Medical Insurance
Resume:
Sylvia Garza
Bossier City, LA 71111
EXPERIENCE
AiBio Tech Richmond, VA
Billing Associates 07/14-04/16
Work Denials
Patient collections
Cost Sharing
Obtain authorization for testing
Verify insurance/eligibility
Contact medical facilities for missing patient information
Submit medical records to requesting payors
Christus Hospital Shreveport, LA
Patient Access Representative 09/13-06/14
Pre-cert for start of chemo and continuation of treatment
Obtain pre-cert for procedure / office visits
Triage patients
Order patients labs
Schedule office visits and procedure
Obtain medical records
Renal Associates San Antonio, TX
AR Specialist 07/12-06/13
Monthly dialysis billing
Weekly updates for all MCP patients
Update monthly census and balancing of patient for MCP
Run monthly HMO / COB reports
Obtain hospital authorizations, and retro authorizations
Rebill for denied claims with AQ modifiers
Coordinate benefits for Medicare, and Commercial Insurance
Private pay collections
Outlook, Excel, eClinicWorks and MedMan
Dallas Nephrology Associates Dallas, TX
Intake Coordinator 08/10 – 06/12
Retrieved referrals, authorizations, and retro authorizations
Verified primary and secondary insurance
Cardiovascular and Hospital verification of benefits
Pre-certification for Procrit injections
Verification of claim rejections and resubmit corrections for payment
Coordinate benefits for Medicare, and Commercial Insurance
Word, Excel, Outlook, HMS, App Pro
Lead department trainer of new hires
Experience with Medman and Allscripts
Warm Springs Hospital San Antonio, TX
Intake/Registration Specialist 07/08-04/10
Registered patients, both inpatient and outpatient
Verified primary and secondary insurance
Posted billing charges for Woundcare Center
Balanced out reports on daily basis and for end of month
collected co-pays
Word, Excel, Outlook, HMS, App Pro
Pulmonary Dynamics San Antonio, TX
Medical Scheduler 07/07-01/08
Verified insurance
Registered/scheduled for outside patients/ research patients
Received HGB reports
Knowledge in ICD-9, Word, Excel, MOM-AT
Cardiology Clinic San Antonio, TX
Medical Scheduler 02/07-07/07
Scheduled Appointments
Cardiolite stress test, echocardiogram, EKG, Holter monitors, and king of king
Worked with ICD-9 codes
Authorized Prescriptions, prepped and pulled charts
Methodist Hospital San Antonio, TX
E.R. Tech/Registration 12/04-01/07
In charge of Triage Clinic
Registered patients and verified insurance
EKG, vital signs, Bio-site, I-stat
Assisted with code 3, intubation, chest tubes, and Airlife
Entered orders with EMR
EDUCATION
San Antonio College of Medical and Dental San Antonio, TX
Medical Office Specialist Program 08/06- 10/07
Savant Technical and Training College San Antonio, TX
CNA Certificate 10/00- 10/08
References
Available upon request
Contact this candidate