Rubi Hernandez
Brownsville,TX
Summary
Dedicated Office Specialist with Data Entry experience, educated in providing excellent clerical abilities. Possessing strong skills in administrative duties and customer service. Motivated and logical with over 7 years of related experience. Seeking for a results driven organization to bring knowledge and succeed with long term.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Credentialing Specialist
Brownsville Community Health Center
04.2023 - Current
- Address credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access
- Research discrepancies between submitted provider data and verify sources when necessary
- Perform primary source verifications such as criminal histories, licenses and board certifications
- Provide support in responding to inquiries from external parties regarding credentialing information
- Review and process credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards
- Aid in conducting orientations for medical students/volunteer/residents
- Ensure timely completion of credentialing processes by providing guidance to providers on required documentation
- Validate primary source documents such as licenses, diplomas, certifications and other related credentials
- Conduct background checks on potential providers utilizing various resources including state licensing boards, OIG, and NPDB
- Process re-credentialing applications for existing providers
- Verify and check applications for missing information and organize all paperwork
- Provide excellent service and attention face-to-face or through phone conversations
- Prioritize and organize tasks to efficiently accomplish service goals
- Provide assistance with administrative tasks and other clerical duties as needed, such as making copies, faxing, scanning, organizing and filing documents.
Office Specialist
Brownsville Community Health Center
10.2016 - 04.2023
- Responded to inquiries from callers seeking information.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Answered customer questions in friendly and knowledgeable manner to maintain high satisfaction levels
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process
- Verified patient insurance coverage, created financial plan according to treatment schedules for collections and communicated between patient and billing company regarding health insurance
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions
- Reviewed source documents to locate required data for entry
- Analyzed patients' encounter forms diagnosis codes to validate accuracy, completeness and specificity
- Identified, corrected and reported data entry errors
- Performed administrative tasks such as copying, scanning and mail sorting on daily basis
- Adhered to strict data confidentiality policies to prevent information leakage
- Maintained confidentiality of client and staff personal details by adhering to all company regulations and requirements
- Communicated with coworkers regarding deadlines and project milestones
- Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff
- Collaborated with multi-disciplinary staff to improve overall patient care and response times
- Communicated with patients with compassion while keeping medical information private
- Compiled and coded patient information or data in appropriate computer system
- Answered telephones and directed calls to appropriate medical or administrative staff
- Ensured compliance with HIPAA regulations regarding privacy of patient information
- Performed data entry tasks, scanned and stored files electronically to reduce paper files and secure data
- Identified data entry errors and corrected mistakes to achieve near-perfect accuracy
- Processed customer payments for services
- Aided in scheduling and confirming appointments.
Education
Bachelor of Arts Elementary School Teaching -
Texas Southmost College
Brownsville, TXMedical Billing & Coding Specialist -
Southern Careers Institute
Brownsville, TX06.2016
High School Diploma -
Porter High School
Brownsville, TXSkills
- Customer Service
- Knowledge of HIPAA regulations
- Friendly, positive attitude
- Organizational skills
- Professionalism
- Written/Verbal Communication
- Medical software applications, EHR
- ICD-10/CPT Coding
- Microsoft Word
- Bilingual (English/Spanish)
- Credentialing Application Coordination
- Maintains Confidentiality
- Facility Credentialing
- Data Entry
- Medical Terminology
- Administrative Support
Certification
National Center for Competency Testing 2016
Accomplishments
Honors List 2016
Timeline
Credentialing Specialist
Brownsville Community Health Center
04.2023 - Current
Office Specialist
Brownsville Community Health Center
10.2016 - 04.2023
Bachelor of Arts Elementary School Teaching -
Texas Southmost College
Medical Billing & Coding Specialist -
Southern Careers Institute
High School Diploma -
Porter High School
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