Theresa Mendoza
Pittsburg,CA
Summary
Experienced with medical billing and insurance claim processes, ensuring accurate and timely submissions. Utilizes problem-solving skills to address and resolve billing discrepancies efficiently. Knowledge of medical terminology, coding standards, and insurance policies.
Overview
18
18
years of professional experience
Work History
Care Provider
In Home Supportive Services
10.2019 - 09.2024
- Maintained clean personal areas and prepared healthy meals to support client nutritional needs.
- Helped with home management tasks, meal preparation, grocery shopping, and routine cleaning.
- Organized medication and provided reminders according to schedule.
- Reduced patient anxiety and stress through effective communication and active listening skills.
- Arranged transportation and accompanied patients to doctors' offices and errands.
- Turned and positioned bedbound patients to prevent bedsores and maintain comfort levels.
- Maintained a safe and clean environment for patients by adhering to infection control protocols and performing regular housekeeping duties.
Patient Billing Representative
Various Temporary Agency
03.2015 - 09.2019
- Managed sensitive patient data securely, adhering to HIPAA guidelines and maintaining strict confidentiality at all times.
- Reduced outstanding accounts receivables through assertive follow-up on unpaid claims and diligent negotiations with insurance companies.
- Supported patients'' understanding of their bills by clarifying complex medical terminology and explaining charges in a compassionate manner.
- Monitored daily claim submissions to identify errors or potential issues, taking corrective action as needed for timely processing.
- Provided exceptional customer service to patients, addressing billing inquiries promptly and professionally.
- Assisted clients in navigating their financial responsibilities by offering comprehensive explanations of insurance coverage and benefits.
Patient Account Representative
Aspen Surgery Center
03.2007 - 03.2015
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Electronically submitted bills according to compliance guidelines.
- Responded to patient, family, and external payer inquiries.
- Utilized computer programs to create invoices, letters, and other documents.
Education
Bachelor of Arts - Business Administration And Management
University of Phoenix
Walnut Creek, Ca06-1999
Associate of Arts - Business Administration And Management
Rancho Santiago College
Santa Ana, CA10-1981
High School Diploma -
Jose Abad Santos Memorial School
Quezon City, Philippines03-1979
Skills
- Emotional support
- Housekeeping
- EMR / EHR
- Mobility assistance
- Medication reminders
- Activity supervision
- Grocery shopping
- Direct patient care
Timeline
Care Provider
In Home Supportive Services
10.2019 - 09.2024
Patient Billing Representative
Various Temporary Agency
03.2015 - 09.2019
Patient Account Representative
Aspen Surgery Center
03.2007 - 03.2015
Bachelor of Arts - Business Administration And Management
University of Phoenix
Associate of Arts - Business Administration And Management
Rancho Santiago College
High School Diploma -
Jose Abad Santos Memorial School
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