PROFESSIONAL SUMMARY

A skilled Patient Access Specialist, resourceful, and innovative in problem-solving, seeking a medical billing position in Account Receivables. Work compassionately with people of diverse cultural backgrounds, and socio-economic statuses. Strong desire to utilize my medical billing and coding education and extensive customer experience to make a positive impact on the revenue cycle of a healthcare organization dedicated to patient-centered care.

PROFESSIONAL EXPERIENCE

ADDISON GROUP Jun. 2018 – Nov. 2018

Medical Biller @ Volunteers of America Mental Health

Charge Entry

Prior Authorizations

Eligibility and Benefit checks

Claim denial follow-ups and appeals

Credentialing

HENNEPIN COUNTY MEDICAL CENTER Jan. 2013 – Jun. 2018

Senior Patient Access Specialist Referral Coordinator

Answer and handle incoming English and Spanish phone incoming referral entry and scheduling

Outreach to patients to help coordinate appointment scheduling

Outreach to referring facilities in regards to obtain medical records

Management of incoming records and referrals via electronic fax system and hard copies

MyChart technical support

Collect registration information and verify insurance electronically and via various payer websites

Review registration records for accuracy and completeness, guarantee standards and guidelines are met

Ensure strict HIPAA regulations are met by enforcing confidentiality practices.

HEALTHPARTNERS INTERNATIONAL CLINIC Jan. 2003 – Jan. 2012

Medical Billing Representative and Office Assistant

Collaborated with providers by translating for the Spanish-speaking patients

Answered and handled patient account billing calls

Posted payments

Collaborated with member services and claims department

Resolved billing issues and denials by reviewing claim coding

Investigated claim denials and followed up with appropriate action

Light collection of denied claims

Exceeded expectations in productivity; described as a real problem solver; praised for AR work that was thorough, accurate and timely

Accomplished positive results by significantly reducing the days in account receivables

EDUCATION

RASMUSSEN COLLEGE

Associate of Applied Science in Health Information Technology

HOUGHTON COLLEGE - Houghton, NY

Educational Psychology

SKILLS

•Customer Service

•Bilingual Spanish/English

•Medical Terminology

•AR billing

•Charge Entry

•Payment Posting

•Coding/CPT and ICD-10 CM

•Anatomy & Physiology

•Medicare and Medicaid

•PMAPs and Commercial Ins

•Work Comp/3rd party

•Microsoft Office

•Epic

•Quantum encoder

•Cerner

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