Insurance Customer Service

Cathy Vasquez

Email: abow45@r.postjobfree.com

Address:

City: Clifton Park

State: NY

Zip: 12065

Country: USA

Phone: 512-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Cathy is looking to return to the active work force after relocating from Texas as an experienced Billing Specialist. As a Medical Billing Specialist with 18 years experience in a fast-paced environment, she researched denied claims and submitted appeals. Familiar with medical, dental and anesthesia billing and collections, she is an excellent multi-tasker and demonstrates a team player attitude. Cathy is also able to communicate in Spanish.

Educational Background:

High School Dipolma from Robstown High School, Robstown TX 1/2001 to 5/1991 (High School)

Job History / Details:

Professional Summary

Cathy is looking to return to the active work force after relocating from Texas as an experienced Billing Specialist. As a Medical Billing Specialist with 18 years experience in a fast-paced environment, she researched denied claims and submitted appeals. Familiar with medical, dental and anesthesia billing and collections, she is an excellent multi-tasker and demonstrates a team player attitude. Cathy is also able to communicate in Spanish.

Skill Highlights

Familiar with commercial and private insurance carriers

Insurance and collections procedures

Understands insurance benefits

HIPAA compliance

Office support (phones, faxing, filing)

Knowledge of HMOs, Medicare and Medicaid

Maintains strict confidentiality

Excellent verbal communication

Strong attention to detail

Professional Experience

August 2008 to June 2011

Texan Ambulatory Surgery Center Austin, Texas

Medical Insurance Collections

Specialist

Worked accounts receivable report, followed up on claims by calling insurance companies for status, verified patients insurance benefits to determine out of pocket expense, worked daily mail, posted payments to accounts, appealed claims that were processed incorrectly according to contracts, assisted patients with their accounts, would assist patients with arranging a payment plan, assisted bilingual patients with billing questions or procedures.

September 2001 to December 2007

Central Texas Oral Surgery Associates Austin, Texas

Insurance Coordinator

Responsible for private patient accounts, insurance billing, scheduling appointments (Optimizing patients' satisfaction, provider time, and treatment room utilization), maintaining client and company filing and organization, posting payments from insurance companies, calculated patient co-insurance amounts based on negotiated contracts with major insurance companies, collections, claim follow-ups, appeals, medical authorizations, verified insurance, posted payments, maintained records and balanced sheets and prepared deposits.

Protected patients' rights by maintaining confidentiality of personal and financial information.

Maintained operations by following policies and procedures; reporting needed changes.

Assisted bilingual patients during a consultation with the doctor and also during surgical procedures.

January 1996 to August 2000

Austin Anesthesiology Group Austin, Texas

Payment Processing Specialist/Team Leader

Prepared deposits, researched accounts to determine network affiliation and appropriate provider discounts.

Processed credit card payments.

Prepared collection agency payments by determining correct payment/commission ratios.

Posted payments and adjustments to patient accounts.

Processed HMO/PPO/Medicare/Medicaid payments and appeals.

Responsible for end of month reports and credit balances.

Crossed trained in other departments for billing and collections.

September 1993 to January 1996

Driscoll Children's Hospital Corpus Christi, Texas

Inpatient Insurance Clerk

Worked with insurance companies in order to receive pay for claims submitted by the hospital.

Responsible for inpatient accounts and assisted patients with their account questions.

Appealed denied claims according to contracts.

August 1991 to September 1993

Dial America Marketing Inc Austin, Texas

Customer Service Representative

Provided third party verification for MCI telemarketing sales both in English and Spanish.

Worked front desk on occasion when sales were slow.

August 1989 to August 1990

Ramon Funeral Home Robstown, Texas

Administrative Assistant

Book Keeping, Public Relations, Office duties which included: typing, copying, post payments, mail statements.

Contact this candidate