Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Raquel Valenzuela

Portland,TX

Summary

Focused Billing Clerk with 3 years of experience. Skilled in managing accounts to reduce outstanding balances. Hardworking and energetic with passion for accuracy and efficiency.

Overview

12
12
years of professional experience

Work History

Billing Analyst

Almouie Pediatrics
08.2020 - 08.2023
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Submitted alternate billing for clients belonging to special demographics using Microsoft software portal.
  • Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
  • Post pending charges- match ICD 10diagnosis-place CPT codes in proper order
  • Claim Tracker: review claim scrubbing denials/make corrections/rebill claims
  • Rebill charges
  • Verify all insurance benefits/eligibility for Medicaid and Private insurance companies

Front Office Receptionist

Almouie Pediatrics
10.2013 - 08.2020
  • Interacted with customers by phone, email, or in-person to provide information.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Provided clerical support to company employees by copying, faxing, and filing documents.
  • Answered multi-line phone system and enthusiastically greeted callers.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Maintained clean reception area to promote positive, professional environment for clients.
  • Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
  • Offered every visitor professional and prompt service, completing check-ins, verifying paperwork and coordinating smooth hand-offs to nursing staff.
  • Routed business correspondence, documents, and messages to correct departments and staff members.
  • Restocked supplies and submitted purchase orders to maintain stock levels.
  • Maintained transaction security by verifying payment cards against identification.

Certified Medical Assistant

Almouie Pediatrics
02.2012 - 10.2013
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Called and faxed pharmacies to submit prescriptions and refills.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
  • Prepared and administered medications to alleviate patient symptoms.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Performed medical records management, including filing, organizing and scanning documents.

Education

STVT
Corpus Christi, TX
01.2012

Skills

  • Medical Billing and Collections
  • Claim Processing
  • Microsoft Office
  • Adjustment Posting
  • Payments Posting

Languages

Spanish

Timeline

Billing Analyst

Almouie Pediatrics
08.2020 - 08.2023

Front Office Receptionist

Almouie Pediatrics
10.2013 - 08.2020

Certified Medical Assistant

Almouie Pediatrics
02.2012 - 10.2013

STVT
Raquel Valenzuela