Sofia Calles

**** *** *** ** ********* Fl *****. 443-***-**** actejz@r.postjobfree.com

PROFESSIONAL SUMMARY

Fluent Spanish-English Speaking Medical Administrative professional seeking a challenging career within a healthcare organization where I can utilize my education and experience to further the success of the organization. Key qualifications include:

•Knowledge of ICD-9, CPT-4, HCPCS, CMS-1500 and UB-04 Forms.

•Thorough understanding of insurance products, contracts, policies and procedures

•Experience in understanding insurance principles, benefit plans and contract interpretation as well as a working knowledge of electronic billing software and reconciling EOBs and insurance payments

•Skilled in office administration, creating patient records, file management, interoffice correspondence and general business operations including answering multi-line telephones

•Computer experience with Microsoft Office 2007

•OSHA and HIPAA compliance training

•Experienced in scheduling appointments

•Proven ability to collaborate all medical referral information

•Knowledge of medical billing and coding

•Knowledgeable in medical terminology

•Experienced in maintaining patient demographics and insurance information

RELATED EMPLOYMENT.

Walt Disney World Cook 1/ Trainer Orlando, Fl 08/2013-Present

Booking .com Customer Service r. Orlando, Fl 04/201*-**-****

Sea Dog, Pantry Line Cook Orlando,Fl 03/2013 -06/2013

Kool Smiles. Inc. Patient Coordinator Fruitland, MD 06/2012 – 12/2012

Three Lower Counties Community Services, Inc. Salisbury, MD 01/ 2009 – May 2012

Medical Receptionist/Translator

•Assist physicians, nurses, and other staff members in translating for Spanish speaking patients orally and through written documentation

•Organize and deliver referrals via mail to Spanish speaking patients

•Serve as patient service representative by confirming appointments, verifying insurance and demographics, and retrieving medical records and delivering to appropriate department or provider

•Medical record department, field back chart, receive and distribute office mail, schedule department, schedule patients and triage patients with medication refills or any other issues

•Attend to a high volume of phone calls and accurately document messages, forward telephone calls and follow up on return calls

•Remind patients of appointments and track missed appointments by phone or letter

WORK HISTORY

Disney World Cook 1 Orlando, Fl 09/2013- Present

Sea Dog Restaurant Pantry Orlando, Fl 04/2014- 06/2013

Famous Dave’s Restaurant Cook Salisbury, MD 09/ 2008 – 04/2013

Outback Steak house Kitchen Manager Salisbury, MD 11/ 2004 – 04/2008

Golden Corral Crew Leader Salisbury, MD 08/ 2003 – 11/2004

Super Soda Convenience Store. Owner Salisbury, MD 01/2002 – 08/2003

Tia’s Tex-Mex Hostess Salisbury, MD 03/2000 – 01/2002

EDUCATION:

Le Cordon Blue Orlando – FL (Culinary Program) 04/2013- 04/2014

Cooking technique, Menu development, Sanitation Certifique.

Dawn Career Institute – Wilmington, DE 07/2010 – 05/2011

Medical Biller/Health Insurance Claims Examiner – Diploma

Nationally Accredited Online Program providing a foundation of knowledge in insurance and allied health industries. Trained in fundamental areas of medical and dental health claims examining and medical billing, medical dental terminology, basic anatomy and

physiology, insurance principles, benefit plan and contract interpretation, and a working knowledge of electronic billing software.

Wor-Wic Community College Salisbury,MD 2010

Medical Billing and Customer Service classes

Kaplan University Rockville, MD 01/2008 – 11/2008

Human Resources, Online program

Wor-Wic Community College Salisbury, MD 2002

English as a Second Language (ESL) class

Wor-Wic Community College Salisbury, MD

Customer Service Course.

Skills.

Fluent in Spanish - English

Knowledge of MS Word, Excel, Outlock, Internet explore.

Excelent communication skills.

Able to lift up 50lb.

Opening Experience.

Multitask.

Contact this candidate