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Customer Service Medical

Location:
Dallas, TX
Posted:
May 30, 2016

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Resume:

Norma Gutierrez

*** **** **

San Antonio, TX ****0

Cell: 210-***-****

E-Mail: acu0n0@r.postjobfree.com

Profile

Patient-focused Healthcare Biller and Office Assistant. Experience in medical billing, coding, office management, staff hiring/training, employee payroll, accounts receivable/payable. Excellent and experienced with customer service, patient services, healthcare services,, medical billing services and payment/collections services.

Professional Work History

SWBC San Antonio, TX -

November 2015 - January 2016

Temporary Early Stage Collector: Provide service to Credit Union/Bank Members for payment services. Answer Outbound/Inbound Dialer calls. Assist members with setting up payments for past due accounts. Take payments over the phone in multiple methods of payments. Verify all current member information and data entry of workflow type.

Robert Magnon, M.D. San Antonio, TX -

October 2010 - November 2014

Insurance Collector/Biller & Office Assistant Manager:Assisted with employee payroll, accounts

receivable/payable, interviewed/hired and trained new staff. Face to face cosmetic sales to clients

for laser hair removal, anti-aging products and for botox & fillers. Collection calls to patients to

obtain payment or set up payment arrangements for balance owed to the clinic. Performed data

entry into system to verify that claims and payments were posted correctly. Remained up-to-date

with all insurance requirements, including the details of patient financial responsibilities, fee-for service

and managed care plans. Consistently informed patients of their financial responsibilities

prior to services being rendered. Ensured timely and accurate charge submission through

electronic billing clearing house. Carefully prepared, reviewed and submitted patient statements.

Submitted refund requests for claims paid in error. Posted charges, payments and adjustments.

Completed appeals and filed and submitted claims. Confirmed patient information, collected

copays and verified insurance. Interpreted medical reports to apply appropriate ICD-9, CPT and

HCPCS codes. Added modifiers as appropriate, coded narrative diagnoses and verified

diagnoses. Completed registration quickly and cordially for all new patients. Scheduled patient

appointments. Directed patient flow during practice hours, minimizing patient wait time. Wrote

clear and detailed clinical phone messages for physicians. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Assisted with interviewing and hiring staff. Trained new employees for front desk, appointment scheduling, and billing positions.

KCI, Inc. San Antonio, TX -

September 2005 - February 2009

Patient Care Coordinator: Acquired insurance authorizations for procedures and tests ordered by the attending physician. Arranged and assisted with hospital admissions. Requested re-authorizations from patient's insurance from clinical nurse. Submitted documentation and communicated with insurance upon request for medical review. Obtained and submitted updated clinical documentation for claim re-consideration. Carefully reviewed medical records for accuracy and completion as required by insurance companies. Strictly followed all federal and state guidelines for release of information. Contacted patient regarding financial responsibility. Assisted with incoming calls and routed calls to correct department.

Professional Skills

• Excellent Face to Face Sales Experience

• Medical Billing Specialist

• Managed care contract knowledge

• Electronic Medical Record (EMR) software

• Team Player

• Inbound/Outbound Call Knowledge

• Collection Specialist

• Human Resources Knowledge

Education and Training

University of the Incarnate Word San Antonio, TX - August 2013 - Current

Interdisciplinary Studies in Early Childhood Education

Our Lady of the Lake University San Antonio, TX - August 2007 - May 2009

Business Administration



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