Rosie Cruz
Red Oak
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
15
15
years of professional experience
Work History
Patient Account Specialist
Mcewen And Assoicates
04.2022 - Current
- Electronically submitted bills according to compliance guidelines.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Identified insurance payment sources and listed payers in proper sequence to establish chain of payment.
- Maintained accurate records of customer accounts, payments and payment plans.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Assisted patients in understanding their financial responsibilities by explaining healthcare benefits, coverage limitations, and out-of-pocket costs clearly and concisely.
- Reconciled statements with patient records.
- Utilized computer programs to create invoices, letters and other documents.
- Increased revenue recovery rates by identifying trends in denied claims, researching root causes, implementing corrective measures to prevent future occurrences accordingly.
- Reduced outstanding balances by diligently following up on overdue payments and negotiating payment plans.
- Enhanced patient satisfaction by efficiently managing billing inquiries and resolving discrepancies.
- Expedited claim resolutions by skillfully navigating complex insurance policies, regulations, and guidelines.
- Posted payments and processed refunds.
Bilingual Medical Receptionist
Family Care Clinic
04.2009 - 04.2022
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Organized paperwork such as charts and reports for office and patient needs.
- Managed multi-line phone system and pleasantly greeted patients.
- Maintained current and accurate medical records for patients.
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Transcribed phone messages and relayed to appropriate personnel.
- Completed patient referrals to other medical specialists.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers.
- Obtained payments from patients and scanned identification and insurance cards.
Education
High School Diploma -
Ennis High School
Ennis, TX06.1990
Skills
- HIPAA understanding
- Medicare and Medicaid knowledge
- Patient Care
- Team Collaboration
- Payment Processing
- Fluent Bilingualism
- Payment Collection
Timeline
Patient Account Specialist
Mcewen And Assoicates
04.2022 - Current
Bilingual Medical Receptionist
Family Care Clinic
04.2009 - 04.2022
High School Diploma -
Ennis High School
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