MICHELLE ESCATEL
San Antonio,TX
Summary
Analytical Medical Insurance Coordinator offering 11 years’ experience within fast-pace, high volume environments. Highly competent in efficiently verifying, coordinating and processing insurance payments. Skilled in quickly resolving issues and liaising between insurance providers, companies and policyholders. Seeking to bring talent to growing organization. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Patient Access Rep II
Christus Santa Rosa
10.2023 - Current
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Providing excellent customer service by promptly answering patient inquiries.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Responded to inquiries by directing calls to appropriate personnel.
- Facilitated communication between patients and various departments and staff.
- Verified patient insurance eligibility and entered patient information into system.
- Provided excellent customer service to patients and medical staff.
Insurance Coordinator
Peripheral Vascular Associates
10.2018 - 10.2019
- Analyzed weekly and monthly financial reports, including accounts receivable reports, and insurance contracts to facilitate revenue cycle management
- Efficiently managed collections and receivables, referrals process and billing to meet revenue goals
- Properly filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided
- Submitted claims to insurance companies and clearinghouses
- Complied with insurance regulations dictated by local, state, and federal agencies
- Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports
- Validated insurance and advised patients of benefits and coverage
- Answered patient calls and assisted with questions regarding billing statements and responsibilities.
Patient Account Representative
Institute for Women’s Health
07.2008 - 10.2018
- Electronically submitted bills according to compliance guidelines
- Posted payments and processed refunds
- Prepared reports detailing billing actions, flags and other documents
- Worked with outside entities to resolve issues with billing, claims and payments
- Monitored flags and resolved urgent items with accuracy and efficiency
- Responded to patient, family and external payer inquires
- Reviewed and corrected claim errors to facilitate smooth processing
- Reconciled statements with patient records
- Verification of benefits for gynecology and obstetrics patients
- Prepared OB delivery contracts for any patient responsibility
- Answered patient calls and assisted with questions regarding billing statements and responsibilities.
Education
Associates of Applied Science - Biology/Pre-Nursing
San Antonio College
San Antonio, TX05.2020
Skills
- EHR
- Excel
- Medical Terminology
- Microsoft Word
- EMR
- Outlook
- Typing 40 wpm
- Bilingual
- Billing & Coding
- Customer Service
- Insurance Verification
- HIPAA Compliance
- Language Fluency
- Payment Processing
- Phone and Email Etiquette
- Flexible Schedule
- Eligibility Determination
Certification
CPR certified by American Heart Association
Timeline
Patient Access Rep II
Christus Santa Rosa
10.2023 - Current
Insurance Coordinator
Peripheral Vascular Associates
10.2018 - 10.2019
Patient Account Representative
Institute for Women’s Health
07.2008 - 10.2018
Associates of Applied Science - Biology/Pre-Nursing
San Antonio College