Summary
Work History
Education
Skills
Timeline
Generic

Sara Abalos

San Antonio,TX

Summary

Focused Insurance Coordinator with 15 years' background in coordinating and processing insurance payments, facilitating billing and managing patient accounts. Proficient in liaising with patients, staff and insurance providers to maintain accounts and achieve optimal reimbursement.

Work History

Bookkeeper

Lowndes County School District
Columbus, MS
  • Prepared financial statements, including balance sheets, income statements, and statement of cash flows.
  • Compiled current budget data from estimated revenues, expenses and prior budgets.
  • Processed accounts payable and receivable transactions.
  • Compiled statistics, statements and reports on pay and benefits to submit to department heads.
  • Reconciled payroll discrepancies by reviewing time sheets, production charts and wage tables.
  • Analyzed overtime costs against budget projections on a periodic basis.
  • Tracked vacation accruals and personal leave balances for each employee.
  • Ensured compliance with federal labor laws such as FLSA, FMLA, ADA.

Insurance Coordinator

University General Dentists
Tuscaloosa , AL
  • Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
  • Organized information by using spreadsheets, databases or word processing applications.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.
  • Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
  • Complied with insurance regulations dictated by local, state and federal agencies.
  • Provided assistance with the coordination of underwriting activities for new business policies.
  • Validated insurance and advised patients of benefits and coverage.
  • Maintained currency with Medicare regulations and guidelines, training staff on updates.
  • Submitted claims to insurance companies and clearinghouses.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Responded promptly to customer inquiries regarding billing issues or policy updates.
  • Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.

Insurance Coordinator

Comfort Dental Care & Orthodontics
Windsor, CO
  • Examined claims, records and procedures to grant approval of coverage.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Submitted claims to insurance companies and clearinghouses.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Efficiently managed collections and receivables, referrals process and billing to meet revenue goals.
  • Responded promptly to customer inquiries regarding billing issues or policy updates.
  • Coordinated and planned investigations of claims to confirm compensability and coverage.
  • Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.
  • Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation

Education

Liberal Arts and General Studies

AIMS Community College
Loveland, CO

Skills

  • Excellent attention to detail
  • Documentation Abilities
  • Coverage Determination
  • Records Management
  • Microsoft Office Suite
  • Ability to work within multiple systems at once to process claims/assigned tasks
  • Production minded, can successfully track to stay on task and complete production goals with favorable results

Timeline

Bookkeeper

Lowndes County School District

Insurance Coordinator

University General Dentists

Insurance Coordinator

Comfort Dental Care & Orthodontics

Liberal Arts and General Studies

AIMS Community College

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Sara Abalos