Patricia Nieto
Midtown Urology Asst
Kyle,TX
14
years of professional experience
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Work History
Insurance Verification Specialist/HIM Technician
1 Year 9 Months- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Collaborated with healthcare providers to resolve billing discrepancies, enhancing patient satisfaction through effective communication.
- Monitored changes in insurance policies and regulations, adapting procedures to maintain compliance and protect organizational interests.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Improved patient care by maintaining accurate and up-to-date medical records for easy access by healthcare practitioners.
Insurance Verification Specialist
1 Year- Verified patient insurance eligibility and benefits for OB/GYN services.
- Processed pre-authorization requests to ensure timely patient access to care.
- Collaborated with healthcare providers to resolve insurance-related inquiries efficiently.
- Utilized electronic health record systems to maintain accurate patient information.
- Updated patient records with accurate, current insurance policy information.
- Posted payments to accounts and maintained records.
- Good Faith Estimates
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Negotiated payment plans on behalf of clients facing financial hardship, helping them access necessary healthcare services without undue burden.
Medical Billing Specialist (Trauma, Hospital, Physician)
1 Year 10 Months- Collaborated with healthcare providers to resolve billing discrepancies and improve revenue cycle efficiency.
- Led billing operations, ensuring compliance with healthcare regulations and accurate claim submissions.
- Provided excellent customer service to patients, resolving disputes or discrepancies regarding their bills.
- Conducted thorough reviews of denied claims, identifying root causes and implementing corrective actions.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Administrative Assistant/HR Coordinator
3 Years 11 Months- Coordinated schedules and appointments for management, ensuring efficient time management across multiple projects.
- Trained new administrative staff on company policies and software systems, enhancing team productivity and consistency.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Coordinated onboarding programs, enhancing new employee integration and retention.
- Ensured compliance with labor laws and regulations through regular policy reviews and updates.
- Analyzed financial reports to identify trends, enhancing decision-making for resource allocation.
- Performed month-end account analysis, headcount and salary reports and related journal entries.
- Advised clients on visa eligibility and application processes.
Lead Billing Specialist
6 Years 10 Months- Led billing operations, ensuring accurate invoicing and timely collections for diverse client accounts.
- Mentored junior billing staff, providing training on best practices and system usage for improved performance.
- Researched and resolved billing discrepancies to enable accurate billing.
- Responded to customer concerns and questions on daily basis.
- Insurance verification.
- Collaborated remotely with off site team on billing processes.
- Created training manual.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
Education
Medical Administrative Assistant
Skills
Medical billing
HIPAA compliance
Insurance verification
Payment posting
Time Management
Timeline
Insurance Verification Specialist/HIM Technician
Midtown Urology Asst
11.2024 - CurrentRead More
Insurance Verification Specialist
Ascension Seton OB/GYN
11.2023 - 11.2024Read More
Medical Billing Specialist (Trauma, Hospital, Physician)
Central Texas Surgery Center
01.2022 - 11.2023Read More
Administrative Assistant/HR Coordinator
MAG Home & Commercial Services
02.2019 - 01.2023Read More
Lead Billing Specialist
Medical Express PSI
04.2012 - 02.2019Read More
Everest Institute
Medical Administrative Assistant
Read More
Software
Urochart /EClinicalWorks/ Meditech/Microsoft Office/Google Office/Quickbooks/Athena Empower/Zoom/ Webex