Monique Rangel
Bakersfield,CA
Summary
Administrative Professional experienced in optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable expert coordinator that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
11
11
years of professional experience
Work History
Billing Coordinator
Universal Healthcare MSO, LLC
2022.09 - Current
- Coordinated, managed and implemented auditing procedures for Enhanced Care Management encounters
- Communicated with case managers and administrative staff to obtain necessary information for audits
- Assigned Admin over several systems
- Performed billing and coding procedures for Enhanced Care Management services
- Processed insurance company denials by auditing member files, investigating denial reason to determine proper reimbursement
- Documented and maintained claim status for each claim throughout billing process
- Tracked and reported on claims processing metrics to aid senior management in making informed decisions
- Utilized specialized software to process incoming claims, enter data and generate reports
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards
- Maintained strong knowledge of basic medical terminology to better understand services and needed HCPC and ICD-10 coding
- Input and processed checks into EMR system
- Submit authorization requests to applicable insurance for Enhanced Care Management Services
- Submit Enhanced Care Management member referral requests to health plan
- Managed workload and priorities to meet claims processing deadlines
- Maintained strict confidentiality when handling sensitive client information, adhering to HIPAA or other privacy guidelines as required in specific industries.
- Monitored accounts receivable aging reports, identifying trends and proactively addressing potential collection issues
- Continually sought opportunities for process improvement, leading to increased efficiency and effectiveness within billing department
- Worked effectively with medical payers to obtain timely and accurate payments
- Researched and resolved billing discrepancies to enable accurate billing
- Verified insurance eligibility and benefits and updated insurance information
Office Service Technician- Case Management
Kern Medical Center
2022.05 - 2022.09
- Reviewed patient records, identified medical codes and created insurance authorization
- Maintained and updated patient census spreadsheet to track sending clinicals and discharge summaries to appropriate health plan
- Obtained and verified status from health insurance companies on inpatient authorizations
- Faxed updated clinicals and discharge summaries to health insurance companies
- Assisted in finding placement at outside skilled nursing facilities/rehab centers for patients
- Contacted outside skilled nursing facilities, acute rehab centers, and psychiatric facilities to screen patients for placement
- Submitted applications for qualified patients to California Children's Services (CCS) program for inpatient stay coverage
Transaction Coordinator
RE/MAX Golden Empire
2016.09 - 2019.10
- Generate Listing and Purchase contracts for Realtors to present to clients
- Facilitated and managed real estate transactions
- Audited files for office of 40+ Realtors to ensure accurate files for Department of Real Estate standards
- Collaborated with escrow officers, loan officers and agencies to complete property sales and purchases
- Collaborated with mortgage companies to ensure client's loan process were following appropriate contractual timeframes
- Collaborated with escrow companies to ensure escrow process were following appropriate contractual timeframes
- Order inspections on behalf of client
- Create and prepare property disclosures for Realtor to present to client
- Organize and order home repairs before move-ins and final steps
- Updated and maintained database of all Real Estate Files in Docusign Transaction Room
- Send out needed paperwork for electronic signature to clients and Realtors via Docusign
- Developed standard operating procedures and document workflows for current and future process steps
- Assisted Supervisor with phone calls, coordination, and scheduling
- Initiated outbound administrative requests by phone, electronically and in writing to accomplish successful file for Department of Real Estate
- Train Realtors on how to properly generate listing and purchase contracts
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
Receptionist
RE/MAX Golden Empire
2013.12 - 2016.09
- Maintained a well-organized reception area with updated materials, contributing to a welcoming environment for visitors
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents
- Managed conference room schedules to ensure efficient use of space for meetings and other events
- Assisted in the planning of office events and meetings, ensuring smooth execution and positive outcomes
- Collaborated with management to improve internal processes and procedures for better workflow optimization
- Assisted in the onboarding of new employees by preparing orientation materials and providing guidance on company policies
- Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients
- Answered central telephone system and directed calls accordingly
Education
Associate of Science - Business (In Progress)
Cerro Coso Community College
Ridgecrest, CA01.2025
Diploma - Medical Assisting
High Desert Medical College
Bakersfield, CA09.2021
High School Diploma -
Centennial High School
Bakersfield, CA05.2013
Skills
- Fast learner and adaptable
- Advanced clerical knowledge
- Microsoft Office expertise
- Overseeing automated databases
- Types 75 wpm (Certified)
- Strategic planning
- ICD-10 and HCPC coding knowledge
- Medical Terminology
- Health Insurance Knowledge
- Audit Coordination
- HIPAA Compliant
Additional Information
- Class Valedictorian (Medical Assisting at High Desert Medical College)
- Recipient of the Marsha Fuerst Memorial Scholarship, given by the California Association of Private Postsecondary Schools (CAPPS)
- Certified Medical Assistant
- Knowledge in several EMR programs including Prognosis, Phase, Cerner, EZCARE and EZ-CAP
- Knowledge of Availity and Office Ally clearinghouse systems
- Typing certification of 70 WPM
- Excellent in Microsoft Office
References
Megan Green (RN Manager over Case Management Department at Universal Healthcare MSO)-949-351-9684
Aubrianna Cooper (Current Co-worker at Universal Healthcare MSO)- 661-496-9440
Bertha Ledezma (Medical Assistant Instructor at High Desert Medical College)- 661-742-4260
Glenn Porter (Owner and Broker of RE/MAX Golden Empire, previous Manager)- 661-205-7355
Laura Heimforth (Previous Supervisor at RE/MAX Golden Empire)- 661-496-2773
Timeline
Billing Coordinator
Universal Healthcare MSO, LLC
2022.09 - Current
Office Service Technician- Case Management
Kern Medical Center
2022.05 - 2022.09
Transaction Coordinator
RE/MAX Golden Empire
2016.09 - 2019.10
Receptionist
RE/MAX Golden Empire
2013.12 - 2016.09
Associate of Science - Business (In Progress)
Cerro Coso Community College
Diploma - Medical Assisting
High Desert Medical College
High School Diploma -
Centennial High School
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