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Patient Account Representative/Follow-Up

Location:
San Antonio, TX
Posted:
February 09, 2016

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Resume:

Aida Siller-Rodriguez

**** ******* ***

San Antonio, Texas 78201

210-***-*****210-***-****

actggc@r.postjobfree.com

OBJECTIVE

To secure employment with an organization or company that will best utilize my skills while providing opportunity for career advancement.

QUALIFICATIONS

*Bilingual [English/Spanish]

*Honest, Dependable, Energetic Person who endures a challenge

*Electronic Claims Processing *Denial, Appeals,Third Party Billing

*Third Party Billing

*Knowledge of ICD-9 & CPT Codes, C-Meds, Versys, HumabaseI,II, MOMS, Misys,

Medical Office Practicum *Microsoft Word,Excel,Outlook,Document Manager

EDUCATION

02/1991-06/1991 Texas A&M Extension Division San Antonio, Tx

*Business Technology Certificate

Continuing Education Coursework:

06/1996 Disease & Procedure Class: Certificate [Urology]

04/1996 Medical Terminology Class: Certificate [Urology]

EMPLOYMENT

03/2013-01/2016 Self Employed San Antonio, Tx

Provider for Elderly Parent

*Cared for my 91year old Father. Activities of daily living, dressing/feeding

him, assisting with dementia Issues, medication, household chores, keeping tract

of finances, companionship,

*Transportation to Doctor's appointments and recreational activities,[Bingo,parks,

Church, shopping, family visits,etc]

*Father passed away 01/28/2016

09/2009-03/2013

Patient Account Representative San Antonio Kidney Disease San Antonio, Tx

*Responsible for patient's accounts by last name per portfolio; followed-up,

appealed & resubmitted all denied or unpaid claims to all Government,commercial

& third party billing *Worked aged reports over 120 days

*Assisted in different departments as needed to include:Charge Entry and adjusting

contractual write-off's per Insurance contracts *Worked special projects as

assigned per Supervisor's request, assisted patient's with questions regarding

their accounts, payment arrangements, updated Patient's Demographics & Insurance

Information as needed.

03/2008-12/2008 Hospital Corporation of America San Antonio,Tx

Collections/Insurance Follow-Up Representative

*Reviewed outstanding claims *Contacted Insurance companies to collect unpaid

claims, appeals, *Worked on aged report over 120 days

*Knowledge of Insurance policies for filing & redetermination standards

08/2002-02/2008 Medaphase Inc. San Antonio, Tx

Billing Patient Account Representative

*Reviewed outstanding claims & all correspondence:Denials, Re-determination,

appeals,processed patient accounts for different clients to include MCR, MCD,

Third Party Billing & Commercial Insurance Companies

*Worked aged report to include 2ndry Insurances

*Increased Incoming collections of $100,000 & met all deadlines

*Accurate knowledge of Insurance policies for filing & redetermination standards

02/2001-07/2002 Sendero Imaging San Antonio, Tx

*Scheduled appointments for different modalities[Radiology & Pain Management],

obtained Insurance pre-certifications as needed Verifications & Authorizations

*Obtained retro referrals *Processed mail& packages to all departments

*Responsible for patients demographics

*Pain Management, Radiology ICD-9&CPT Coding

*Inspected record of procedure from Technicians to accuracy

*Processed reports to balance ROP with scheduled appointments, collections &

deposits daily *Contacted patients regarding outstanding balances & scheduled

payment arrangements *Translated for Spanish Speaking Patients

10/1996-01/2001

Bilingual Insurance Verification Specialist Urology San Antonio San Antonio, Tx.

*Verified Insurance benefits for 21 doctors & two physician assistants

*Pre-Certification of procedures, patient demographics, collections, reviewed

outstanding claims for corrections & resubmission

*Contacted patients regarding payment arrangements & outstanding balances

*Processed mail & arranged payment batches per date for payment entry

*Translated for Spanish Speaking Patients



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