Mickey Ortiz
Collingswood,NJ
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
9
9
years of professional experience
Work History
Insurance Specialist
Cooper University Hospital
02.2025 - Current
- Reviewed and processed insurance claims to ensure compliance with policy guidelines.
- Provided expert guidance on coverage options to clients, enhancing customer satisfaction.
- Implemented workflow enhancements that increased efficiency in claims resolution timelines.
- Processed eligibility and benefits verification
- Researched and resolved routine and complex issues.
- Maintained confidentiality of patient finances, records, and health statuses.
Patient Navigator I- Department of Women and Children’s Health
Cooper University Hospital
03.2017 - 02.2025
- Answer telephone and either respond to inquiry or direct caller to appropriate personnel
- Schedule appointments and enters appointment date and time into computerized scheduler with a high rate of accuracy.
- Provide excellent customer service; treats patients and coworkers with courtesy and discretion.
- Register patients by verifying that patient's record are up to date and accurate. Makes appropriate changes in computer system
- Enter confidential personal health information and financial information into computerized system with a high rate of accuracy. Complies with federal and local laws in ensuring patient privacy.
- Assisted patients in overcoming barriers to care, such as transportation, language, and financial challenges.
Registration
Virtua Hospital
05.2021 - 06.2023
- Obtains copies of patient insurance cards and identification and enters demographic, financial, insurance and clinical information into computer system; verifies completeness and accuracy of all data.
- Obtains signatures on all required documents for consent, medical necessity, and on required State, Federal and regulatory documentation. Processes all necessary paperwork.
- Correctly identifies, collects and processes co-pays, deductibles, co-insurance and deposits from patients and may facilitate resolution of billing issues by liaising with patient accounting, patient, and insurance representative.
- Identifies and provides appropriate referrals and payment options to patients needed financial assistance.
- Provides additional office support including telephones, scheduling, typing, filing, et
Education
Medical Billing and Coding Diploma -
Anthem Institute
Cherry Hill, NJ01.2013
Skills
- EPIC
- Novitas
- Medical Terminology
- Microsoft Office
- OneSource Passport
- Acombina
- Bilingual
- Cold calling
- Data entry
- Call center customer service
Languages
Spanish
Professional Working
Timeline
Insurance Specialist
Cooper University Hospital
02.2025 - Current
Registration
Virtua Hospital
05.2021 - 06.2023
Patient Navigator I- Department of Women and Children’s Health
Cooper University Hospital
03.2017 - 02.2025
Medical Billing and Coding Diploma -
Anthem Institute