Vanessa Marycruz Velasquez
Calexico,USA
Summary
Reliable, compassionate, and professional Medical Billing Specialist with extensive experience in gastroenterology, cardiology, primary care, and ambulatory surgery. Demonstrated loyalty and a strong desire to continuously expand knowledge in the field. Thrives in high-pressure environments and consistently delivers effective results. Fluent in both English and Spanish. Equipped with exceptional customer service, leadership, and patient registration skills. Eager to leverage expertise, leadership abilities, and positive work ethic to make a valuable contribution to a healthcare organization dedicated to providing quality patient care and efficient billing practices.
Overview
4
4
years of professional experience
Work History
Secondary Medical Biller
Onpoint Healthcare Partners
09.2024 - Current
- Verified insurance of patients to determine eligibility.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Communicated with patients about incomplete insurance details.
- Addressed incoming calls related to financial questions from patients.
Medical Billing Supervisor/Specialist
Southern California Physicians Services
10.2021 - 08.2024
- Oversaw adherence to protocols for medical billing and patient engagement among a team of 8.
- Guided employees in mastering clear and compassionate communication during payment negotiations.
- Ensured timely processing of payroll operations.
- Updated staff on insurance guideline modifications and billing requirements.
- Negotiated payment arrangements to address and settle financial discrepancies.
- Monitored progress and adjusted training strategies for optimal advancement.
- Utilized Office Ally clearinghouse for claims submission and tracking, ensuring timely and accurate reimbursement.
Call Center Representative
Calexico Wellness Center
11.2021 - 08.2022
- Enhanced customer satisfaction through exceptional service.
- Executed appointments, cancellation, and payment tasks through adept use of property management systems.
- Trained new team members on company policies for enhanced productivity.
- Demonstrated strong problem-solving abilities in resolving patient issues.
Education
High School Diploma - undefined
Mazatlan, SinaloaSkills
- Medical Billing: Expertise in gastroenterology, cardiology, primary care, and ambulatory surgery billing
- Leadership & Supervision: Supervised and trained a team in medical billing, customer service, and payment processing
- Clearinghouse Systems: Experience with Office Ally for claim submissions and tracking
- Coding: Proficient in ICD-10, CPT, and HCPCS codes
- Patient Registration: Patient intake, insurance verification, and appointment scheduling
- Customer Service: Excellent communication and problem-solving skills, bilingual in English and Spanish
- Claims Management: Handling claims denials, follow-up, and appeals
- Insurance Knowledge: In-depth understanding of insurance policies, co-pays, and deductibles
- HIPAA Compliance: Knowledge of healthcare privacy and security regulations
- Personal Attributes: Reliable, compassionate, loyal, eager to learn, and highly professional Able to work effectively under pressure while maintaining a high level of accuracy and customer satisfaction
Languages
English: Fluent
Native or Bilingual
Spanish: Fluent
Native or Bilingual
Timeline
Secondary Medical Biller
Onpoint Healthcare Partners
09.2024 - Current
Call Center Representative
Calexico Wellness Center
11.2021 - 08.2022
Medical Billing Supervisor/Specialist
Southern California Physicians Services
10.2021 - 08.2024
High School Diploma - undefined
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