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Medical Billing Quality Assurance

Location:
Houston, Texas, United States
Posted:
October 25, 2016

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Resume:

Elizabeth Larios

***** **** **. #**

Houston, TX 77029

832-***-****

Email: acw75t@r.postjobfree.com

Essential Skills & Strengths

Bilingual (Spanish) Excellent collaboration skills

Over 15 years HIV/AIDS patient experience Claims Processing

EPIC & Windows Medical Billing & Coding I

Familiar with Harris County Jail System

Working relationship with Houston/Harris County HIV Community Based Organizations

Trainings & Education

Certified Affordable Care Act

Certified OraQuick HIV-1 Tester

Phlebotomist

Certified Nursing Assistant

Continued trainings related to patient experience, quality assurance, retention in care, cultural competency & HIPAA

Pursuing Certificate of Technology for Medical Billing & Coding (present)

Professional Experience

March 2014-present Jay21Enterprises

Insurance Verification Specialist 14019 SW Frwy #301-421

Sugarland, TX 77478

Conduct insurance verification, including the responsibility of front and back office duties. Certified Nurse Assistant duties.

www.jay21enterprises.com

March 2008-December 2015 Thomas Street Health Center c/o

Service Linkage Worker Harris Health System

Links recently HIV diagnosed incarcerated individuals serving at Harris County Jail facilities to necessary medical care. Continue follow-up with recently released individuals to ensure medical care is being obtained (retention in care). Links HIV- positive out of county residence to medical homes like Thomas Street Health Center and manages other specialty referrals. Oversees the management of transportation services for service linkage and case management services at Thomas Street Health Center including METRO bus passes and cab vouchers distributed to Harris Health by Harris County Public Health & Environmental Services, Ryan White Part A Grant Funding Agency. Serves as Harris Health representative at SIRR of Houston (Serving the Incarcerated & Recently Released) and other community service meetings. Developed and maintain successful working relationships with Ryan White grantor offices, community based organizations, county agencies and other community service providers in Houston/Harris County. Provides walk-up HIV OraQuick testing as needed.

June 2004- February 2008 Thomas Street Health Center c/o

Clinical Clerical Specialist Harris County Hospital District

Patient pre-clinic assessment and procedures, direct patient care of the HIV infected and affected population, physician scheduling, assisted with lab draws, daily medical billing and coding, product inventory. Other duties as requested.

October 2001-January 2004 River Oaks Imaging and Diagnostic

Patient Services Coordinator

Obtain verification and documentation of patient insurance coverage from other physicians and insurance providers. Processed rejected claims and entered medical billing and coding. Knowledge of Texas Workers Compensation (TWCC) Guidelines.

February 2000-February 2001 Downtown Plaza Imaging Center

Pre-certification/Insurance Verification

Preauthorization of medical testing through worker’s compensation, observation of patient, checking vital signs, administering of IV, answering multi-line telephone, maintenance of medical records, set-up and updates of appointments’ and scheduling.

References

Vicki Cerna-Bell

Project Coordinator

Ryan White Grants Management

Harris County Public Health & Environmental Services

713-***-****

acw75t@r.postjobfree.com

Ruby Chapman, RN

Quality Assurance Nurse Coordinator

Harris Health System

713-***-****

acw75t@r.postjobfree.com

Art Delgado

Quality Assurance Coordinator

Ryan White Grants Administration

Harris County Public Health & Environmental Services

713-***-****

acw75t@r.postjobfree.com

Michael Ruggerio

Operations Manager

Harris Health System

713-***-****

acw75t@r.postjobfree.com



Contact this candidate