Stephanie Sanchez
Greeley,CO
Summary
Seasoned Medical Billing Specialist with 10+ years of experience in fast-paced, everchanging work environment. Experienced in A/R follow-up, charge entry and posting of payments in private practice, ambulatory surgery and hospital settings.
Overview
19
19
years of professional experience
Work History
Medical Billing Specialist
Nadora Healthcare
10.2024 - 04.2025
- Create, prepare and submit medical claims
- Work aging reports, appeals and follow up on claims
- Verify patients insurance/eligibility
- Work rejections/denials; making appropriate corrections and rebilling claims
- Resolve billing discrepancies and appeal denied claims
- Posting insurance payments
- Posting patient payments
- Review patient accounts and create patient statements/payment plans
- Review expected rate reimbursement was received
- Knowledge of most insurance portals
Medical Billing Specialist
Family Physicians of Greeley
09.2023 - 10.2024
- Create, prepare and submit medical claims
- Work aging reports, appeals and follow up on claims
- Verify patients insurance/eligibility
- Work rejections/denials; making appropriate corrections and rebilling claims
- Resolve billing discrepancies and appeal denied claims
- Posting insurance payments
- Posting patient payments
- Review patient accounts and create patient statements/payment plans
- Entering claim information on web portals when needed
Medical Records Clerk Full-Time/PRN
Johnstown Heights Behavioral Health
05.2023 - 10.2024
- Monitor and review legal paperwork for patients who were admitted voluntarily, short term certifications and who were on M1 holds to ensure we are compliant
- Audit and review all medical records for patients who were discharged and flag any concerns in which the hospital may be found incompliant
- Prepare and electronically send via email or fax the patient's discharge paperwork to follow-up providers
Account Service Representative
Colonial Life & Accident Insurance Company
10.2022 - Current
- Licensed Life, Health and Accident Producer
- Rework accounts in order to re-establish relationships
- Set-up appointments for Openers & Enrollers
- Enroll and educate employees on the benefits offered by their employer
Community Healthcare Manager
North Colorado Health Alliance
12.2019 - 10.2020
- Case Management and Care Coordination of assigned Medicaid members
- Perform needs assessments and identify risk factors to develop person centered care plans in order to connect members to available resources
- Participate in home visits, telephone contacts, office/hospital visits, and other means of connecting with members to reach identified goals
- Assist members in scheduling appointments, follow-up care, referrals, medication refills, etc
- And attend member appointments with providers and community resources as needed
- Encourage member and family toward the goal of self-management through education, community resources, and support
Billing Account Specialist
Sunrise Community Health Center
05.2019 - 12.2019
- Provide account information to patients regarding their accounts and make any necessary corrections
- Manually enter charges that did not electronically download
- Upload and post Medicare, Medicaid and commercial insurance payments
- Collect and post patient payments and co-pays on account balances
Peer-Support Specialist Co-Responder
North Range Behavioral Health, Crisis Center
02.2019 - 05.2019
- Engaged with clients in the ATU/Detox unit in order to build relationships, encourage treatment and promote healthy lifestyles
- Offered support on a Peer level by sharing my personal experiences
- Assisted clients with needs assessments and setting goals
- Assisted clients with researching facilities available to fit their needs for drug and alcohol treatment, scheduling appointments, follow-up care, picking up, filling out and returning applications to DHS
Patient Financial Services Representative
Banner Health Cardiovascular Institute
01.2018 - 12.2018
- Telephonic customer service as frontline representation for the Cardiovascular Institute
- Schedule appointments for patients calling in and reach out to patients to schedule follow-up appointments
- Mail correspondence to patients to remind them to contact their provider for their 3 month, 6 month or 12 month follow-up appointment
Customer Service A/R Representative
Apple One Employment
11.2014 - 12.2017
- Filled in for Administrative and Billing positions
- Available to the employment agency for on-call/as needed, part & full-time temporary positions.
Patient Financial Services Representative
Banner Health
01.2006 - 05.2014
- Create, prepare and submit medical claims
- Work aging reports and follow up on claims
- Verify patients insurance/eligibility
- Work rejections/denials; making appropriate corrections and rebilling claims
- Resolve billing discrepancies and appeal denied claims
- Posting insurance payments
- Posting patient payments
- Review patient accounts and create patient statements/payment plans
- Entering claim information on web portals when needed
- Knowledge of most insurance portals
Education
High School Diploma -
Greeley Central High School
GreeleySkills
- Medical Billing of commercial, MCR & MCD claims
- Familiarity of most insurance portals
- HIPAA
- Medical Terminology
- Collections
- EHR/EMR
Timeline
Medical Billing Specialist
Nadora Healthcare
10.2024 - 04.2025
Medical Billing Specialist
Family Physicians of Greeley
09.2023 - 10.2024
Medical Records Clerk Full-Time/PRN
Johnstown Heights Behavioral Health
05.2023 - 10.2024
Account Service Representative
Colonial Life & Accident Insurance Company
10.2022 - Current
Community Healthcare Manager
North Colorado Health Alliance
12.2019 - 10.2020
Billing Account Specialist
Sunrise Community Health Center
05.2019 - 12.2019
Peer-Support Specialist Co-Responder
North Range Behavioral Health, Crisis Center
02.2019 - 05.2019
Patient Financial Services Representative
Banner Health Cardiovascular Institute
01.2018 - 12.2018
Customer Service A/R Representative
Apple One Employment
11.2014 - 12.2017
Patient Financial Services Representative
Banner Health
01.2006 - 05.2014
High School Diploma -
Greeley Central High School
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