Medical Billing Quality Assurance
Resume:
Elizabeth Larios
Houston, TX 77029
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
acw75t@r.postjobfree.com
Ruby Chapman, RN
Quality Assurance Nurse Coordinator
Harris Health System
acw75t@r.postjobfree.com
Art Delgado
Quality Assurance Coordinator
Ryan White Grants Administration
Harris County Public Health & Environmental Services
acw75t@r.postjobfree.com
Michael Ruggerio
Operations Manager
Harris Health System
acw75t@r.postjobfree.com
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