Viviana Espitia-Morales
Stafford,TX
Summary
Dynamic medical coding and claims technician with extensive experience at HISD Medicaid Finance, adept in insurance verification and regulatory compliance. Proven ability to enhance revenue through meticulous claims processing and data entry. Bilingual in English and Spanish, I excel in collaborative environments, ensuring accuracy and efficiency in all tasks. Adaptable in every work environment, easy to talk to, and a team player.
Overview
10
10
years of professional experience
Work History
Medical Coding and Claims Tech
HISD Medicaid Finance
Houston, TX
08.2021 - 06.2025
- As a medical coding and claims tech for HISD, my responsibility was to transmit visits for special-needs students using a website called Centricity. We would process the visits through their insurance carrier to make sure the district could bring in revenue for services provided.
- During my time as a medical coding tech, I was in charge of 18 districts, which included being in charge of the largest district, which is Houston ISD.
- Every day, I would check my rejects folder for my districts to make adjustments on visits that were "rejected," which in some cases needed to update student names, addresses, personal care providers, facilities, and/or input the correct time quantity for services provided to students.
- Eshars was a website I also worked on for appeals that were submitted through personal care providers from our assigned districts that needed adjustments on the quantity of units (time) that students received services or to have visit(s) voided through TMHP, which was another website I used to complete the appeals submitted. When completed, I used my extra time to work on the errors folder, which involved adding personal care providers that have not yet been added to the system, along with the facility they worked at, and time stamps.
Secretary
HISD Medicaid Finance
Houston, TX
09.2019 - 08.2021
- Answered incoming phone calls, responded to inquiries and transferred calls as needed.
- Coordinated meeting logistics, such as room reservations and flyers to be made or posted for any future events going on in the building.
- Greeted visitors in a professional manner and directed them to appropriate personnel or offices.
- Organized and maintained filing systems for important documents, such as invoices, tracked inventory of equipment that was assigned to employees, and maintained an organized loss prevention red book for future audits.
- Ordered supplies as needed, and placed orders with vendors for promotional needs to be used in events to bring in more clientele.
- Assisted with special projects or tasks related to departmental functions upon request.
- Updated contact lists on a regular basis; created new contacts as needed.
- Submitted work orders to have maintenance come out and service.
Front Desk Receptionist
HISD Medicaid Finance
Houston , TX
03.2019 - 09.2019
- Monitored visitor access control systems including issuing identification badges when necessary.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Answered incoming calls, directed them to appropriate personnel and took messages.
- Explained policies and procedures to visitors.
- Signed for packages, recorded deliveries and distributed to personnel.
- Greeted visitors warmly and directed them to correct personnel or office.
- Maintained a clean and organized reception area to uphold company image.
- In my extra time, I worked on data entry for billing transportation.
Account Budget Clerk III
HISD Medicaid Finance
Houston , TX
05.2018 - 03.2019
- Worked in Eshars website for billing special transportation provided by HISD for special-needs students.
- I would pick up a new monthly log for a random district to work on. Each one-month log came with a list of students that showed when students rode on special transportation, whether it was AM, PM, or both. I would input dates and times in eshars, assuring that it was accurate as provided by the bus driver.
- I would make sure to log every district with month i worked on to keep track of my work history.
Kennel Technician
Wishbone Pet Care
Sugar Land, TX
09.2017 - 05.2018
- Ensured cleanliness of kennels through regular sanitizing and disinfecting protocols.
- Performed minor grooming services such as brushing fur coats and trimming nails.
- Organized inventory of food, bedding supplies, toys and other items needed for animal care.
- Provided daily care and monitoring of animals, including feeding, watering, cleaning cages and administering medications.
- Exercised dogs regularly according to individual needs.
- Conducted tours of the facility for potential customers.
Sales Associate
Marshalls
Stafford, TX
04.2015 - 09.2017
- Experience in the cash office, counting and collecting money from each cashier at the end of each shift to store away in a safe to be deposited at the company bank, and preparing the cash quantity for the next day.
- Experience in the sales floor, including home, kids, men, women, shoes, and fitting room departments.
- Experience in the warehouse area for unloading merchandise and prepping for the sales floor.
- Experience in cashier.
- Head of markdowns, responsible for conducting other employees on which areas to start, and how to reorganize departments.
Education
High School Diploma -
Elsik High School
12601 High Star Dr06-2014
Skills
- Medical coding
- Claims processing
- Insurance verification
- Data entry
- Regulatory compliance
- Eshars software
- Fluent in English and Spanish
- TMHP and Centricity experienced websites
- Intermediate in Microsoft Word, Excel, and PowerPoint
Languages
Spanish
Professional
Timeline
Medical Coding and Claims Tech
HISD Medicaid Finance
08.2021 - 06.2025
Secretary
HISD Medicaid Finance
09.2019 - 08.2021
Front Desk Receptionist
HISD Medicaid Finance
03.2019 - 09.2019
Account Budget Clerk III
HISD Medicaid Finance
05.2018 - 03.2019
Kennel Technician
Wishbone Pet Care
09.2017 - 05.2018
Sales Associate
Marshalls
04.2015 - 09.2017
High School Diploma -
Elsik High School
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