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Customer Service Medical

Location:
Winter Garden, Florida, United States
Posted:
March 13, 2019

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Resume:

Gina Cortes

*** ********** ***** ****** ****** Florida 34787

Cell: 407-***-**** ac8rxa@r.postjobfree.com

Objective:

Seeking a challenging position in your organization where I can contribute my eighteen years of experience in the healthcare industry to the growth of the organization and also broaden my knowledge to achieve a successful career.

Professional Experience:

Orlando Regional Medical Center 2008 - Present

Physician Billing Analyst III May 2015 - Present

Review patients encounter forms to ensure accuracy and completeness prior to performing charge entry transactions; taking the necessary action to correct the encounter forms.

Identify any missing codes to meet requirements based on documentation.

Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.

Monitor coding changes to ensure that most current information is available.

Attending webinars and classes to keep updated with any coding and guidelines changes.

Entering charges on a timely basis of all office charges.

Financial Counselor II-Orlando Health (Mid FL Cardiology) May 2010 - June 2015

Identify customer service issues and resolves or initiates necessary follow-up.

Efficiently and accurately gather and input patient/guarantor demographic and financial information.

Contact appropriate payers, verifying benefits and obtaining necessary authorizations.

Utilize appropriate reports to contact insurance payers for resolution to accounts that are pending or denied.

Explains insurance benefits and collects co-pays, deductibles and self-pay portions due.

Collect for related professional care when appropriate.

Collect outstanding balances due from previous accounts or establishes payment arrangements for these balances as appropriate.

Answer basic customer billing questions.

Contact Primary Care or Admitting Physician to obtain authorizations, diagnosis, and procedure detail as necessary.

Document authorization and benefit information in registration system.

Assemble patient record and obtain copies of relevant documents including insurance cards, photo identification cards and any advance directives.

Scheduling Coordinator, Cardiology –Mid FL Cardiology January 2008 – May 2010

Coordinator case flow in the office.

Communicate regularly with physicians, rounding nurses and their offices, patients and all other departments.

Consistently and constantly reviewing the schedule daily and communicates all changes to physicians, staff and other departments.

Perform data input as required on computer terminals and collects all department statistics which are entered into access as our database.

Education:

HS Graduate

Medical Terminology Course

CPC-A // AAPC

Knowledge:

GE- Centricity Business

TouchWorks/AllScripts

QES

Microsoft Outlook

Windows/Excel

E/M Coding

EMR

Bilingual

Spanish

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