Aida Siller-Rodriguez
San Antonio, Texas 78201
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