Summary
Overview
Work History
Education
Skills
Timeline
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Natalia Guerrero

Mooresville,NC

Summary

Efficient Bilingual Medical Assistant and Medical Billing professional pursuing an opportunity to obtain a position where can utilize education, skills and offer the opportunity to grow, learn, advance and to secure a position where existing skills in the area of Health care administration, billing and customer service can be utilized by a progressive and innovative company. Focused and productive with a commitment to perpetuating the company values through hard work and dedication.

Overview

18
18
years of professional experience

Work History

Customer Service Representative

Evolent Health
Chicago, IL
04.2023 - Current
  • Provided excellent customer service to members and providers, resolve customer inquiries in a timely manner.
  • Developed strong relationships with customers by providing personalized assistance and support. Ability to work independently and solve any concerns.
  • Resolved complex problems by working with other departments to provide solutions that meet customer needs.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Engaged in conversation with customers to understand needs, resolve issues, and answer all questions.
  • Greeted members and providers in a friendly and professional manner.
  • Handled customer complaints in an efficient and courteous manner.
  • Met and exceeded Metrics expectations.

Customer Service Representative

Home Shops USA LLP
Texas City, TX Remote, TX
01.2022 - 11.2022
  • Promptly responded to inquiries and requests from prospective customers.
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
  • Processed customer service orders promptly to increase customer satisfaction.
  • Calculated correct order totals, updated accounts, and maintained detailed records for inventory management
  • Processed over 90 orders per day and updated tracking numbers.
  • Managed timely and effective replacement of damaged or missing products.
  • Investigated and resolved customer inquiries and complaints quickly.
  • Set and achieved company defined sales goals.
  • Prepared invoices, reports, financial statements and other documents.

Medical Billing Specialist

Metro Dermatology
Edgewood, NJ
01.2017 - 09.2021
  • Evaluated patients' financial status and established appropriate payment plans.
  • Managed collections claim for unpaid bills against estates of debtors.
  • Posted and adjusted payments from insurance companies.
  • Printed and reviewed monthly patient aging reports and solicited overdue payments.
  • Identified and resolved patient billing and payment issues.
  • Accurately posted and sent out all medical claims.
  • Communicated with patients for unpaid claims for HMO, PPO, and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Provided excellent customer service in English and Spanish.
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Ensured compliance with state regulations related to healthcare service provision.

Medical Assistant, Medical

Lee Dermatology
Bronx, NY
01.2007 - 05.2013
  • Managing patient records and ensuring the delivery of quality care.
  • Assisted physicians with patient care by collecting and documenting patient medical information, such as blood pressure, blood work, glucose levels, vital signs, patient histories, and preparing patients for examinations.
  • Multitask at the front desk, documenting medical patient information.
  • Answering phone calls, scheduling appointments for continued care for patients with appropriate medical specialists.
  • Conducted initial assessments and evaluations of patient's needs.
  • Monitored and evaluated patient progress, adjusting treatment plans as needed, with the coordination of health professionals, to provide quality care for patients.
  • Maintained accurate client records in accordance with agency policies and procedures.
  • Assisted in the development of discharge plans for clients transitioning out of care programs.
  • Responded promptly to inquiries from patients regarding their care plans and Explained policies, procedures and services to patients.
  • Administered injections, medications, and treatments as directed by the physician and provided assistance to medical staff in performing minor surgical procedures.

Education

Medical Billing - Medical Assistant

Eastwick College
Nutley, NJ
06.2004

Certifications

Skills

  • Professional Skills and Administrative Experience
  • Bilingual in Spanish and English
  • Proficient in Microsoft Office: Word, Excel, Power point, Google Docs, and Data Entry
  • Quality Assurance
  • Problem solving, professionalism and multi-tasking skills
  • Medical Office Management
  • Medical Billing and Coding
  • EMR and EMA Software, Identifi software
  • Account Follow-up
  • Organizational Skills
  • Familiar with ICD-9, ICD-10 and CPT coding
  • Insurance Claims and Collections
  • Professional telephone demeanor
  • Healthcare knowledge
  • Healthcare operations
  • Care Planning
  • Medical Terminology
  • Customer Service
  • Case Management
  • Database coordination

Timeline

Customer Service Representative

Evolent Health
04.2023 - Current

Customer Service Representative

Home Shops USA LLP
01.2022 - 11.2022

Medical Billing Specialist

Metro Dermatology
01.2017 - 09.2021

Medical Assistant, Medical

Lee Dermatology
01.2007 - 05.2013

Medical Billing - Medical Assistant

Eastwick College

Certifications

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Natalia Guerrero