Insurance Medical Assistant

MARIA I. AVILES

SKILLS

Bilingual – Spanish

Office skills include bank reconciliations, payroll transcribing, insurance, electronic billing, ten key by touch, Meds America, Medisoft, Medisoft Advanced, Billing

Medical skills include CPR, EKG, vital signs, blood typing/counts, phlebotomy, urinalysis, injections, autoclaving, writing/interpreting prescriptions

EXPERIENCE

IKP Family Medicine, Houston, TX February 2015 - Present

Referral Coordinator

Received referral request from providers and generated patient’s referrals off of insurance company’s website

Verify insurance, print out patient’s chart cover, chart note and any lab result/reports

Called patients to advise them of the referral information

Called the specialist to confirm that the referral information was received

Responsible for getting pre-certs for MRI and CT scans approved

Maintained relations with Insurance companies to add a DX or CPT code to existing referrals

Inbound and outbound calls with patients, specialists and hospitals

Central Healthcare Solutions, The Woodlands, TX December 2009 – August 2011

Billing Specialist/Collection Department

Responsible for handling billing for two clients

Duties included charging entry, posting payments, appealing/following up on claims, auditing patient’s accounts, accounts receivable and payable, electronic claim submission, patient’s insurance refunds, and data entry

Michelle Zaniewki, M.D., Houston, TX June 2005 – March 2006

Billing Specialist/Study Research Coordinator

Duties included accounts receivable and payable, electronic billing, following up on claims, aging reports, auditing accounts, collection calls, insurance appeals, credentialing follow ups

Responsible for entering new data information for all research studies

Health Associates, Houston, TX July 2004 – December 2005

Account Manager

Responsible for handling all accounts receivables, payment postings and charges, patient collections

Confirmed appointments, insurance verification/appeals and claim follow ups

Compiled end of the month reports and account evaluations

Reviewed hospital charges with doctors

Valley Medial Group, Barkersfield, CA September 2001 – November 2003

Billing Specialist/Coder

Duties included accounts receivable and payable, following up on claims, posting payments

Handled heavy insurance appeals, auditing accounts, electronic billing/troubleshooting

Reviewed contracts with patients, ran reports, made collection calls and coded surgeries/procedures

EDUCATION

Texas School of Business, Houston, TX 1989

Medical Assistant Diploma – Director’s List – GPA 3.6

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