Rita Arellano
Beaverton,OR
Summary
Supportive Human Services Technician offering agility and confidence in stressful circumstances. Meticulous enrollment facilitator with skill in database management and accurate recordkeeping. Liaises between clients and service providers, translating details and assisting aid recipients with paperwork completion.
Overview
7
7
years of professional experience
Work History
Human Services Specialist 1
Department Of Human Services
Salem, OR
06.2020 - 10.2023
- Processed applications and followed strict procedures to keep sensitive data confidential.
- Prepared documents for review and completion by service applicants, supporting completion and responding to
- Inputted information and obtained quantitative and qualitative data on client details to provide services requested.
- Adhered to strict client confidentiality laws and site-specific procedures to uphold privacy and provide best experience possible.
- Kept and established comprehensive case files to support proper documentation and record retention.
Medical Billing and Collections Specialist
Salem Radiology Consultants
Salem, OR
11.2019 - 03.2020
- Compiled and tracked outstanding balances owed to medical facilities.
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
Medical Referral Specialist
Salem Radiology Consultants P.C
Salem,OR
09.2017 - 10.2019
- Entered all denials, appeals, approved status data using Epic to document referrals and results.
- Prepared and processed patient referrals and transfer requests.
- Obtained prior authorization for medicare, Medicaid, military, commercial prior procedures.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Processed medical insurance appeals for all providers on staff
Medical Referral Specialist
West Salem Clinic
Salem, OR
02.2017 - 08.2017
- Verified insurance benefits and eligibility for [Type] procedures before referring clients.
- Partnered with other departments to provide detail information to submit for referrals.
- Entered outcome of referral data using Epic to document referrals and results.
- Obtained prior authorization for surgical procedures, medication, medical equipment, PT and all other medical necessities.
- Greeted and interacted with patients to provide information, answer questions regarding the outcome of referrals
Education
High School Diploma -
Penn Foster Career School
Scranton, PASkills
- Pre-Authorizations
- Insurance Verification
- Physician Authorizations
- Documentation Review
- Medical Terminology
- Referral Verification
- Data Entry Software
- Written and Verbal Communication
Languages
Spanish
Native or Bilingual
Timeline
Human Services Specialist 1
Department Of Human Services
06.2020 - 10.2023
Medical Billing and Collections Specialist
Salem Radiology Consultants
11.2019 - 03.2020
Medical Referral Specialist
Salem Radiology Consultants P.C
09.2017 - 10.2019
Medical Referral Specialist
West Salem Clinic
02.2017 - 08.2017
High School Diploma -
Penn Foster Career School