Bilingual Medical AR/ Billing Specialist with strong attention to detail, professional telephone etiquette, organizational skills and over 9-years’ experience in a private medical office. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Skills
Type 96WPM
Team player
Excellent time management skills
Conflict Management
Bilingual
Exceptional communication skills
Adept multitasker
Office support
Creative problem solver
Trusted key holder
Quick books, MS Windows and Excel Proficient
Quick learner
Medical terminology understanding
Experience
08/2020 to 09/2021
Administrative Assistant/Enchantment Medical BillingRadnet – Redlands, CA,
Remote work, assisting with various administrative tasks, including scheduling, faxing, data entry
Customer support for billing and scheduling for Enchantment Counseling Services as well
Working In Microsoft Teams to communicate with various Providers and coworkers
Created job ads for Enchantment
Created various flyers for different events
Assisted in recruitment outreach to prospective employees
Conducted interviews for hiring prospective employees
Requested prior authorizations for billing purposes and services
Worked closely with Medical Providers to ensure all data is entered for billing and appointment codes are correct.
Provided secretarial and office management support while building cooperative working relationships.
Answered phone calls and emails to provide information, resulting in effective business correspondence.
Coordinated with Providers and clients for appointments, meetings and conferences.
Developed administrative processes to achieve organizational objectives and improve office efficiency.
Prepared and prioritized calendars and correspondence.
Directed customer communication to appropriate department personnel.
Composed correspondence, reports and meeting notes.
Created spreadsheets in Microsoft Excel for record-keeping and reporting.
Responded to customer issues to provide immediate resolution and improve retention.
01/2016 to 09/2016
Accounts Payable/AR Billing Specialist/Collections SpecialistRenal Medicine Associates – City, STATE,
Bookkeeping and accounting systems and completed data entry with accuracy and efficiency. Systems Include; Solana, Bookeo, Quickbooks
Researched and resolved accounts payable discrepancies
Balanced monthly general ledger accounts to accurately record cost and month end accruals
Composed effective accounting reports summarizing accounts payable data
Created daily and weekly cash reports for accounting management
Scanned and filed correspondence regarding accounts paid
Coverage as needed for front desk
Precisely completed appropriate claims paperwork, documentation, and system entry
Assisted in the maintenance of medical charts and/or electronic medical record
Verified patients' eligibility and claims status with insurance agencies
Diligently filed and followed up on third party claims
Managed collections claim for unpaid bills against the estates of debtors
Accurately posted and sent out all medical claims
Identified and resolved patient billing and payment issues
Evaluated patients' financial status and established appropriate payment plans
Updated patient financial information to guarantee accuracy
Compiled and tracked outstanding balances owed to medical facilities
Printed and reviewed monthly patient aging report and solicited overdue payments.
Assessed data and information to check entries, calculations and billing codes for accuracy.
Worked closely with department personnel to produce accurate and timely bills.
Worked in payer websites to follow up on claims in: Availity, Presbyterian, UHC EDI, NM Medicaid Portal, Authenticare Palco NM, CMS
Studied and analyzed denied claims as well as partial payment. Corrected coding errors
Communicated with patients, healthcare service providers, and the insurance firms and took necessary actions based on their feedback or responses.
Recovered claims pending information and submitted necessary documentation
IHS Referrals , called different Indian Health Service Agencies to obtain referrals that were needed for billing process.
07/2008 to 05/2014
Medical Front Office CoordinatorMedical Rehabilitation Center Of NM – City, STATE,
Scanned documentation and filed in the EHR database
Organized forms, made photocopies, filed records, and prepared correspondence and reports
Reviewed and updated patient correspondence files and scheduling database
Outlined the appropriate process and procedures necessary to fulfill and complete inquiries
Assisted with receptionist duties including; coordinating luncheons with pharmaceutical Representatives, patient scheduling, answering phones.
Maintained a clean reception area, including lounge and associated areas
Managed wide variety of customer service and administrative tasks to resolve patient issues quickly and efficiently
Ensured superior customer experience by addressing patient concerns, demonstrating empathy, and resolving problems on the spot
Insurance Verification
Pre-certified radiology procedures
Education and Training
Expected in to to
General Education Certificate: CNM - Albuquerque, NM GPA:
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Resume Overview
School Attended
CNM
Job Titles Held:
Administrative Assistant/Enchantment Medical Billing