Summary
Overview
Work History
Education
Skills
Languages
Computer skills
References
Timeline
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Sandra Ortega

Glendale,NY

Summary

Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.

Overview

26
26
years of professional experience

Work History

Account Receivable

Northwell Health
New York, NY
12.2014 - Current
  • Contributed to the successful completion of project LIJ C2MN.
  • Manage PCX Reports
  • Oversee SSI Secondary Error reports.
  • Generated and worked Linked Reports.
  • Handled C2ND requests efficiently.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Completed day-to-day duties accurately and efficiently.

Medical Collection /Billing Department

Long Island Plastic Surgical Group
Garden City, NY
01.2013 - 11.2014
  • Handled correspondence and EOB rejections for outstanding accounts.
  • Addressed inquiries from insurance carriers and providers via phone and email.
  • Managed resubmission of medical records efficiently.
  • Oversee aging reports and payment statuses.
  • Maintained accurate records for patient demographics and insurance.
  • Documented daily project statistics.
  • Archived finalized documents in designated locations.
  • Designed checklist for managing significant claims exceeding 10K.
  • Execute NY state complaints.

Medical Collection/Billing Department

Manhattan Medical Healthcare
New York, NY
02.2004 - 12.2010
  • Handled correspondence and EOB rejections for outstanding accounts.
  • Addressed inquiries from insurance carriers and providers via phone and email.
  • Managed resubmission of medical records efficiently.
  • Oversee aging reports and payment statuses.
  • Maintained accurate records for patient demographics and insurance.
  • Documented daily project statistics.
  • Archived finalized documents in designated locations.
  • Managed daily collections.
  • Managed appointment scheduling.
  • Incorporated CPT codes into systems.

Customer Service Representative

618 Inc
New York, NY
02.2002 - 12.2003
  • Facilitated customer interactions via telephone and email.
  • Conducted data entry tasks on a daily basis.
  • Accelerated customer orders processing with effective troubleshooting.
  • Oversee inventory control for supplies and technology.

Data Entry Clerk

Code Inspections
Long Island City, NY
03.2001 - 01.2002
  • Oversee a combination of inbound and outbound communications.
  • Organized completed documentation into corresponding files.
  • Compiled and sorted data to ensure accuracy prior to entry.
  • Executed error detection process promptly, informing supervisor for quick resolution.
  • Kept records of tasks and projects completed.
  • Managed scheduling of appointments efficiently.

Claims Control Department Mail Clerk

Garden City Group, LLC
Garden City, NY
04.1999 - 01.2001
  • Managed sorting and distribution of daily income and outbound project mail.
  • Documented daily project statistics.
  • Oversaw statistical data for billing and confirmed accuracy of company orders.
  • Maintained accuracy by adhering to quality assurance procedures.

Education

Associate of Science - Fashion Desighn And Merchandising

Katharine Gibbs School
New York, NY
07-2003

Skills

  • Effective Verbal Communication
  • Patient account Follow-up
  • Professionalism and ethics
  • Data entry proficiency
  • HIPAA compliance
  • Claim submission
  • Dispute resolution
  • Teamwork orientation
  • Insurance verification

Languages

English
Professional
Spanish
Professional

Computer skills

  • SSI Client Portal
  • Microsoft outlook
  • Ericom
  • Huron
  • Khrome

References

References available upon request.

Timeline

Account Receivable

Northwell Health
12.2014 - Current

Medical Collection /Billing Department

Long Island Plastic Surgical Group
01.2013 - 11.2014

Medical Collection/Billing Department

Manhattan Medical Healthcare
02.2004 - 12.2010

Customer Service Representative

618 Inc
02.2002 - 12.2003

Data Entry Clerk

Code Inspections
03.2001 - 01.2002

Claims Control Department Mail Clerk

Garden City Group, LLC
04.1999 - 01.2001

Associate of Science - Fashion Desighn And Merchandising

Katharine Gibbs School
Sandra Ortega