Natalie Delgado
Whittier,CA
Summary
Analytical, organized and detail oriented Medical Office Supervisor. Collaborative team player with ownership mentality and a track record of delivering the highest quality strategic solutions to resolve challenges, process improvements and team mentoring.
Overview
17
17
years of professional experience
Work History
Denial Specialist
Conifer Health
Frisco, TX
05.2022 - Current
- Reviewed and evaluated claims to determine if they meet the insurance criteria for reimbursement.
- Monitored assigned accounts for payment resolution or appeal opportunities.
- Identified any discrepancies in patient information, provider information, or coding accuracy as part of the denial process.
- Reviewed and analyzed denied claims to determine reasons for denial and identified corrective actions.
- Prepared and submitted appeal letters and necessary documentation to overturn unjustified denials.
- Coordinated with the billing department to ensure corrected claims are resubmitted promptly.
- Checked documentation for appropriate coding, catching errors and making revisions.
Patient Coordinator
Marshburn Eye Center
Whittier, CA
05.2010 - 04.2022
- Conducted research on health plan benefits to determine eligibility criteria for services.
- Prepared patient charts prior to visits as well as updated records after each visit.
- Ensured all paperwork related to patient care was completed accurately and timely.
- Coordinated patient appointments and maintained appointment schedule.
- Answered incoming calls from patients, providers, and insurance companies in a courteous manner.
- Provided support to patients regarding insurance coverage, payment plans, and other financial matters.
- Pulled patient files and verified insurance before patient's appointment.
- Passionately focused on providing care and assistance to patients during times of illness or injury.
Coordinator
Sanford Studios
Whittier, CA
06.2008 - 04.2010
- Responsible for organizing incoming and outgoing of mail and packages.
- Multi tasking of being inside stupid and outside on the field.
- Assisted photographers at schools, preparing students for ID and senior portraits.
- Handling of cash with purchase of picture as well as balancing out Daily Cash, checks and credit cards at the end of day.
Education
High School Diploma -
California High School
Whittier, CA06-2008
Skills
- Results oriented
- Proficient and quick learner
- Decision Making
- Conflict Resolution
- Time management and adaptability
- Self motivated
- Exceptional oral and written skills
- Team Player
- Computer proficient
- Microsoft office proficient
References
References available upon request.
Timeline
Denial Specialist
Conifer Health
05.2022 - Current
Patient Coordinator
Marshburn Eye Center
05.2010 - 04.2022
Coordinator
Sanford Studios
06.2008 - 04.2010
High School Diploma -
California High School
Similar Profiles
Elisa GutierrezElisa Gutierrez
Patient Service Representative at Conifer HealthPatient Service Representative at Conifer Health
Sarah Stringer-HartmanSarah Stringer-Hartman
Financial Account Representative at Conifer HealthFinancial Account Representative at Conifer Health
Davia AllenDavia Allen
Patient Access Lead (St Mary's Medical Center) at Conifer HealthPatient Access Lead (St Mary's Medical Center) at Conifer Health
Leanne GomezLeanne Gomez
Substitute Teacher at South Whittier School DistrictSubstitute Teacher at South Whittier School District
Anahi PalaciosAnahi Palacios
Assistant Manager at Don Roberto JewelersAssistant Manager at Don Roberto Jewelers