Sandra M. Fernandez

***** ********** ***

Houston,TX 77015

832-***-****

ac8jvv@r.postjobfree.com

Career Objectives

To land a full-time position as a Customer Service Representative/Billing Coordinator/Insurance Verification Specialist in the Medical Field in which I can utilize my knowledge and experience in healthcare, Verification of Health Insurances and Claims. Ability for growth in an organization is important to me.

Summary of Qualifications

Being able to provide the best customer service experience is what drives me in my professional career. With a combined 15+ years of working in the medical field as a Lead for a call Center, a Radiology Scheduler, Patient Account Access Rep, Office Assistant proficient in Microsoft Excel, Microsoft Word, Power Point, EPIC, BRIT, PACS, QNXT and Softheon

Education

San Jacinto College North Campus 2000-2001

Basic college courses – No Degree

North Shore Senior High School 1996-1999

Graduated – High School Diploma

Work History

ASAP Professional Home Health Care

Houston, TX

Billing Coordinator

September 2017 thru Present

Billing Coordinator for a Home Health Agency in which my duties included but were not limited to submitting claims to all payors, assuring all units billed for were correctly processed thru Vesta prior to submitting claims and verification of Insurance. My responsibilities included submitting all claims in a timely manner. Assure Authorizations were valid, if needed to I would contact insurance to request a new authorization. Making sure all claims were paid, if denied I would resubmit for reconsideration along with all supporting documentation. My duties while assisting with payroll was to validate employee time and submit thru our 3rd party vendor.

Harris Health System (Community Health Choice), Houston, TX

Lead Member Service Representative for the Contact Center-Jan. 25th, 2016 – Oct. 2017

As Lead Member Services Representative I served as the `first line coach` to the Member Service Representatives. Acted as an on the floor `floater` and quickly and accurately resolved issues raised by a Member Service Representative or caller. I Addressed concerns within the first call if possible. Demonstrates the team desire for call compliance and process improvement, sharing and supporting tasks and training with the Member Services Management team as well as performing all current Member Service Representative duties.

I analysed the Agent Availability as well as the Not Ready time and managed my agents time and Attendance and handled all counselings and coachings

A1 Personal Staffing, Houston, TX

Member Service Representative II (Harris Health System, Community Health Choice)- October 11, 2015 - January 22nd, 2016

Answered incoming calls from members and assisted them with any questions regarding their benefits and eligibility, claims and authorizations. In addition to assisting the member with their benefits I also assisted with taking the members premium payments and educating them on payment due dates.

KS MANAGEMENT SERVICES LLC, Houston, Texas

Scheduler - Oct 04, 2004 - Sep 12, 2014

Service customers in a timely manner with a professional attitude. Schedule appointments, test and procedure in a medically correct sequence for patients. Furnish patients with printed schedules of test, instructions and prep kits. Using an automated scheduling system and authorize scheduling policies and procedures, accurately exercise good judgment in determining the sequence of radiology exams. Use critical thinking skills while working in a high volume area and give instructions for test and procedures performed in the Radiology Department. Work well with patients, nurses and contact vendors to accommodate patient’s needs. Collect all the necessary patient and insurance information to allow for insurance verification. Assist with cancellations and rescheduling of appointments for the Radiology Department.

Memorial Hermann Hospital, Houston, Texas

Patient Account Access Rep III - Jul 20, 2002 - Oct 01, 2004

Maintain active professional relationship with patients and nursing staff by assessing needs and level of satisfaction with clinic service. Service customers and be able to maintain a professional attitude while working in a high volume area assisting not only radiology but other departments and sites. Handle stressful situations with little supervision. Dealing with contract vendors Utilization Management Department for authorization as needed.

ASAP Professional Home Health Care

Assistant Office Assistant 1999-2002

Assisted with billing and coding, verifying insurance with both insurance and patients. Hired providers to go into the patient homes and assisted with any basic living needs. When needed i would manage the providers time and attendance as well as call in payroll. My position at times would require i go out to the to the patient homes and assure that our patients were satisfied with the help.

ASAP Professional Home Health Care, Houston, TX

Intern office Assistant 1996-1999

As an intern for the HOSA program (health occupation Student of America) I Assisted with all clerical work, filing patient charts, answering phones and anything else with in my capacity

Computer Skills

●Database Software (Oracle, Access, etc.)

●Graphics or Drawing Software (Photoshop, etc.)

●Microsoft Office 2013

●Epic, Brit, and PACS, OB Diagnostics, Citrix

●Voice4Net and InContact

●PC-Ace

●Availity

●Ability

●VESTA Complete

References:

Dr. Arlette Brown, Managing Physician 832-***-****

Irma Conran, Mammo Tech 832-***-****

Nakia Lafluer, Ancillary Scheduler 713-***-****

Jean Weaver, Ultrasound Lead Tech 713-***-****

Patricia Licona 281-***-****

Cathy Cunnigham, Radiology Manager. 713-***-****

Emma Rodriguez Office Administrator. 713-***-****/832-***-****

Paula Garcia, Call Center Manager Harris Health

832-***-****/713-***-****

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