Front Office Data Entry
Resume:
Alicia Flores
Phoenix, AZ *5041
lilyflores811@gmail
Professional Experience
November 2015 to March 2023
Phoenix Children’s Hospital
Pre-Access Specialist
• Worked in Psychology, Neuropsychology, Psychiatry, and Sports Physical Therapy Department. Assisted in many other departments.
• Contact the patient's parent/responsible party by phone and obtains all current demographic and insurance updating in SAM system, also working in Health Point for new orders via PCH medical portal. Note all accounts with authorized approvals and denials.
• Contact Insurance companies via phones, chat, or online sites, for eligibility and benefits, Request and follow-up of all per-certifications needed when ordered by Physicians. To ensure the procedure, and services rendered are covered.
• Refers uninsured and under insured patients to the Financial Counselor for additional options.
• Maintains an organized working environment and relationship with patients/guarantors, insurance companies, clinical staff, co-workers and management to accomplish daily goals as a team.
• Work Daily Excel spreadsheets for office visit, check health point regularly for added procedures that may need authorization
Simon Med Imaging
Billing August 2015 to November 2015
Maryvale, Arizona
• Using coded data to produce and submit claims to insurance companies
• Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
• Reviewing and appealing unpaid and denied claims
• Verifying patients’ insurance coverage
• Answering patients’ billing questions
• Handling collections on unpaid account
A.O.C. Physicians
Front Office May 2015 to June 2015
Mesa, Arizona
• Check in and check of Patients.
• Collection of copays.
• Multi-line phone reception.
• Medical Records.
• All medical front office duties.
Allergy Asthma & Immunology Associates
Front Office October 2009 to April 2015
Scottsdale Arizona
• Multi-line phone reception and Scheduling.
• Patient check-in,/ check-out.
• Registration/ Data-entry.
• Basic Medical Front office duties.
• Collection of co-payments assisted in billing department.
• Medical Records request compliant with HIPPA.
• Travel to all office as needed for coverage in all departments.
• CPR and First Aid Certified.
• Insurance Verification/Referrals/ Prior Authorizations as needed.
• Training of all new hires for front office for 4 years.
• Oversaw all iron mountain destruction orders.
• Played active role in Fundraiser walks for 4 years.
• Received all emails from website inquiries for all 3 offices.
• Excessive scanning into EMR.
Scottsdale Children’s Group
Patient Representative December 2008 to July 2009
Scottsdale, Arizona
• Assisted patients with billing questions.
• Multi-line phone reception and Scheduling.
• Insurance verification, submission of claims to primary, secondary Insurances.
• Collections of co-payments/ Collections follow-ups.
• Extensive Data-entry and Registration.
• High volume working environment.
• All medical front office duties.
Law Offices of Mohammed W. Alzaidi
Legal Assistant January 2005 to February 2008
Phoenix, Arizona
• Multi-line phone reception
• Handled all marketing for Attorney.
• Assisted Paralegal in all office duties.
• Set up Insurance claims with adjuster. Set up conference room for meetings.
• Responsible for Intake interview with clients gathered all necessary information.
• Set up appointments and lunches for Attorney.
• Screened all incoming calls for potential PI cases also responsible for setting up new cases, filing, facsimile, photocopying, and word processing.
• Medical records request as well police records request.
• Disbursement of checks to providers and clients. Educational Development
Phoenix College 2014-2015
High School Equivalency
Intro to Criminal Justice
Legal Procedures 1
CIS 105 Technology in Action
Intro to the American Legal System
Pursuing a Bachelor’s degree in Psychology.
Computer Experience Software:
Abacus Law, MHS, Star, Misys, Microsoft Office 2010, Microsoft Works, Excel,Dentrix, PowerPoint, Internet, Adobe Acrobat, Windows 7, Rosch EMR- Allergy, PCN, Centricity, Chartmax, Healthpoint, Nextgen, SAM, Healthpoint.
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