Rianna Llamas
Brentwood,CA
Summary
Professional in patient access with strong focus on team collaboration and achieving results. Skilled in patient registration, insurance verification, and handling sensitive information with confidentiality. Known for flexibility in adapting to changing needs and relying on strong communication and problem-solving abilities. Prepared to make significant impact in ensuring seamless patient access and satisfaction.
Overview
7
7
years of professional experience
Work History
Patient Access Specialist
Kaiser permanente
Remote, CA
01.2019 - Current
- Processed high volumes of data entries with accuracy and attention to detail.
- Enhanced operational efficiency by suggesting and implementing improvements to data entry workflows.
- Scheduled appointments and maintained and updated appointment calendars.
- Implemented effective strategies for tracking, monitoring, and resolving client complaints in a timely manner.
- Proficiently used computer systems for data entry, tracking, and managing of information.
- Added to case information with dates of service, diagnosis or procedure codes and facility and doctor information.
- Monitored status of copays and accounts to ensure that payments were up to date.
- Entered insurance- and claims-related information into database systems.
- Conducted regular quality checks to ensure data integrity and consistency across records.
Medical Claims Processor
Corro Health
Remote, CA
02.2019 - 03.2024
- Maintained high level of accuracy in reviewing and verifying claim information to ensure proper reimbursement.
- Reviewed denied claims to determine additional information for resubmission or appeal processes.
- Developed proficiency in various software applications used for tracking ICD-10 code, CPT code and HCPCS code insurance claims.
- Resolved discrepancies between provider bills and insurance companies' payments through research and analysis.
- Communicated with patients by answering questions, providing helpful information and distributing paperwork.
- Performed data entry tasks quickly and accurately to update patient records with correct information.
- Contacted necessary family members, doctors and other related persons to collect missing information.
- Calculated claim amounts and distributed invoices to uphold payment requirements.
Education
Associate in Arts (A.A.) - Health Administration
Diablo Valley college
Pleasant hillSkills
- Data management
- Proficient in software applications
- Data-driven problem solving
- Meticulous attention to detail
- Claims processing expertise
- Medical terminology
Timeline
Medical Claims Processor
Corro Health
02.2019 - 03.2024
Patient Access Specialist
Kaiser permanente
01.2019 - Current
Associate in Arts (A.A.) - Health Administration
Diablo Valley college