Medical Insurance
Resume:
LAURA DE LOS SANTOS
*** * *** ********, ***** ***39 aczvwb@r.postjobfree.com
OBJECTIVE
Medical Coding and Billing Specialist with numbers Year of Experience in a fast-pace, multiple client Medical Billing company. Researched and denied claims and submitted appeals. Familiar with Health Billing and collections. Efficient Medical Administrative assistant skilled in tackling administrative and patient-oriented tasks in a fast-paced environment. Organized and efficient Medical Clerk highly skilled in office administration, Data organization, proofreading, database management and word processing. Results-oriented data entry professional with 29 years managing clerical, communication and project management task in corporate environments.
SKILLS & ABILITIES
Records management professional, Patient referrals expert, Familiar with commercial/private insurance carriers, patient chart auditing ability, Insurance/ collections procedure, understanding insurance benefits, research/data analysis, office management professional, adept multi-tasker, office support (phones, faxing, scanning, filing) International classification of disease (ICD.9CM), HIPPA compliance, CMS-1500 billing forms, worker’s compensation knowledge.
EXPERIENCE
Department Support Assistant, Christus Santa Rosa Transplant
Edinburg, Texas
07/2015- Present
Coordinate with Transplant intake coordinator to ensure insurance coverage for pre-transplant evaluation testing and appointment. Accurately inputs all required data elements including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter. Responsible for Education and Clinic charges (Medicare, Medicaid and Insurance ).Confirm appointment to patient, along with appropriate paperwork/information to be completed and returned to Transplant program prior to evaluation.
Medical Records Technician, Cornerstone Regional Hospital
Edinburg, Texas
10/2012 – 05/2015
Assists with Physicians records, mail delinquent letter to physicians over 30-days past due of signature. Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
Director of Medical Records, Lamb Healthcare Center
Littlefield, Texas
12/2007 – 04/2012
Supervised and managed the daily activities of a clinical team consisting of number physicians, nurses and support staff, and oversee private and MCR billing, payroll, and verified that proper procedures were followed, oversee inventory and office supply purchases, Recruited, hired trained and coached on average of number new employees per year, consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations. Code outpatient billing statements, verity claims.
EDUCATION
STEPHENS COLLEGE, COLUMBIA, MO
BACHELOR OF SCIENCE IN HEALTH INFORMATION ADMINISTATION
07/2015 – 06/2016 GPA-98
Possess comprehensive knowledge of the ethical and legal standards including privacy and related regulations. interact with all levels within today’s healthcare organizations-administrative, clinical, financial, and information system.
US CAREER INSTITUTE FORT COLLINS, CO
MEDICAL CODING AND BILLING SPECIALIST
10/20143– 08/2014 GPA-2.0
ICD-9CM knowledge, review patient records and assign numeric codes for each diagnosis and procedure, knowledge of medical terminology, disease processes, and pharmacology, hospital and healthcare providers report coded data to payers such as insurance companies or the government for treatment of Medicare and Medicaid recipients for reimbursement of their expenses.
LEADERSHIP
Motivate to achieve goals, I am loyalty to my employers and Motivate to achieve goals.
REFERENCES
DR. LOURDES GARZA, DICTATION
CORNERSTONE REGIONAL HOSPITAL
BLANCA SILVAS, REGISTER NURSE (RN)
CORNERSTONE REGIONAL HOSPITAL
ISABEL AGOGION, REGISTER NURSE (RN)
CHRISTUS TRANSPLANT INSTITUTE
JACKIE REYES, REGISTER NURSE (RN)
LAMB HEALTHCARE CENTER
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