Tanya Aviles

I verify patient eligibility, coding procedures (CPT/ICD-10), appealing denied claims, posting payments, and ensuring compliance with HIPAA regulations.I prepare, review, and transmit claims to insurance payers such as Medicare, Medicaid, private insurers, electronically or via mail. Confirm

patient/client eligibility and benefits, and obtain pre-authorizations before services are rendered.

• Indexing of documents to ensure accurate retrieval and reference for team members.
• Provide administrative support by managing correspondence and responding to inquiries related to scheduling.
• Collaborated with cross-functional teams to streamline administrative processes, improving overall workflow and communication.
• Maintained confidentiality and security of sensitive information in compliance with organizational policies.

• Conducted comprehensive patient interviews to gather medical histories and assess healthcare needs.
• Implemented effective communication techniques to ensure patients understood their treatment options and next steps.
• Collaborated with healthcare professionals to develop comprehensive care plans based on patient assessments.
• Maintained compliance with HIPAA regulations while handling sensitive patient information.