Yais Enriquez
Spring Hill,FL
Summary
Seeking a challenging position with a growth opportunity to expand knowledge. A stable position in an exciting and progressive company that helps gain the experience needed for today's economy. Looking forward to being part of a professional team to accomplish the goals a fast-moving company needs.
Overview
16
16
years of professional experience
Work History
Billing/Refund Specialist
National Kidney Partners
02.2023 - Current
- Enter consultation and in hospital dialysis charges for 5 hospitals. Monthly dialysis charges for multiple centers in 2 counties. Review and initiate insurance refunds as well as tracking correct payors to submit claims to prior to refunding the insurance company. Updating all worked claims in multiple Excel spreadsheets. Obtain authorizations from required insurance and PCP to bill for monthly dialysis. Collect over the phone payments. Answer Spanish speaking calls.
Billing Specialist/Insurance Verification/Spanish Translator
Kernaghan/Moore Speech & Languages Therapy
01.2022 - 02.2023
- Billing Specialist to various insurances, Private Health, Medicare, Medicaid, Vocational Rehab & PLSA
- Verified insurance In or Out of Network utilizing several online payers' portals
- Spanish Translator to clients/client's parents
- New Patient intakes
- Monthly Authorizations
- Daily and weekly statements to clients
- Verified accuracy of accounts payable payments, resulting in 80% reduction in payment errors and check reissues.
Floor Manager/Coding/Billing/Payment Entry
Moss Chiropractic Clinic
06.2008 - 06.2021
- Supervised 3 doctor's clinic and their assistants to maintain patient flow efficiently
- Coding, data entry payment posting
- Over counter and phone collections
- Verify Insurance, understand insurance payer deductibles, out of pocket, co-insurance, In and Out of network coverage in order to explain it to patients
- Medical Records
- Assisted staff with floor therapy and rooming patients
- Encouraged unity and mediated conflicts
- Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets.
- Coached employees and trained on methods for handling various aspects of patient traffic flow, complicated issues, and difficult patients.
- Offer hands-on assistance to patients, assessing treatment needs, and maintaining current knowledge of patient preferences.
Education
ASSOCIATE DEGREE - Public Relations
RANCHO SANTIAGO COLLEGE
SANTA ANA, CA06.1992
HIGH SCHOOL DIPLOMA -
BOLSA GRANDE HIGH SCHOOL
GARDEN GROVE, CA06.1989
Skills
- Microsoft Office Products
- Excel
- Word Pro
- Multitasking
- Problem Solving
- Time Management
- Team Player
- Leadership
- Self-Motivated
- Medisoft Billing Software
- E-Clinical work
- Practice Studios
- Practice Perfect
- Mod Med
- Athena Practice V20
- Athena One
References
- Rebecca L Vetazquez, Paralegal, Merlin Law Group, (813) 309-3240
- Remberto J. Pacheco, Quality Assurance (Q.A.), Asl (Associated Services Inspections) LLC, (786) 554-4108
Languages
Spanish
Full Professional
Timeline
Billing/Refund Specialist
National Kidney Partners
02.2023 - Current
Billing Specialist/Insurance Verification/Spanish Translator
Kernaghan/Moore Speech & Languages Therapy
01.2022 - 02.2023
Floor Manager/Coding/Billing/Payment Entry
Moss Chiropractic Clinic
06.2008 - 06.2021
HIGH SCHOOL DIPLOMA -
BOLSA GRANDE HIGH SCHOOL
ASSOCIATE DEGREE - Public Relations
RANCHO SANTIAGO COLLEGE
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