Nayeli Chavez
Bakersfield,CA
Summary
Ambitious Medical Billing and Collection Specialist with more than 6 years of experience in debt collection and collections processing. Successful in following up on past due accounts and recouping unpaid balances. Outstanding negotiator skillful in creating manageable repayment plans to reduce debt.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Bilingual Call Center Agent
FOUNDATION FOR COMMUNITY COLLEGES
04.2022 - Current
- Assisting callers with any issues they might have with their Pandemic-EBT card. My assignments consisted of address changes, card replacements, new case building and making sure all requirements were met for children to qualify for the program
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Responded to customer calls and emails to answer questions about products and services.
- Attended telephone skills and program information training sessions to boost aptitude.
- Educated customers on company systems, form completion, and access to services.
Patient Access representative
Adventist Health Bakersfield
12.2020 - 03.2022
- Registration of patient in the Emergency room.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Gathering all pertaining information such as insurance and demographics for the doctors and nurses to utilize.
- Communicating with the patient’s family or caregivers about patient care and to ensure that the processing for billing is completed.
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Trained new staff on hospital processes and procedures.
Medical Billing and Collections Specialist
Hall Ambulance Service, Local High Ambulance Service
04.2014 - 03.2020
- Ensured all patient and account data was input accurately from the patient care reports.
- Compiled and tracked outstanding balances owed to medical facilities.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Audited and corrected billing and posting documents for accuracy.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Generated monthly billing and posting reports for management review.
- Pre-billed accounts.
sales representative
Kohls
08.2013 - 04.2014
- Answered questions about services and merchandise and ensured customer satisfaction.
- Stocking shelves and organizing displays.
- Trained and mentored new sales representatives.
Education
Bachelor of Science - Criminal Justice
University of Phoenix
Bakersfield, CA08.2024
High School Diploma -
Mira Monte HIgh School
Bakersfield, CA05.2013
Skills
- SALESFORCE
- EHR
- HOSPITAL REGISTRATION SOFTWARE
- BILINGUAL -ENGLISH& SPANISH
- REVENUE CYCLE
- PROJECT INTELLICARE
- FIRSTNET
- POWERCHART
- WAYSTAR
- PROFICIENT: MS word, Excel, PowerPoint
- ADMITTING
- PAYMENT PROCESSING
- TRAINING EXPERIENCE
- CALL CENTER OPERATIONS
- MULTI LINE PHONE SYSTEM
- DATA ENTRY
- QUALITY CONTROL
Certification
- Medical Billing & Insurance Coding
Languages
Spanish
Native or Bilingual
Timeline
Bilingual Call Center Agent
FOUNDATION FOR COMMUNITY COLLEGES
04.2022 - Current
Patient Access representative
Adventist Health Bakersfield
12.2020 - 03.2022
Medical Billing and Collections Specialist
Hall Ambulance Service, Local High Ambulance Service
04.2014 - 03.2020
sales representative
Kohls
08.2013 - 04.2014
Bachelor of Science - Criminal Justice
University of Phoenix
High School Diploma -
Mira Monte HIgh School
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