Innovative, bilingual customer-oriented representative with more than 5 years of experience in health-care and customer service industry with background in medical coding and billing, accounts receivables, medical and insurance terminology.
Excellent communicator with strengths in daily operations management, workflow improvements, specialize in quality, speed and process optimization.
Results-oriented with strong passion for developing relationships, making proposal and use strategies to avoid loses and improve the outcomes.
Skills
Motivational Leadership
Decision Making
Handling Customer Complaints
Efficient and Detail-Oriented
Complex Problem Solving
Microsoft Office suite
Verbal and Written Communication
Team Management and Supervision
Multitasking and Prioritization
Work History
Medical Accounts Receivable Coordinator, 01/2018 to 08/2021 Neogen Corporation – Lexington, KY,
Verified discrepancies and resolved clients' billing issues
Reconciled daily AR ledger and verified proper posting.
Updated aging reports based on daily audits.
Performed coding and billing corrections, submission of medical records, reconsideration and appeals for office generating over US$300,000 annually.
Collaborated with Coding and Billing Department and Doctors to resolve more than 10 coding and billing errors, missing information in op report and improvement of workflow .
Supervised 15 team members including (Collectors, Authorization/Referrals Coordinators and Patient care rep) and provided constructive feedback, resulting in higher morale and increased employee retention.
Managed coding and billing issues and resolved financial discrepancies effectively through organizational management of account information using Encoderpro, CPT and Coding guidelines software.
Handle claims denials, reconsideration and appeals submission
Medical Authorization and Referral Coordinator, 07/2017 to 01/2018 Urology Specialist Group (Medicalls) – City, STATE,
Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
Obtain, review and enter insurance authorizations and referrals prior to patient services .
Coordinated with medical staff and patients to find cost-effective options for services.
Completed up to 150 referrals authorization and benefits/eligibility requests each day for medical practice.
Monitor and track patient authorizations, informing PCP and patients of any expired dates.
Communicates with patients, clinical partners, financial counselors, and others as necessary to facilitate authorization process
Trained 4 staff on referral and intake process.
Personal Injury Coordinator (Medical Records), 01/2015 to 02/2015 ADVANCED NEURO AND SPINE INSTITUTE (ADOHEALTH) – City, STATE,
Processed over 45 medical records requests from attorneys office per day according to facility, state and federal law to create patient's case.
Maintained patient records in compliance with security regulations.
Reviewed over 30 charts per day and flagged incomplete or inaccurate information.
Uploaded more than 25 physician progress notes, case's notes and history into electronic medical records.
Gathered patient information by collecting demographic information from variety of sources.
Communicated effectively with staff, patients and insurance companies by email and telephone.
Customer Service Representative, 04/2013 to 01/2015 H20 WIRELESS AT&T (PRIMETEL GLOBLAL SERVICE) – City, STATE,
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Managed over 50 customer calls per day with minimal wait time and accurate resolutions .
Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
Recommended products to customers, thoroughly explaining details.
Responded to customer requests for products, services and company information.
Offered advice and assistance to customers, paying attention to special needs or wants.
Leveraged sales expertise to promote products and capitalized on upsell opportunities.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Evaluated account and service histories to identify trends, using data to mitigate future issues.
Education
Bachelor of Arts: Law, Expected in 10/2019 Universidad Autonoma De Santo Domingo (UASD) - Santo Domingo, Dominican Republic, GPA:
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