Priscilla Jimenez
Anchorage,United States
Summary
Detail-oriented and knowledgeable Medical Office Manager skilled at completing patient-facing and office-based tasks by applying strong multitasking and organizational abilities. Independent worker with extensive medical experience and billing and coding experience. Self-motivated and enthusiastic worker with more than 7 years' experience. Confident, hardworking, and committed to seeing results, growth, and long termed commitment in a job position. Reliable and dedicated to finding a place that will benefit from my skills.
Overview
8
8
years of professional experience
Work History
Office Manager
Alaska Podiatry Associates
Anchorage, AK
02.2020 - Current
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Developed close working relationships with front office staff.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Confirmed appointments, communicated with patients.
- Answered telephone system and directed calls accordingly.
- Kept reception area clean and neat to give visitors positive first impression.
- Restocked supplies and submitted purchase orders to maintain stock levels.
- Answered incoming calls daily to schedule appointments.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Sorted, received and distributed mail correspondence.
- Resolved patients problems and complaints.
- Collected and distributed messages to team members and managers to support open communication and high customer service.
- Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
- X-rays.
- Surgery scheduling.
- Pre-authorizations for upcoming surgery and in office procedures.
- Work closely with the billing department and answering billing questions.
- Roomed patients and cleaned rooms.
- Sterilized equipments for procedures.
- Deposited checks to the bank.
- Fax and filing.
- Completed clerical duties and tasks for clinic administration.
Medical Billing Specialist
The Alaska Hospitalist Group
Anchorage, AK
03.2017 - 12.2019
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Performed billing and coding procedures for patients seen in emergency room.
- Precisely evaluated and verified benefits and eligibility.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Evaluated patients' financial status and established appropriate payment plans.
- Managed collections claims for unpaid bills against estates of debtors.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Posted and adjusted payments from insurance companies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Submit appeals on denied claims as required.
- Maintained confidentiality of all protected health information.
- Prepared all medical claims for billing and enter into electronic billing software.
Billing Specialist
Internal Medical Associates
Anchorage, AK
08.2014 - 03.2017
- Processed billing calls and answered questions from patients and third-party carriers.
- Monitored outstanding invoices and performed collections duties.
- Received and sorted mail.
- Prepared and mailed invoices to customers, processed payments and documented account updates.
- Communicated with insurance companies to obtain pre-authorizations for treatment.
- Created, composed and maintained appeal response templates.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Education
Certification - Medical Coding And Billing
Alaska Career College
Anchorage, AK11.2013
Skills
- Office management
- Excellent multi-tasking ability
- Account Posting
- HIPPA Compliance
- Administration
- Electronic Claims and Billing and Medical Software Applications
- Customer Service
- ICD 10 and CPT
- Medical Terminology
- Microsoft Office
- 10-Key Data Entry
References
Dr. Ken Swayman DPM/Owner
907-223-1337
Dr. Mark Shearer DPM
907-717-6605
Dr. Kristin Klingenstein DPM/Co-Owner
701-490-2661
Timeline
Office Manager
Alaska Podiatry Associates
02.2020 - Current
Medical Billing Specialist
The Alaska Hospitalist Group
03.2017 - 12.2019
Billing Specialist
Internal Medical Associates
08.2014 - 03.2017
Certification - Medical Coding And Billing
Alaska Career College
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