Rudolph Salas
Austin,TX
Summary
Versatile specialist with results-driven and focused approach to completing work. Skilled leader, planner and problem-solver with several-year career in the field. Known for excellent attention to detail and great work ethic.
Overview
13
13
years of professional experience
Work History
Accounts Receivable/RCM Specialist
Austin Area OB/GYN
Austin, TX
02.2023 - Current
- Followed up on submitted insurance claims to mediate disputes and obtain reimbursement for services rendered.
- Answered questions from patients regarding billing charges by explaining services and clinical duties performed.
- Collected delinquent accounts through personalized payment arrangements, improving recovery rates.
- Reviewed claims denials and corrected billing errors using practice management software, ensuring accurate reimbursement.
- Posted insurance payments and patient payments to account records.
- Followed up with payers on unpaid claims and account balances.
- Verified insurance coverage and authorization details before claim submission.
- Coordinated with front office and coding teams to resolve billing issues.
- Tracked aging reports of unpaid claims, implementing corrective actions to reduce outstanding balances.
- Performed data entry functions for entering new patient information into the system.
- Identified potential areas of improvement in existing processes or procedures.
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
- Executed processing of credit card transactions to facilitate payments. and other forms of payment received from patients or insurance companies.
- Provided customer service to both internal and external customers regarding billing inquiries.
- Applied HIPAA privacy and security regulations while handling patient information.
- Completed and submitted appeals for denied claims.
Patient Billing Specialist
Natera, Inc
Austin, TX
03.2017 - 12.2022
- Resolved questions related to charges.
- Reviewed daily invoices.
- Navigated between multiple systems to find relevant information necessary for assigned tasks.
- Resolved patient balance questions through phone and email support
- Posted payments and adjusted billing records in patient accounts
- Maintained accurate billing documentation in Natera patient systems
- Expedited calls requiring urgent attention for immediate resolution.
- Obtained necessary personal information and verified eligibility in real time.
- Processed patient billing inquiries for Natera genetic testing services
- Processed account updates, payments, and service requests accurately.
- Assisted new representatives with phone etiquette and workflow questions.
- Offered resolutions to de-escalate calls and solve customer issues.
- Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
Store Checker
HEB
Austin, TX
06.2020 - 01.2021
- Processed cash register transactions on POS and provided correct change.
- Accepted checks, debit and credit cards, and gift certificates in line with company policy.
- Maintained high customer satisfaction levels by going extra mile to personalize service.
- Maintained clear checkout area for tidy presentation.
- Paid attention to surroundings to best serve customers and prevent shrink.
- Assisted customers to locate hard-to-find items.
- Greeted customers with prompt and friendly service.
- Answered questions regarding special and seasonal products.
- Returned non-purchased products to shelves, maintaining strong visual merchandising.
- Balanced cash drawers at shift beginning and end.
- Adhered to cash handling policies and procedures.
- Promoted store loyalty programs, credit cards and protection plans to guests.
Technical Support Representative
Harte Hanks
Austin, TX
05.2016 - 03.2017
- Communicated clearly asking informed questions and listening actively to provide targeted support for technical issues.
- Evaluated functionality and performance of software and hardware recommending improvements and solutions.
- Guided users through detailed hardware installations and technical fixes via phone call, email and live chat.
- Scheduled and executed system-wide software installations and upgrades.
- Documented and maintained detailed records of support requests, escalations and actions taken.
- Recommended strategies to make the most out of systems with limited IT infrastructure.
- Coordinated with users and management teams to establish system requirements for specific software solutions.
- Prepared software or hardware evaluations, recommending improvements or upgrades.
Customer Service Advocate
C3/CustomerContactChannels
McGregor, TX
10.2013 - 03.2016
- Assisted policyholders with billing, coverage questions, and account updates at insurance agency.
- Explained insurance coverage details, terms, and document requirements to customers.
- Resolved customer concerns by phone, email, and in-person service.
- Recorded customer interactions, notes, and service requests in CRM systems.
- Assisted with customer inquiries, complaints, and requests for information regarding insurance policies.
- Navigated computer system to look up customer information and update policies.
- Asked probing questions and offered solutions to resolve customer issues.
- Researched relevant policy information to answer customer questions.
Education
High School Diploma -
Moody High School
Moody, TX06-2013
Skills
- Medical billing
- Claims adjudication
- Revenue cycle management
- Accounts receivable follow-up
- HIPAA compliance
- Root-cause analysis
- Claim submission
- Proficient in Athena
- ICD-10 proficiency
- Medicare and medicaid billing
- CPT coding
Timeline
Accounts Receivable/RCM Specialist
Austin Area OB/GYN
02.2023 - Current
Store Checker
HEB
06.2020 - 01.2021
Patient Billing Specialist
Natera, Inc
03.2017 - 12.2022
Technical Support Representative
Harte Hanks
05.2016 - 03.2017
Customer Service Advocate
C3/CustomerContactChannels
10.2013 - 03.2016
High School Diploma -
Moody High School