Yaneth Pineda
Houston,TX
Summary
Versatile office and administrative support professional with comprehensive experience in various office environments. Skilled in managing office tasks, organizing records, and enhancing workflow efficiency. Demonstrated ability to adapt quickly to new software and systems, improving data management and operational processes. Made significant improvements in document organization and internal communication protocols, leading to smoother daily operations.
Overview
12
12
years of professional experience
Work History
Operations Assistant
Orthopaedic Associates LLP
Houston, TX
03.2023 - Current
- Processed insurance payments, and monitored bank accounts daily to ensure income reconciliation.
- Streamline financial audits by maintaining organized records, and providing documentation to auditors.
- Managed high-volume invoice processing, consistently meeting tight deadlines.
- Reconcile credit card statements to ensure accuracy in financial reporting.
- Improved cash flow management by closely monitoring accounts receivable, ensuring prompt collection of outstanding balances.
- Utilize Excel to input financial data, and generate detailed reports.
- Create monthly spreadsheets to organize all invoices and balances.
- Utilize QuickBooks to review and retrieve records of previous payments.
- Received and sorted all incoming mail, and deposited checks using Webscan.
- Assist the company in updating ERA and EFT information with all insurance providers.
- Collaborated with other departments to resolve customer issues in a timely manner.
- Ensured that all invoices are sent out accurately according to schedule.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Assisted customers with inquiries related to their invoices or payments.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Researched unpaid invoices and worked with customers to resolve disputes.
Legal Billing Specialist
Orthopaedic Associates LLP
Houston, TX
01.2022 - 03.2023
- Act as the main liaison for attorneys and funding companies.
- Run a daily spreadsheet to identify and track any missing payments from funding companies.
- Generate and send invoices to funding companies monthly, ensuring timely and accurate payment is received.
Payment Posting
Orthopaedic Associates LLP
Houston, TX
03.2020 - 08.2022
- Maintain clear and detailed records of transactions and payment issues.
- Research unapplied, overpayments and credits.
- Handled all electronic and manual payments and adjustments ensuring data is accurate.
- Downloaded, printed and batched electronic funds transfers and remits.
- Address customer inquiries regarding payments, balance and accounts.
Pre-Surgery Collections
Orthopaedic Associates LLP
Houston, TX
11.2019 - 02.2020
- Confirm patient eligibility and benefits for surgery.
- Communicate the patient’s financial responsibility regarding physician fee.
- Distributed a daily report to providers detailing the amounts collected for surgery.
- Generated a report 2 days before patient appointments to collaborate with the front desk in confirming any outstanding balances.
- Contact patients to collect any outstanding balance and confirm their surgery payments.
Patient Access Representative
Memorial Hermann Hospital
Houston, TX
05.2019 - 11.2019
- Ensured compliance with HIPAA regulations, maintaining the confidentiality of sensitive patient information.
- Adapted swiftly to changing demands within the healthcare environment, demonstrating flexibility and commitment to quality patient care.
- Delivered exceptional customer service through active listening and tailored solutions to patient’s needs.
- Contributed to revenue improvements by identifying and resolving billing discrepancies.
- Increased billing process efficiency by accurately capturing chargeable services during patient registration.
- Enhanced the patient experience through empathetic communication and clear explanations of insurance benefits.
- Verified insurance eligibility, obtained authorizations and accurately entered claim details to facilitate smooth billing processes.
- Collaborated with healthcare providers to ensure timely appointment scheduling and coordinated follow-up care for patients.
Insurance Verification Specialist
Orthopaedic Associates LLP
Houston, TX
07.2016 - 05.2019
- Ensured timely verification of insurance benefits prior to patient procedures or appointments.
- Managed high-volume insurance verifications under pressure to support efficient medical operations.
- Increased patient satisfaction by addressing concerns regarding insurance coverage and billing issues promptly.
- Assisted patients in understanding personalized insurance coverage and benefits.
- Trained new staff on current, correct insurance verification procedures.
- Updated patient records with accurate, current insurance policy information.
- Communicated with insurance carriers to clarify policies and individual patient benefits.
Community Health Worker
Spring Branch Community Health Center
03.2013 - 07.2016
- Schedule all new and establish patients.
- Gather patients’ income details to align them based on the clinic’s sliding fee.
- Share resources and provide guidance available for federal assistance programs.
Education
High School Diploma -
Spring Woods High School
05.2011
Some College (No Degree) - Health Administration
Houston Community College
Houston, TXSkills
- Excel spreadsheets
- Microsoft Word
- Collections
- Billing and invoicing
- Accounts Receivable
- Payment processing
- Bank reconciliation
- Invoice processing
- Payment collection
- QuickBooks usage
Languages
- English
- Spanish
Languages
Spanish
Professional
References
References available upon request.
Timeline
Operations Assistant
Orthopaedic Associates LLP
03.2023 - Current
Legal Billing Specialist
Orthopaedic Associates LLP
01.2022 - 03.2023
Payment Posting
Orthopaedic Associates LLP
03.2020 - 08.2022
Pre-Surgery Collections
Orthopaedic Associates LLP
11.2019 - 02.2020
Patient Access Representative
Memorial Hermann Hospital
05.2019 - 11.2019
Insurance Verification Specialist
Orthopaedic Associates LLP
07.2016 - 05.2019
Community Health Worker
Spring Branch Community Health Center
03.2013 - 07.2016
High School Diploma -
Spring Woods High School
Some College (No Degree) - Health Administration
Houston Community College
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