NICOLE ROMERO-VILLARRUEL
San Jose,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
18
18
years of professional experience
Work History
PBO Coordinator
Stanford Health Care
11.2015 - Current
- Coached employees through day-to-day work and complex problems.
- Entered data, generated reports, and produced tracking documents.
- Set priorities and problem-solved workflow issues to maintain rapport with staff and managers.
- Gathered and organized materials to support operations.
- Created tip-sheets for different work processes. To allow staff to complete tasks independently.
Patient Account Representive
Stanford Medical Center
05.2008 - 11.2015
- Follow up on claims 45 days and older.
- Appeal denied claims.
- Work with insurance companies to find resolution on outstanding Claims.
- Verify and update all insurance for all student athletes.
- Take incoming calls from insurance and patients and work to resolve accounts.
- Assist in the mailroom with sorting and routing mail.
- Post all my own denials and rejection codes via cash posting in Epic system.
- Assist employees in navigating in the new Epic system showing a more effective way to meet production.
Patient Account Representive
Stanford Medical Center
05.2006 - 05.2008
- PreCollection Unit
- Train new employees
- Contact patients and attempt to collect outstanding debt
- Call insurance companies reguarding outstanding claims
- Work patient edit reports to update patient demographics
- Arrange payment plans for patients
- Process patient credit card payments via Trust Commerce
- Post Contractual adjustments as dictated by insurance companies
- Verify and bill patient primary and secondary insurance
- Process SOC payments via EDS system
- Meet with patients to discuss billing issues
- Work patient and insurance Refunds
Patient Account Representive
On Assignment Medical staffing
02.2006 - 05.2006
- Follow up on out standing accounts
- Contact patients and attempt to collect outstanding debt
- Work patient edit reports
- Process patient credit card payments via Trust Commerce
- Post Contractual adjustments as dictated by insurance companies
- Verify and bill patient secondary insurance
- Process SOC payments via EDS system
Education
Medical Assisting Program - Medical Assisting/ Billing And Coding
Sawyer College
Santa Clara , CA11.1997
G.E.D -
1997
Skills
- Medical Billing
- Patient Registration
- File and Data Retrieval Systems
- Best Practice Implementation
- Customer Service
- Correspondence and Reports
- Coordinating Unit Activities
- Problem Resolution
- Discretion and Confidentiality
- Coordinating with Supervisors
- Insurance Verification
- Point of Contact
- Verbal and Written Communication
- Insurance Coordination
- Enforce Policies
- Windows Server 2003
Additional Information
I have been in the Medical field for over 25 years. 17 of those years have been spent at Stanford Healthcare. I have made it a point cross train in different areas. This allows me to know what I am seeing on accounts and to better explain what is needed to resolve any outstanding issues.
Timeline
PBO Coordinator
Stanford Health Care
11.2015 - Current
Patient Account Representive
Stanford Medical Center
05.2008 - 11.2015
Patient Account Representive
Stanford Medical Center
05.2006 - 05.2008
Patient Account Representive
On Assignment Medical staffing
02.2006 - 05.2006
Medical Assisting Program - Medical Assisting/ Billing And Coding
Sawyer College
G.E.D -
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