Summary
Overview
Work History
Education
Skills
Languages
Software
Timeline
Hi, I’m

Vianey Pineda

Insurance verification
Winston-Salem,NC
Vianey Pineda

Summary

At West Counseling, I excelled as an Insurance Verification Specialist, leveraging my expertise in medical billing and exceptional patient rapport to enhance medical operations. I adeptly managed high-volume insurance verifications, ensuring timely patient procedures and compliance with HIPAA. My bilingual skills and analytical thinking contributed to a streamlined patient registration process, significantly improving service efficiency.

Overview

9
years of professional experience

Work History

West Counseling

Insurance Verification Specialist
11.2020 - 07.2024

Job overview

  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Posted payments to accounts and maintained records.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Trained new staff on current, correct insurance verification procedures.
  • Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments.
  • Assisted with medical coding and billing tasks.
  • Coordinated referrals through insurance and other medical specialists and documented details in patient charts.

Love Chiropractor

Chiropractor Assistant
01.2019 - 11.2020

Job overview

  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Performed electric muscle stimulation, massage, and mechanical traction.
  • Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.

Salisbury Psychiatric Associates

Front Desk Receptionist
11.2015 - 12.2018

Job overview

  • Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
  • Completed data entry and filing to keep records updated for easy retrieval.
  • Scheduled, coordinated and confirmed appointments and meetings.
  • Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
  • Operated multi-line telephone system to answer and direct high volume of calls.
  • Balanced employee availability, customer schedules, and maximum load levels when scheduling appointments.
  • Collected copayments , processed transactions and updated relevant records.

Education

Salisbury High School
Salisbury, NC

High School Diploma

University Overview

Currently enrolled at Wake-tech. Completing courses for CPC ( certified professional coder) certification. Date of completion, January 2025.

Skills

  • Eligibility Determination
  • Understanding of medical terms
  • Documentation and Correspondence
  • Skilled in RCM
  • Knowledgeable major commercial insurance policies
  • Analytical Thinking
  • Medical Billing
  • Attention to Detail
  • Electronic Medical Records
  • Communication and Interpersonal Skills
  • Prior authorization processing
  • 2024 Medicaid knowledge
  • Data Entry and Review
  • Financial Counseling
  • HIPAA Compliance
  • Policy Interpretation
  • Bilingual in Español and English
  • Strong Work Ethic
  • Administrative Support
  • Strong Mathematical Skills
  • PPE use
  • Self-Directed
  • Time Management
  • Microsoft Office

Languages

Spanish
Bilingual or Proficient (C2)

Software

Waystar

Avality

Icanotes

Integrity medical billing

AdvanceMD

Timeline

Insurance Verification Specialist

West Counseling
11.2020 - 07.2024

Chiropractor Assistant

Love Chiropractor
01.2019 - 11.2020

Front Desk Receptionist

Salisbury Psychiatric Associates
11.2015 - 12.2018

Salisbury High School

High School Diploma
Vianey PinedaInsurance verification