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Customer Service Insurance

Location:
Harlingen, TX
Posted:
November 14, 2012

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Resume:

Monica Gonzales

Email: abpmkw@r.postjobfree.com

Address:

City: Harlingen

State: TX

Zip: 78550

Country: USA

Phone: 956-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

I see myself as a good employee in a well-established organization, like the one I am presently working in. I plan on enhancing my skills and continuing my involvement in related professional associations.

Educational Background:

High School Dipolma from TSTC, Harlingen TX 1/2001 to 5/2000 (Basics)

Job History / Details:

Skill Highlights

Multi-tasking

Customer service

Flexible

Office support (phones, faxing, filing)

Good written communication

Objective

To have a position where I can use my skills and hardworking ability, to benefit my employer and be of service to others.

Professional Experience

December 2008 to Current

Mercy Rehab Services, Inc. Harlingen, Texas

Billing/Collections Clerk

Bill/Appeal to insurance companies.

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.

Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

Recorded and filed patient data and medical records.

Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Audit and compile aging reports.

Schedule meetings (in office or via web) and trainings.

Schedule/Confirm travel arrangements

March 2007 to October 2008

Valley Baptist Medical Center Harlingen, Texas

Billing/Collections Clerk

Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.

Analyzed and interpreted patient medical and surgical records to determine billable services.

Accurately posted and sent out all medical claims.

Submitted electronic/paper claims documentation for timely filing.

Confirmed patient information, collected copays and verified insurance.

Registration Dept.- Registering patients, gathered patient information upon admission or scheduled procedures)

January 2005 to March 2007

Family Health Specialist, Inc. Harlingen, Texas

Receptionist

Register patients.

Create patient accounts and charts (data entry; consists of general information, insurance and medical records)

Generate super bills for the nurse and physicians.

Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.

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

Audit patient charts.

Answer/screen calls for nursing staff.

September 2001 to January 2005

APC Nurse Placement Services Harlingen, Texas

Billing/Collections & Accounts Payable Clerk

Bill/Appeal claims to insurance companies and private pay patients.

Carefully reviewed medical records for accuracy and completion as required by insurance companies.

Updated patient financial information to guarantee accuracy.

Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.

Printed and reviewed monthly patient aging report and solicited overdue payments.

Audit nursing travel logs and nursing notes.

Prepared daily deposits.

Prepare weekly times for payroll.

Validated purchase order requests and resolved any discrepancies.



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