Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Michelle E Cruz

New Braunfels

Summary

Medical experience and skills gained

Overview

5
5
years of professional experience

Work History

Accounting, Biller, Contractor, Charge Analyst, Coder

UIC Government Services / Bowhead Marine Support Services, LLC
09.2024 - Current
  • Scans and enters information into Abacus, Genesis, Updates and verifies demographic information.
  • Running reports, billing, re-billing of patient appointments and or hospital visits
  • Perform at a competent level and work collaboratively in the Brooke Army, UBO office. Coordinates Federal and Foreign billing, specifically in MSA Billing and Follow - Up.
  • Maintains and monitors Federal and Foreign accounts and runs reports for the billing.
  • Advanced knowledge of medical terminology due to the technical nature of language utilized by reports; consulted with programs to bill Federal & Foreign accounts.
  • Provides billing information regarding clinic and hospital policies, procedures, and locations to agencies and staff. Maintains patient's confidential records, copies, and file documentation.
  • Independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.
  • Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external agencies. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns.
  • Advanced knowledge of the technical health care process (including, but not limited to, billing across interdisciplinary coordinated care delivery and/or care in the community models and patient health care portals) as it relates to billing reciprocal countries.
  • Advanced knowledge of policies and procedures associated with interdisciplinary coordinated Federal and Foreign Health Care Agreements
  • Supervisor: Dawana Brickhouse (469) 825-0142 Direct HOURS: 40/WEEK, SALARY $54K YEARLY

Accounting Clerk III - Medical Biller / Coder / Insurance Follow - Up ( Federal / Foreign Military Billing )

The Arora Group
02.2023 - 09.2024
  • Perform various clerical activities in the Uniform billing Office. Data entry, information verification and bill generation. Updates and verifies demographic information. Run reports for management and conduct research to aid in the investigation of billing discrepancies and errors. Serve as the Point of Contact to customer inquiries regarding bills.
  • Ensure compliance with applicable agencies for payment regulations and processes;
  • Submit claims eligible for transfer to the appropriate agency for collection within 90-120 days utilizing the billing and collection system.
  • Serve as the Point of Contact to customer inquiries regarding bills. Provide non-personal administrative support necessary for the Program and Budget Branch, Resource Management Division, of a US Army Medical Center.
  • Assist leadership with recurrent and as needed reports to include the annual trauma, annual Internal workload, and monthly Region reports. Point of Contact for the Foreign military students and officers to obtain proper documentation to receive services at the military treatment facility. Oversee weekly reports documenting procedures and billing for federal agencies that included the NOAA and U.S. Public Health.
  • Advanced knowledge of medical terminology due to the technical nature of language utilized by clinicians; consulted with providers to identify/define MSA needs and requirements monitor, analyze, and research information for the budget team.
  • Perform analysis and established targets/goals for selected program elements based on guidance from higher headquarters, supervisor, executive program and budget activity committee and historical data.
  • Independently set priorities and organize work to meet deadlines, ensuring compliance with established processes, policies, and regulations.
  • Ability to communicate tactfully and effectively, electronically, by phone, in person, and in writing, with internal and external customers. This may include preparing reports in various formats and presenting data to various organizational levels, as well as resolving patient concerns.
  • Provide a supervisor a regular report of reimbursements and overall status of the program. Assist in organizing and preparing final documentation of designated program elements for inclusion in the overall budget presentation to command elements. Receive queries and requests from leadership for additional data pertaining to individual areas of responsibility. Coordinate and prepare responses. Independently perform a variety of budgetary, supporting administrative, and statistical analysis functions to justify support budget formulation and submission to branch or division level budget analysts. Assignments include new and unusual budget requirements work situations, which require the adaptation of guidelines not normally found in established budget regulations. Organize data according to appropriation account, object class, and line-item code. Review to assure that amounts requested are within established guidelines. Research, compile, verify, and summarize data involving salaries, other operating expenses, as they relate to object class and line-item information. Determines the variation percentage difference between amounts requested by comparison against prior year expenditures. Selects and enters budgetary information on a wide variety of developed related forms, and schedules using appropriate Microsoft applications, and reports. Consolidate budget estimates and prepare all forms and all required documents for review by branch supervisor for and issuance to program manager for use in funding authority. Develop methods for automating administrative reports, considering the interrelationships of reports and multiple uses of the data, e.g., provision of the data used for reports, and presentations, and reports. Consider budget standards and prepare formal forms and all required documents for review by branch supervisor for and issuance to program manager for use in funding authority. Develop methods for automating administrative reports, considering the interrelationships of reports and multiple uses of the data, e.g., provision of the data used for reports.
  • (BROOKE ARMY MEDICAL CENTER-BAMC), 40 HOURS PER WEEK; CIVILIAN CONTRACTOR
  • ACTIVE SECURITY CLEARANCE

