Victoria Alvelo
Bolingbrook,IL
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
19
19
years of professional experience
Work History
Medical Receptionist - Billing and Coding
West Suburban Eye Center
04.2021 - Current
- Collect copays and balances.
- Read and understand explanation of benefits.
- Proficient in EPIC EMR.
- Correctly coded and billed medical claims.
- Answer 40-50 phone calls in a day.
- Verify insurance eligibility and benefits.
- Schedule appointments.
- Skillfully navigated multiple software programs simultaneously while completing data entry tasks.
- Reduced denial claims by detecting and addressing errors in medical billing and coding prior to submitting.
- Generated authorization for HMO insurance plans.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Medical Receptionist
Northwest Eye Physicians
08.2018 - 02.2021
- Managing front office duties in an ophthalmology Office.
- Ensured day to day operations supervising and training front office staff.
- Answered 60-80 phone calls in a day.
- Checked patient insurance, demographic, and health history to keep information current.
- Read and understand insurance and explanation of benefits.
- Skillfully navigated multiple software programs simultaneously while completing data entry tasks.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Reduced denial claims by detecting and addressing errors in medical billing and coding prior to submitting.
- Order medical supplies.
- Schedule medical procedures in conjunction with the Surgical Coordinator.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
Customer Service Representative
Suburban Associates In Ophthalmology
04.2017 - 05.2018
- Take up to 60-80 calls in a day.
- Responding to patients' questions and needs by scheduling, canceling, and/or rescheduling appointments according to the office protocols.
- Read and understand Insurance coverage.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Verify eligibility and benefits prior to the patients appointments.
- Review the physician's schedule regularly to maximize capacity and assure correct scheduling.
- Handled customer inquiries and suggestions courteously and professionally.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Enhanced patient satisfaction by addressing inquiries and resolving issues related to medical appointments, billing, and insurance.
Office Assistant
ROPPG - Formally known as Doctor Divas
06.2013 - 04.2017
- Proficient in EPIC EMR
- Fast pace Internal Medicine, Pediatrics and Family Medicine clinic including three physicians
- Appointment scheduling.
- Answered 40-50 phone cal ina day.
- Forwarded messages to the appropriate staff member.
- Greet patients..
- Scanning and entering patient information in EPIC EMR.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Medical records filing.
- Copy medical records for the patients and doctor offices.
- Perform insurance verification.
- Enter authorizations and referrals.
Office Assistant
Doctor Divas
05.2012 - 06.2013
- Proficient in EPIC EMR
- Fast pace Internal Medicine, Pediatrics and Family Medicine clinic including three physicians
- Appointment scheduling.
- Answered 40-50 phone cal ina day.
- Forwarded messages to the appropriate staff member.
- Greet patients..
- Scanning and entering patient information in EPIC EMR.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Medical records filing.
- Copy medical records for the patients and doctor offices.
- Perform insurance verification.
- Enter authorizations and referrals.
Medical Receptionist
Nye Partners in Women's Health
12.2007 - 01.2012
- Fast pace Obstetrics and Gynecology clinic including three Doctors and four Nurse Practitioners for two office locations.
- Medical record filing.
- Checked patient insurance, demographic, and health history to keep information current.
- Printed and mailed out Pap smear letters.
- Perform insurance verification/authorizations.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Created schedules for both offices for the front liners.
- Arranged the on call schedule for the physicians and faxed to the affiliated hospital.
Medical Assistant
Marcos A. Lopez
06.2005 - 11.2007
- Fast pace Ophthalmology clinic including five Doctors
- Appointment scheduling and other administrative duties Conducted examinations involving complete patient medical histories
- Administer visual screening, dilating all/most patients, GDX(nerve fiber analysis), VFT (Visual field test), stereo and fundus photos
- Prepare patients for exams
- Assist physicians in minor procedures and physical examinations
- Medical records including filing and charting
- Discharge patients after the physician completes exam; explaining physician orders and providing them with necessary instructions for ordered procedures.
Medical Assistant
Affiliated Physicians Inc
09.2005 - 10.2005
- Prepared charts.
- Charting entries.
- Entered day sheets for bookkeeping.
- Obtained client medical history, medication information, symptoms, and allergies.
- Administer injections, EKGs, vitals and blood collection.
- Assisted in administrative front office and rear office procedures as needed to increase office efficiency.
Education
Diploma in Medical Assistant -
Olympia College
Skokie, IL10.2005
High school or equivalent -
Continental Academy High School
Coral Gables, FL07.2004
Skills
- Bilingual in Spanish and English
- Proficient in EPIC EMR
- Answer up to 60-80 calls
- Guest Service
- Insurance Billing and Coding
- Telephone Etiquette
- Appointment Scheduling
- Medical Terminology
- Customer Service
- Insurance Verification
- ICD-10 and CPT Knowledge
Languages
Spanish
Native or Bilingual
Timeline
Medical Receptionist - Billing and Coding
West Suburban Eye Center
04.2021 - Current
Medical Receptionist
Northwest Eye Physicians
08.2018 - 02.2021
Customer Service Representative
Suburban Associates In Ophthalmology
04.2017 - 05.2018
Office Assistant
ROPPG - Formally known as Doctor Divas
06.2013 - 04.2017
Office Assistant
Doctor Divas
05.2012 - 06.2013
Medical Receptionist
Nye Partners in Women's Health
12.2007 - 01.2012
Medical Assistant
Affiliated Physicians Inc
09.2005 - 10.2005
Medical Assistant
Marcos A. Lopez
06.2005 - 11.2007
Diploma in Medical Assistant -
Olympia College
High school or equivalent -
Continental Academy High School
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