Medical Manager
Resume:
Josefina Guerrero
Office Management/Insurance Specialist
San Antonio, TX 78216
**************@*****.***
Experienced in computer systems such as Medrium, AdvancedMD, Digichart and Amsurg. Medical software
Office equipment such as copier, printer, scanner, multi-line phone system, stamp machine and credit card machine.
Authorized to work in the US for any employer
Work Experience
Insurance Verification Specialist
S.A.Gastroenterology Endoscopy Center - San Antonio, TX June 2013 to Present
Our Billing Office will be terminated as of August 31,2018. and all employees laid off as of this date. I was hired to be an Insurance Verification Rep. I also did referral and authorization's for the ins carriers that required it .Also did whatever was asked of me to include appeals and talking to patients about their accounts.
Insurance Specialist
Neurology Consultants - San Antonio, TX
March 2012 to June 2012
Called different insurance carriers for eligibility, benefits, referrals, authorizations and codes for certain procedures.
Called patient's to remind and confirm appointment date and time. Maintained the patient daily schedule.
Did Scanning, printing,copying, answering phones and scheduled appointments. Insurance Coordinator
Aerotek Temp. Svcs. - San Antonio, TX
February 2012 to February 2012
Insurance Claims Specialist called insurance carriers for claims status and send corrected claims with info requested for all carriers. Documented info within computer system. Office Manager
HealthyWomanPA - San Antonio, TX
February 2007 to September 2010
• Supervised staff and office tasks on a daily basis
• Authorized clinical and clerical duties
• Trained staff on usage of computer systems, office equipment and materials
• Instructed on (EMR) AdvancedMd, Digichart, Medrium, Word, Excel, and internet functions
• Prepared all paperwork for the doctor's yearly credentialing
• Updated all insurance carriers and updated replacement codes within each company as the changes were send to the practice
• Set up (EMR ) for the practice and was the contact person for any updates on the system
• Contacts with hospital departments, doctor's offices, pregnancy centers, all associates, to include medical representatives
• Answered questions from patients for prescriptions, disability forms, medical records, payment plans, insurance benefits in layman's terms and any other questions that made the patient feel at ease with the practice procedures and guidelines
• kept a weekly audit log for all staff members
Also Insurance Manager
• Processed all Medicare, Medicare replacements, Medicaid, Medicaid products ( Community First, Superior, Aetna Medicaid, Molina, regular Medicaid programs (women's wellness program, Maternity program and others as needed)
• Coded claims (using AMA coding book for diagnosis, procedures and any modifiers needed) send out claims for office procedures, surgeries, deliveries and cesarean sections as needed. Electronic Medical System (AdvancedMD,Digichart)
Electronic Medical Records - San Antonio, TX
2009 to 2010
Created, Set up, and trained staff on EMR system for practice. Provider Contract Services
Pacificare Secure Horizons - San Antonio, TX
March 2000 to March 2006
• updated all providers' demographics in system
• Linked referral to correct physician's, practice, facilities or hospitals
• Trained new employees on system
• Send claims to Research department when errors found in hospital or physician's claims
• Helped with Special Projects
• Edit, indexed, corrected, and made deletions as necessary.
• Helped Department when Team Lead was out
Education
Certified in Travel and Tourism
Career Quest - San Antonio, TX
Certified in Apartment Leasing Agent
San Antonio Apartment Association - San Antonio, TX Certificate in Career Advancement Resources Computer & Educational Svcs. Margarita R. Huantes Community Resources & Learning Center - San Antonio, TX Associates- not completed in Social Work
San Antonio College - San Antonio, TX
Certified Medical Assistant, Clerical Management in Medical SW School of Medical Assistants - San Antonio, TX
Skills
Electronic Medical System (AdvancedMD,Digichart),Amsurg Medical system( Management, Office/ Insurance Manager
Additional Information
Seeking a Bilingual Office position, where I can use my skills, experiences, training and education, with a dynamic company.
Contact this candidate