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Customer Service, Medical Records,Billing,Appeals

Location:
Texas, United States
Salary:
16.00
Posted:
January 17, 2017

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Sara Guzman

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

Houston, Tx *7053

832-***-****

acybu5@r.postjobfree.com

PROFILE

Over 15 years’ experience in general office and healthcare services.

Experience in working in scheduling appointments, collections, denials, appeals, commercial electronic and paper billing for hospitals, customer service, pulling and mailing of medical records for patients and lawyers.

Innovative problem solver with excellent, persuasive communications and ability to work efficiently in high pressure environments alone as well as with Teams.

PROFESSIONAL EXPERIENCE

Billing Specialist, HCA – 05/30/1997 – 11/30/2013

• Excellent computer skills

• Schedule appointments for patients

• Obtained patients demographics, authorizations and referrals

• Verified patients insurance before admission

• Registered patients for procedures and admission

• Follow up with patients before and after appointment

• Microsoft and excel efficient

• Communication and organization skills

• Daily transmits of all electronic and paper claims to the billing vendor

• Worked all billing vendor edits including daily unbilled reports

• Worked all identified insurance requirement edits through electronic billing system

• Daily incoming calls from patients regarding bills and daily posting of payments

• Daily deposits of payments

• Worked daily refund reports

• Daily workup of insurance rejects

• Daily rework of re-bills submitted to insurance companies

• Maintained daily follow up with each facility on late charge reports

• Billed account delays from hospital alert reports

• Pulled, Printed and mailed medical records for lawyers and insurance companies

• Data entry of invoices on a daily basis

• Assisted with month end report

• General ledger and bookkeeping duties

Customer Service Rep, Cashier- Methodist Gift Shop- 12/03/2013 – 07/08/2016

• Cashier,daily cash flow and deposits

• Customer Service

• Daily incoming phone calls for patients and customers

• Phone orders

• Yearly inventory

• Opening, tagging and stocking of merchandise

• Handled customer and patients conce3rns and complaints

• Opening and closing of store

Education

Graduate – Milby High School – 1980

Computer Skills

Ms Word, excel, outlook, electronic billing systems, medical records software, Retail Pro,

Online bank transfer, and other industry software

References:

Donna Espisito - Rn- Methodist Hospital – 281-***-****

Jenise Bridges – Biller – Hca Healthcare- 832-***-****

Carol Edwards – Manager- Methodist Hospital- 713-***-****



Contact this candidate