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Sales Insurance

Location:
Riverside, CA, 92501
Posted:
August 17, 2010

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Resume:

Objectiv To secure a position that will allow me to utilize my

e abilities and grow within a company.

Experien 12/2008-Present Chino Valley Medical Center

ce Chino, CA

Managed Care Medi-Cal Biller and Collection Clerk

As a Managed care Med-cal biller I am responsible in

billing all medi-cal HMO carriers. I audit patient accounts

to ensure procedures and charges are coded accurate and

correct billing errors, I implant and identify missing

codes. I also maintain proficiency in Medical Terminology.

As a Collection Clerk I responsible for the follow-up

performed on all unpaid accounts to ensure payment.

Communicate clearly and efficiently by phone and in person

with our clients and staff members. I maintain productivity

standards and reports. Obtain updated demographic

information and all necessary information needed to comply

with insurance billing requirements. Forward updated

information to responsible staff members for computer

changes. Operate computer to input follow up notes and

retrieve collection and patient information.

04/2006- Present Self Employed

Riverside, CA

Freelance Makeup Artist

Use faces as a canvas to create beauty for any special

occasion. I have worked on Weddings, Quinceaneras, Proms,

and dance groups. I love to experiment with all colors, and

try out and create new trends. I am always willing to take

new classes to help improve my skills to become a better

artist!

06/2006- 12/2008 Chino Valley Medical Center

Chino, CA

Lead Admitting Representative

Responsible for interviewing patients by obtaining accurate

and complete admission and billing info. Preparing

necessary forms and obtaining required signatures,

providing answers for patient's questions, determining

urgency of patient's needed care. Making appropriate

decisions regarding our facilities admission process, while

relaying crucial information to its corresponding

department. Completing our billing procedures, including

collecting payments at time of service and other duties as

assigned, verifying insurance coverage for

inpatient/outpatient surgeries. Occasionally asked to float

to PBX and Front desk.

5/2004-06/2006 Thomason General County Hospital

El Paso, TX

PBX Operator Supervisor

Supervised and monitored PBX operators to assure all calls

were answered and directed in a courteous and efficient

manner to their required intended areas. Trained operators

to call various trauma and code arrest codes through Wee

Page. Document all occurrences and follow emergency

communication policies. Reviewed and posted work schedules

to make sure all shifts were appropriately filled. Updated

employees on policies and procedures to make sure

department was educated and followed protocol.

09/2003-05/2004 Dr. Hector L. Franco Dermatology

El Paso, TX

Front Office Preparation Clerk / Scheduling Clerk/Cashier

Office duties included, providing excellent customer

service, collecting and processing data for new patients,

scheduling all physician recommended and customer requested

appointments including surgical procedures. Frequently

asked to assist physicians with minor surgical and cosmetic

procedures. Handle specimens and sent out to appropriate

laboratory. Properly dispense physician prescriptions and

scheduled outside labs and radiology appointments. Sort

mail and gather payments

from insurance company and post into accounts. Collect

co-pays and payments from

patients and post into accounts. Adjust payments and or

write off in accounts.

04/2003-11/2003 Southwestern General Hospital

El Paso, TX

Lead Admitting Representative/PBX Operator

Conduct interviews with the patients or designated other to

obtain signatures as required. Collect and enter all

demographic, employer and insurance information. Explain

hospital services and charges, and collect deductibles and

other charges not covered by insurance. Collect payments

and post into accounts. Direct hundreds of phone calls

daily throughout the organization. Perform paging of

physician's on-call, relaying patient message information

as requested.

12/2001-03/2003 Chino Valley Medical Center

Chino, CA

Admitting Representative

Register patients for scheduled admissions and outpatient

procedures. Perform patient intake and registration

activities, such as greeting patients, updating

demographics, preparing paperwork, collecting fees, etc.

Verify and explain to patients their types of coverage's

and eligibilities for inpatient and outpatient surgical

procedures. Receive and direct all incoming calls to

proper locations, frequently asked to multi-task scheduling

appointments for various departments while collecting and

processing insurance information. Practicing cash

management procedures while maintaining a safe and secure

work environment.

Central Scheduling

Schedules patient visits and testing adhering to the time

outlines established entering demographic and insurance

information in computer. Coordinates referrals and

authorizations. Oversight for testing schedules including

treadmills, echoes, nuclears, and ultrasounds etc, Point

person for primary care physicians' offices for new patient

consults and testing scheduling. Identifies insurance type

and enters patient insurance information

05/1999-09/1999 and 12/2000-11/2001 Hydro Industries Inc

El Paso, TX

Sales Manager

I trained, directed, and supervised sales staff. I

coordinate the operation of sales department by

establishing territories, goals, and quotas for sales

workers. Reviewed market analyses to1 help determine

customer needs, sales volume potential, and pricing

schedules that will meet company goals.

07/1998-12/2000 University of Texas at El Paso

El Paso, TX

Lead Student Athletic Trainer

Supervised new student athletic trainers; 5 to 10 new

students per school year; Educated them how to treat

injuries through the use of massage, exercise, water, heat,

cold, compression, light, sound and electricity, as needed

and/or directed by the team physician. Apply therapeutic

and protective bandaging, taping, wrapping, strapping and

padding to athletes; and, measure and fit braces, guards

and protective devices to individual athletes. Educate

injured athletes concerning injuries until there is a full

return to activity.

Education 2006 Celebrity Makeup School

Juarez, MX

Beauty Makeup Course

2001-2002 Flex Education

Chino, CA

Unit Secretary and Medical Terminology Course

1998-2001 University of Texas at El Paso

El Paso, TX

Majored in Kinesiology and Basic College Courses

1994-1998 Clint High School

Clint, TX

High School Diploma

Additiona

l I have the ability to reason with customers and over come

Informati objections. Also posses a broad knowledge of all types

on of computer software and applications



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