlingen, TX
09.2023 - Current
- Responsible for accurate and timely payment analysis of managed care payors to determine that appropriate reimbursement is received.
- Managed denials and appeals process for denied Managed Medicare claims, working closely with insurance companies to resolve outstanding issues
- Developed strong relationships with insurance carriers' representatives to facilitate efficient resolution of billing inquiries or disputes
Customer Service Representative
CareXM
05.2023 - 07.2023
- Customer Service Advocate for patients calling in after hours to reach the on call provider or for Hospice and Home Health needing assistance.
Front Desk Receptionist / Treatment Plan Coordinator
ACCESS DENTAL
Raymondville, TX
07.2021 - 01.2023
- Front desk receptionist
- Answer phones and assist patients with all questions regarding appointments and dental care
- Schedule follow up appointments
- Go over treatment plans for current and future treatments
- Call in prescription as needed
- Call in referrals to other specialists
- Scan and enter all appointment information into patient accounts.
- Work with Dentaquest and Patterson software
- Verify patient insurance eligibility
- Treatment plan coordinator
- Charge out
Business Office Manager
La Jarra Ranch Senior Living
05.2017 - 03.2020
- Responsible for all day to day operations for the Adult Daycare and Assisted Living Facility
- Responsible for all Billing and Collections, payroll and assisted with accounts payable.
- Responsible for Human Resources duties and keeping licenses and policies current
- Maintained and supervised office operations
- Communicated with clients
- Supervised office staff
- Managed payroll
- Supported and trained staff
- Processed billing and collections on a daily basis
- Maintained office supply inventory
- Fulfilled clerical activities
Education
High school diploma - undefined
Lyford High School
Lyford, TX05.1984
Skills
- Office experience
- Computer literacy
- Medical collection
- Medical Billing
- Data Entry
- Medical Office Experience
- QuickBooks
- Spanish
- Dental Receptionist
- Insurance Verification
- Customer service
- Microsoft Excel
- Microsoft Outlook
- Managed Care
- Medical Terminology
- Computer skills
- Clerical experience
Languages
English - Fluent
Spanish - Intermediate
Timeline
Patient Account Representative
Prime Healthcare Services
09.2023 - Current
Customer Service Representative
CareXM
05.2023 - 07.2023
Front Desk Receptionist / Treatment Plan Coordinator
ACCESS DENTAL
07.2021 - 01.2023
Business Office Manager
La Jarra Ranch Senior Living
05.2017 - 03.2020
High school diploma - undefined
Lyford High School