Neliz Portillo

*** ********** **

Worcester MA, *1605Ph: 774-***-****

E-mail: acy9w5@r.postjobfree.com

OBJECTIVE

To obtain a rewarding office support position in a medical office setting in which my self-motivation, Spanish-speaking skills and knowledge and experience can be utilized.

SKILLS PROFILE

Licensed Adjuster

Fluent in the English and Spanish language.

Familiarity with medical office procedures.

Good written and communication skills

Highly organized and efficient; ability to handle multiple tasks in a fast paced environment.

Proficient computer skills; Microsoft Word, Excel, Acrobat, Outlook; EPIC, QuickBooks, EHR

CITRIX, Q&A, IDX, Allscripts, Meditech,EMR, AS400, Mislys Vision software programs simultaneously.

Adherence to all 2017 HIPAA regulations.

Excellent data entry, phone and filing skills

EMPLOYMENT HISTORY

Liberty Mutual Insurance – licensed Claims Adjuster-

June 2016- February 2017

Provide positive customer experience while appropriately handling routine auto claims by obtaining information and maintaining accurate records about accidents from customers through telephone and written reports. While using multiple electronic platforms.

Arrange and reschedule appraisals, review appraisal reports and communicates with customers, and repair shops, etc.

. Secure essential facts about accidents, negotiates settlements and explains denials to policyholders. Identifies exceptions and transfers high complexity claim files as needed.

Review pending claims, updates claims file, execute outstanding items, and moves files to closure expediently. Ensure that payments processed timely as needed or inputs payments within authority.

Assist in CAT situations.

Handled special assignments or projects as assigned.

Responsible for developing proficiency and capabilities expected of high Complexity representative.

Sr. Administrative Assistant / Insurance Billing - Westborough EyeCare

Westborough, MA

November 2013 – February 2016

Prepare correspondence, scheduling appointments, documenting case preliminary history, filing and maintaining records.

Always in compliance with all HIPPA regulations.

Responsible in answering telephones, filing and updating patient records,completing insurance an billing forms

Record all transactions throughout the day on spread sheet.

Processed Medicare/Medicaid claims for Optometry patients including verification; electronic input and transmittal; and, ensuring compliance with federal regulations.

Reviews patient files to determine financial obligations; process refunds when necessary; reconciles balances; initiate receivables reports.

Submit all Prescriptions Request to Laboratories which required great attention to detail. While taking precise measurement on special orders.

Worked with EMR, QuickBooks Software, Microsoft Excel Software

Handle off optical issues

Handled all office insurance billing and coding

Obtained referrals and prior authorizations.

Arranged emergency maintenance visits for building

Created educational packets for patients

Ordered all office/medical supplies

Responsible for decision making with vendors of all brands

Knowledge of all optical procedures

Dispensed eye glasses and contact lenses.

Ordered all laboratory Rx with correct measurement

Assisted with frame selection

Helped teach contact lens care and use

Adjusted and repaired glasses

Handled all schedule coordination for all three offices.

Secretary, Medical Administrative, Sr. (TEMP) NYU Medical Center -

New York, NY

June 2013- August 2013

Performed secretarial and administrative support services for assigned physicians/faculty and medical service line chiefs.

Transcribe medical reports for physicians from dictation.

Arrange meetings and activities for faculty for the most efficient use of available time.

Receive and address patient-care-related phone calls.

Provided information on procedures and standard policies, refer matters toappropriate person within department.

Identify problem priorities, and respond to emergencies within physician guideline.

Issued and verified patients' managed care referrals.

Verified patient insurance coverage and eligibility.

Scheduled/Rescheduled all procedures and appointments using IDX Systems and Allscripts.

Obtained Prior-Authorization before each procedure is performed.

Setup provider schedules using Outlook Calendar.

Forwarded all provider patient notes to outside physicians as requested using Allsripts systems.

Patient Accounts / Senior Customer Service Representative Medical Bureau of

Economics Inc. Worcester, MA

Jan 2012- March 2013

Handled all patient accounts for the Boston Children’s Hospital.

Contact patients via postal mail, inbound and outbound telephone calls about medical bills and accounts.

Locate and monitor overdue accounts, using computers and a variety of systems such as Citrix and EPIC.

Communicate with Medical Insurance companies about patient status and coverage.

Created an understanding of the importance of establishing payment arrangements and resolved accounts before they reach collection status to patients.

Received payments and post amounts paid to customer accounts.

Verified accuracy of insurance information with the use of CITRIX software program.

Recorded information about financial status of patients and status of collection efforts into the EPIC software program; Data Entry

Ensured patient confidentiality and HIPPA regulations were maintained at all times.

Medical Secretary/central scheduler

Edward M. Kennedy Health Center - Worcester, MA

October 2007 - October 2011

Provided customer service to patients, staff, providers, and external customers.

Scheduled/cancelled, rescheduled appointments; ensuring that slots were appropriate for that particular appointment type, ultimately optimizing provider’s access.

Verification of insurance coverage and/or free care coverage prior to medical care/treatment.

Filled prescriptions as requested.

Collection of encounter forms and delivery to entry operators in other departments.

Requested medical charts and internal referral forms as needed.

Ensured patient confidentiality and HIPPA regulations were maintained at all times.

Provided clerical assistance to clinical staff.

Entered patient data into clinical software system; Data Entry

Medical Secretary / Switchboard Operator / Central Scheduler

Arrange/Organize Provider meetings and Schedules.

Fax provider patient medical notes to outside providers/nurses.

Target, Inc. - Worcester, MA July 2006 - July 2007

Provided fast, fun, and friendly checkout and guest services.

Responsible for cash handling and balancing with the use of cash register systems.

Resolved guest concerns in a positive and professional manner.

Recorded details of inquiries, comments, and customer complaints.

Processed returns and exchanges according to company policy

In compliance with HIPPA regulations

EDUCATION

Christian Home School Academy

Obtained High School Diploma – 2008

Contact this candidate