Estephanie Diaz
Dallas
Summary
Dedicated administrative professional with experience in popular systems and software. Friendly employee with strong customer service and issue resolution skills.
Overview
2
2
years of professional experience
2019
2019
years of post-secondary education
Work History
Medical Scheduler
US Radiology Specialists
Lewisville
11.2024 - 10.2025
- Scheduled patient appointments using electronic health record systems.
- Coordinated communication between patients and medical staff effectively.
- Managed patient information to ensure accuracy and confidentiality.
- Reviewed insurance information with patients and processed copays.
- Processed patient referrals to specialists, coordinating appointments and information transfer.
- Responded promptly to emails from patients seeking information about their appointments or other related topics.
- Verified accuracy of diagnostic codes assigned by providers through ICD-10-CM coding conventions and CPT coding guidelines.
- Maintained up-to-date knowledge of CPT and HCPCS codes, Medicare regulations, and other third-party requirements.
Claims Specialist
Sedgwick Claims Management
Dallas
11.2023 - 11.2024
- Reviewed insurance claims for accuracy and compliance with company policies.
- Processed claim documentation using company software and maintained organized records.
- Assisted clients in understanding their claims status and provided updates promptly.
- Investigated claim discrepancies by gathering necessary information from involved parties.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Performed periodic audits of closed files to ensure accuracy of documentation and compliance with regulations.
Education
Rl Turner
Carrollton, TXSkills
- Electronic health records
- CPT coding
- Insurance verification
- Claims processing
- Bilingual fluent in English and Spanish
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Medical Scheduler
US Radiology Specialists
11.2024 - 10.2025
Claims Specialist
Sedgwick Claims Management
11.2023 - 11.2024
Rl Turner