Enid R. Cavazos

**** *********** **** ***#*

Edinburg Texas, 78541

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

Objective: To personally obtain the highest level of growth and success within the

Medical/Dental Field, as well as achieving a company’s needs and immediate

desires.

Professional Background

Edinburg Eye Clinic

Office Manager/Billing Operations 01/2014 – Present

• I have over 16 years of working in the Medical field as a billing specialist and a coding

specialist with all insurance types.

• I manage 11 Employees as the Office Manager from organizing the hours of operation

and taking disciplinary action according to the Doctors expectations. I am Overseeing

that that our facility works in a well manner to satisfy patient care and treatment as well.

• I handle all credentialing for the Doctor on any insurance types and enrolling him on

these any insurance programs he requests. I am also familiar with the PQRS system on a

yearly basis. I have a lot of practice and training on the new ICD-10 coding change as I

attended a Seminar a few months back.

• I work with all incoming mail and make sure the money is balanced on a daily basis and

post every payment coming in from the insurance companies whether coming in by mail

or by electronic basis.

• Work well with irrate patients and speak to them to try to make the situation more

understandable and make sure the patients always leave with a smile and a Thank you on

their face before or after see our Physician.

• I print collection reports and work on Aging reports as well for daily collections from

private pay collections to any insurance possible.

• My duties are also payroll every other week for each of the employees and making sure

their hours are correct and current.

• My typing skills are excellent as well as my knowledge in software programs such as

Medical Manager, Medisoft, Intgery, and now I am currently with Medanformatix which

we are in transition to go EMR.

• Handle employee time off request and vacation request as well.

Cancer Center at Renaissance 04/2008 to 12/2013

Billing Specialist/Front Office Manager

• Strong background in working with TMHP(Texas Medicaid & Healthcare Partnership)

• Manage all Medicare and Medicaid denials that would come in on a daily basis or weekly

basis

• Submit all Insurance Billing Claims with or without Secondary EOB’s

• Posting of Hospital Charges on a weekly basis from Inpatient and Outpatient

Consultations and/or hospital Follow Ups

• Proficient in Medical Manager, Intergy and Medisoft Applications as noted previously

• Work with Correspondence dealing with HMO’s, PPO’s and other insurance types as

well.

• I work well with patient Communication and I have always put a smile on a patient’s face

regardless of the situation. It’s really about patient care.

• Sending Itemized statements in a necessary format to collect on all outstanding balances.

• Was recently put as Front Office Administrator and handled all payroll and time cards to

control overtime and the correct clocking and clocking to avoid any mistakes, also

handled patient vacation approvals and time off.

• Work on Collections the day before if patient was coming in for appointment to make

sure and call them to prepare for payment as they come in the next day.

• Provided patients with personalized letters for them to be out of work due to chemo

reactions and time needed off work or for any other type of letter for assistance with

Medicaid or any foundation program with the type of Cancer they had.

• I would assist patient with foundation forms as well and send them off for them if they

needed any assistance.

Med-Care EMS Corp. 03/2007 to 01/2008

Billing Specialist Left due to Pregnancy issues

• Managed and investigated all outstanding balances with the major insurance companies

• Experience in a variety of Medical Billing Applications

• Main focus was working with Medicaid… (Strong Point)

• Manage all records to and from Hospitals dealing with Medical Claims

• Managed patient calls on balances and well patient communication

Dr. Monzer H. Yazji, MD & Associates 10-1999 through 11-2007

Billing Specialist/Front Office

• Strong Emphasis in billing TMHP (Texas Medicaid and Healthcare Partnership)

• Managed most of the denials and appeals from all Medicaid R&S Reports

• Used best practices when working with clients and their data

• Implemented the following

• Standardized Policies and Procedures

• Inpatient hospital billing on a daily basis

• Outpatient hospital billing on a daily/weekly basis as well

• Experienced in correspondence dealing with all insurance types, including

Workers Compensation and Liability cases

• Focused on reviewing outstanding and ongoing claims in order to increase

revenue and productivity

• Front office was posting and entering daily patient payment and checking inand

out patients on a daily basis when they needed coverage. Handled money at the

end of the day to hand to the Doctor.

• Spoke with patients on a daily basis one on one.

Education Background

Certified Medical Office Specialist, San Antonio College of Medical & Dental

Assistants- Mcallen, Texas

Professor: Nannette Hardesty

Awards and Recognition

TMHP Seminars in training

Several advancement Seminars pertaining to my Field

Medicare Reimbursement Changes Seminar 2012

ICD-10 Seminar 2013

Many References upon Request Not a Problem

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