Ximena Naves Luna
San Antonio
Summary
Over 9 years in customer experience, and solid background in medical administration and patient records management. Fluent in both English and Spanish, and extremely proficient in providing
over the top customer service. Always striving to improve and grow within an organization.
Overview
11
11
years of professional experience
Work History
Medical Clerk
McCormick Law Firm
06.2024 - Current
- Tasked with making follow up calls to clients or providers in order to confirm client treatment status
- Produce and send documents such as letters of representation, HIPAA, medical and billing record requests, property damage estimates, and finally photo requests. This is done in order to provide lawyers with the tools needed to prepare for upcoming settlement cases.
- follow up on both record requests and itemized health insurance liens with adjusters.
Construction Material and Supply Manager
Vergel Constructions LLC
12.2021 - 06.2024
- Experience with budget data entry, as well as being in charge of payments to construction workers, also
includes making sure all subcontractors have signed their contracts and appropriate tax forms. - In charge of purchasing outer home construction supplies and interior home fixtures, which include following
up with delivery suppliers, receiving orders, and distributing to appropriate on-site worker. - In charge of reviewing homes and determining if they are ready for the staging process.
Benefit and Pre-Authorization Specialist Team Lead
Rev-Ignition
09.2017 - 12.2021
- Input benefit information such as co-pays, deductibles, and max out of pocket information into our Raintree systems.
- Verify CPT codes for Pre-Authorization requirements as well as obtaining Pre-Authorization for services.
- Train new employees and conduct weekly meetings in order to assist them with any orientation questions, and assist with performance issues.
- Notify proper work units on authorization requirements and status.
Patient Account Representative
Rev-Ignition
08.2016 - 09.2017
- Take incoming client call to assist with any requests such as providing patient balances and statements.
- Resolve inquiries from CRM and various clinics, as well as following up with patients on any problems they have on their bills.
- Adjust Ledger by processing transfers, write offs, or payments when requested.
- Mail out HCFAS and do AD HOC Assignments
Sales Associate
Sunglass Shop
10.2013 - 08.2016
- Depended upon to open and close store according to our shifts.
- Organize showcase focus for product of the month.
- Helped guide clients towards specific products according to their likes and dislikes.
- Balanced register towards end of day and was trusted with making end of day deposits.
Education
High School Diploma -
Tom C Clark High School
San Antonio, TX01-2011
Skills
- Experienced in multiple medical/claim systems such as Raintree and Availity
- High motivation for continued professional success
- Fluent in both English and Spanish
- Experience in handling HIPPA complaints, and processing Ad Hoc Assignments
- Proficient in interpreting EOBs
- Multiple instances of having to call clients on the phone
- Computer software proficiency
- Detail-oriented focus
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Medical Clerk
McCormick Law Firm
06.2024 - Current
Construction Material and Supply Manager
Vergel Constructions LLC
12.2021 - 06.2024
Benefit and Pre-Authorization Specialist Team Lead
Rev-Ignition
09.2017 - 12.2021
Patient Account Representative
Rev-Ignition
08.2016 - 09.2017
Sales Associate
Sunglass Shop
10.2013 - 08.2016
High School Diploma -
Tom C Clark High School
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