Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rachel Chavolla

Upland,CA.

Summary

I would like to bring all my professional experience and skills to a company where I can grow and expand my knowledge within the company. I have 20 years of Business and Customer Service experience. I am a dedicated hard worker with a history of meeting company goals, ability to work well under pressure, and adapt to new situations. Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.

Overview

20
20
years of professional experience

Work History

Medical Biller

HospiceMD
10.2021 - Current
  • Obtained documents and additional information required for appeals.
  • Worked reports and accounts to make sure payments are made timely and accurately.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Followed up with various Insurance Companies on unresolved issues.
  • Worked with different HMO's, PPO's, Medicaid, IPA's, Capped hospitals, to ensure claims are being processed timely and accurately.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Delivered timely and accurate charge submissions.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.

Special Events Coordinator

Spectra, Pomona
08.2016 - Current
  • Check identification for patrons in compliance with ABC regulations.
  • Coordinated efficient set-up and clean-up for each event for quick facilities turnarounds.
  • Supervised staff during events and maintained efficient performance.
  • Organized, coordinated and deployed large events while focusing on delivering superior customer service.
  • Ability to work well in fast paced environment.
  • Top sales producer

Personal Banker

USBank, Alta
11.2003 - 12.2011
  • Assisted customers with setting up or closing accounts, completing loan applications and signing up for new services.
  • Promoted financial products by maintaining excellent service offering knowledge.
  • Worked closely with management to strategize sales techniques to increase branch production and customer service.
  • Balanced cash drawers and vault accounts on daily basis with zero discrepancies.
  • Established new accounts for high net worth individuals and serviced existing accounts to maximize revenue.
  • Performed vault duties to handle large deposits and distribute currency to coworkers.
  • Continually boosted branch production and revenue by consistently meeting all monthly and quarterly sales goals.
  • Informed customers of procedures for applying for services such as ATM cards, direct deposit of checks and certificates of deposit.
  • Answered customer questions and explained available services such as deposit accounts, bonds and securities.
  • Backed up teller team by handling needs of new and existing customers at main counter.
  • Contacted customers as soon as issues arose to immediately find resolution before problem escalated.
  • Keyed customer contact information and payment data into system carefully observing corporate confidentiality procedures.
  • Interviewed customers to obtain information needed for opening new accounts or renting safe-deposit boxes.
  • Solved customer issues

Education

Certification - Medical Insurance Billing

Chaffey Adult School
Ontario

Skills

  • Knowledgeable in ICD-10-CM and CPT Codes
  • Trained and certified in HIPAA/Patient Confidentiality
  • Knowledgeable in medical terminology
  • Ability to work Independently and Collaboratively within a team setting
  • Worked with Microsoft word,excel, Google and other internal programs
  • Ability to work well under pressure and effectively manage and prioritize tasks
  • Effective Communication that has resulted in successful business working relationships
  • Claim Amount Calculations
  • Eligibility Determinations
  • Documentation Research
  • Insurance Claim Forms Review
  • Coverage Determination
  • Medical Billing

Timeline

Medical Biller

HospiceMD
10.2021 - Current

Special Events Coordinator

Spectra, Pomona
08.2016 - Current

Personal Banker

USBank, Alta
11.2003 - 12.2011

Certification - Medical Insurance Billing

Chaffey Adult School
Rachel Chavolla