FRONT DESK RECEPTIONIST, REGISTRAR

Baptist Health System
10.2020 - 02.2023
  • Prepare office for opening and closing for preop testing and Main Admitting office. Check in/out patients, verify patient insurance information, scanned physicians orders and medical records. Manages filing, retrieving medical records, and patient information ; assists with input ICD 10 and CPT code verification. Obtained and Processed referrals and authorizations, either for add on or scheduled cases for providers. Research issues identified and correcting any claim that may have problems per the insurance company.
  • Take incoming phone calls to assist with physicians scheduling and patient billing record requests either patient or Physician requests.
  • Cancel appointments; Verify demographics; Completed insurance or other claim forms.
  • Scheduled and confirmed patient diagnostic appointments, surgeries and medical consultations.
  • Greeted visitors, ascertained purpose of visit and directed them to appropriate staff.
  • Operated office equipment, such as voice mail messaging systems and used word processing, spreadsheet and other software applications to prepare reports, invoices.
  • Check in/outpatients; Schedule and reschedule appointments; Scanning, Indexing, Faxing, Copying
  • Collect copays/deductible, Patient Access
  • Documented and distributed messages to support timely communications.
  • Updated company databases and visitor logs with daily data and incident information.
  • Welcomed on-site visitors and directed to appropriate personnel.
  • Opened and closed main office in alignment with established security procedures.
  • Maintained cleanliness and organization of public areas and conference rooms.
  • Answered multi-line phone system and promptly transferred calls.
  • Answered questions about company location and hours of operation.
  • Assisted with completion of forms or sign-in procedures.
  • Greeted guests to determine nature and purpose of visit and directed or escorted to specific destinations.
  • Heard and resolved complaints from customers and public; Obtained & Processed referrals and authorizations, either for outside providers or medications
  • Research issues to include payments, outstanding balancing, or contacting appropriate offices, or other agencies as necessary.
  • Initiates action to resolve payment problems, resume awards, and change address of fiduciaries.
  • Follows all established procedures to identify potentially fraudulent activities and completes all actions to appropriately refer any potential incidents for review and action.
  • Counsels Patients, their dependents, survivors, beneficiaries, regarding the full array of payment determinations.
  • Identifies situations with public affairs implications or issues of such complexity or magnitude to warrant payment and refers them to superiors or other organizational elements.
  • Presented billing process for Insurance Billing.
  • HOURS: 40/WEEK

Education

Health Information Technology - Medical Billing and Coding

St. Philips College
San Antonio, TX
04.2010

GED -

Douglas MacArthur High School
San Antonio, TX
05.1989

Skills

  • AllRx, Dexcom Downloads
  • (Chameleon, MediTech and ECW)
  • HEDIS
  • Abacus/MHS Genesis/CHCS/AHLTA/COST ESTIMATES
  • SF1080 Voucher creation FOR FEDERAL BILLING
  • CPRS (Computerized Patient Record System)
  • VistaGui Scheduling

Affiliations

  • OUR LADY OF PERPETUAL HELP June 2007–Present
  • BSA November 2008–Present
  • STS PETER AND PAUL November 2017–Present

Timeline

Accounting, Biller, Contractor, Charge Analyst, Coder

UIC Government Services / Bowhead Marine Support Services, LLC
09.2024 - Current

Accounting Clerk III - Medical Biller / Coder / Insurance Follow - Up ( Federal / Foreign Military Billing )

The Arora Group
02.2023 - 09.2024

FRONT DESK RECEPTIONIST, REGISTRAR

Baptist Health System
10.2020 - 02.2023

Health Information Technology - Medical Billing and Coding

St. Philips College

GED -

Douglas MacArthur High School

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