Paulina Mendez
San Antonio,TX
Summary
Offering 27 years of healthcare office experience and billing.
Overview
26
26
years of professional experience
Work History
Payment Processor
South Texas Radiology Group
06.2018 - 11.2022
- Processed insurance and patient payments.
- Input denial codes, recoups, applied adjustments, coinsurances, copays, deductibles needed on accounts.
Patient Access Cashier
Seton Medical Center Harker Heights
12.2017 - 05.2018
- Prepared daily hospital deposits.
- Assisted in patient billing questions.
- Assisted with Attorney medical records request.
Payment Processor
South Texas Radiology Group
09.2014 - 10.2017
- Processed insurance and patient payments.
- Input denial codes, recoups, applied adjustments, coinsurances, copays, deductibles needed on accounts.
Correspondence Specialist
South Texas Radiology Group
06.2014 - 09.2014
- Multi-tasked and tracked multiple priorities in fast-paced environment.
- Receive and sort by payer class EOBs, HCFAs w/attachments, patient statements w/notes and letters.
- Create folders; assign batch numbers; review correspondences by charge line and denial code.
- Input denial codes on accounts, applied adjustments if needed; entered notes on accounts; tagged for further investigation if needed sent to an insurance specialist and/or transferred to a supervisor if necessary.
- Maintained a standard of 75 or more charges per hour, maintained a standard of 8 folders created by hour.
- Processed payments and other duties if and when assigned; took payment folders to scanning department daily.
- Maintained strict confidentiality of patient protected health information (PHI) as mandated and HIPAA Privacy and Security regulations.
Certified Tax Preparer
Liberty Tax Services
01.2013 - 03.2013
- Prepared and filed tax returns (private and business).
- Answered phones.
Accounts Receivable Representative
Integrated Medical Services
09.2011 - 09.2012
- Followed up on accounts over 45 days.
- Explanation of Benefits, claim denials and appeals.
- Contacted insurance companies to check claim status.
- ICD-9/CPT and Medical Coding.
- Patient billing/statements and collected patient credit card payments over the phone.
Medical Assistant
Biltmore Ear, Nose & Throat
07.1995 - 09.2011
- Sanitized, restocked and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms and allergies.
- Directed patients to exam rooms, fielded questions and prepared for physician examinations.
- Collected and documented patient medical information such as blood pressure and weight.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Called and faxed pharmacies to submit prescriptions and refills.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Prepared patients for X-rays, electrocardiograms, suture removal and dressing changes.
- Verified appropriate lab couriers picked up collected lab specimens.
- Obtained all prescribed laboratory testing.
Education
Certified - Medical Insurance Billing
Sanford Brown College
San Antonio, TX05.2014
Certified - Medical Assisting
The Bryman Medical School of Arizona
Phoenix, AZ05.1995
High School Diploma -
Kofa High School
Yuma, AZ05.1990
Skills
- Adjustment Posting
- Billing Dispute Resolution
- Customer Experience
- Bill Processing
- Payments Posting
- Data Inputting
- Claim Processing
- Credit Adjustments
- Accounting Remittances
- Precision and Accuracy
Timeline
Payment Processor
South Texas Radiology Group
06.2018 - 11.2022
Patient Access Cashier
Seton Medical Center Harker Heights
12.2017 - 05.2018
Payment Processor
South Texas Radiology Group
09.2014 - 10.2017
Correspondence Specialist
South Texas Radiology Group
06.2014 - 09.2014
Certified Tax Preparer
Liberty Tax Services
01.2013 - 03.2013
Accounts Receivable Representative
Integrated Medical Services
09.2011 - 09.2012
Medical Assistant
Biltmore Ear, Nose & Throat
07.1995 - 09.2011
Certified - Medical Insurance Billing
Sanford Brown College
Certified - Medical Assisting
The Bryman Medical School of Arizona
High School Diploma -
Kofa High School
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