Office Manager Medical Assistant
Resume:
Helia Raquel Montanez
Medical Coding and Billing - Office Manager - Medical Assistant - Olan Comprehensive Healthcare Center
Lawrenceville, GA 30043
ad17wv@r.postjobfree.com
Medical coding and billing background enhanced with people skills and emotional intelligence. Highly motivated office manager with the ability to drive complex projects from concept to completion while performing daily administrative tasks necessary to maintain operations. Efficiently manages goals, quality standards and timelines for multiple projects. Possesses a thorough knowledge of administrative management. Hands-on approach individual that enjoys close-up, as well as, big picture analysis. Extremely deadline oriented and accuracy delivery driven. Experienced in highly analytical and service oriented positions. Bilingual [Spanish] and computer literate. Authorized to work in the US for any employer
Work Experience
Appeals Specialist-Medical Billing Specialist
Amerimed Emergency Medical Services - Buford, GA
January 2022 to Present
• Checking eligibility and benefits insurance verification.
• Preparing (Coding), reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Identifying and billing secondary or tertiary insurances.
• Researching and appealing denied claims.
• Answering patient or insurance telephone inquiries pertaining to assigned accounts.
• Post payments in a timely manner.
Office Manager/Medical Coding & Billing Specialist Women’s Specialist of North Georgia - Lawrenceville, GA August 2019 to November 2021
• Manage office operations to ensure efficiency and productivity.
• Oversaw daily administrative operations and financial activities. Supervised administration, general accounting. Responsible for the planning, coordinating and monitoring of all purchasing activities.
• Process insurance claim forms (Medicaid, CMO's, Availity)
• Assign medical codes
• Operate databases and medical billing software
• Current on HIPAA regulations
• Proper use of ICD-10, CPT and HCPCS codes
• Receive and complete medical claim forms
• Answer inquiries from doctors, patients and insurance companies
• Collect medical information such as diagnosis, prognosis and dates of treatment from patient records
• Understand insurance guidelines including Medicaid, self-insurance, and managed-care plans
• Knowledgeable in medical terminology and hospital, clinic, or laboratory procedures
• Schedule appointments and bill patients
• Compile and record medical charts, reports, and correspondence.
• Work with EMR systems
• Insurance Verification
Financial Counselor
Children's Healthcare of Atlanta - Atlanta, GA
February 2019 to August 2019
• Educates, screens, and assists patient/family to obtain insurance coverage through enrollment in programs, including Medicaid, Medicare, and other state-based assistance programs.
• Obtains eligibility for medical evaluations and procedures.
• Determines eligibility of patients under Children’s Financial Assistance Program.
• Identifies and maintains list of available programs of financial sponsorship of healthcare services and eligibility requirements for each program.
Medical Coding and Billing - Office Manager - Medical Assistant Olan Comprehensive Healthcare Center - Lawrenceville, GA October 2006 to January 2019
* Process insurance claim forms (Medicaid, CMO's, Availity, Medisoft)
* Assign medical codes
* Operate databases and medical billing software
* Current on HIPAA regulations
* Proper use of ICD-10, CPT and HCPCS codes
* Receive and complete medical claim forms
* Answer inquiries from doctors, patients and insurance companies
* Collect medical information such as diagnosis, prognosis and dates of treatment from patient records
* Understand insurance guidelines including Medicaid, self-insurance, and managed-care plans
* Knowledgeable in medical terminology and hospital, clinic, or laboratory procedures
* Schedule appointments and bill patients
* Compile and record medical charts, reports, and correspondence.
* Manage office operations to ensure efficiency and productivity.
* Oversaw daily administrative operations and financial activities. Supervised administration, general accounting. Responsible for the planning, coordinating and monitoring of all purchasing activities.
* Medical Assistant:
• Perform patient vitals to include, blood pressure, pulse, respiration, height and weight.
• Instruct patients regarding preparation for procedures.
• Assist the Physician in the completion or required chart documentation
• Ensured exam room set-up for OB/GYN procedures
• Assist in compliance with OSHA infection control and communication control
• Sterilized and maintained clinical equipment
• Answered phones and scheduled appointments for patients
• Work with EMR systems
• Insurance Verification
Front desk - Receptionist
International Family Medical Center - Lawrenceville, GA January 2006 to October 2006
* Answered phones and transferred patients to the correct department.
* Scheduling appointments.
* Keep Medical Records.
* Medical Billing.
* Record Information.
* Insurance Verification.
* Collected co-pay, co-insurance, deductible and any other balance due. Report Administrator
SITEL - Norcross, GA
October 2001 to October 2005
* Ensure completion of production reports and month-end revenue projections timely and accurately.
* Prepare reports to reflect key performance indicator by agent on a daily, weekly and monthly basis.
* Manage assigned workload of different reports in manual and auto-dialed environment while meeting performance and attendance guidelines.
* Coordinate and ensure appropriate documentation and communication with client relationship managers and site director.
* Provide first level help desk support and troubleshooting resolution.
* Prepare and present statistical and trending analysis.
* Receive and process collection items such as checks by agents and provide follow-up.
* Achieved a Certificate of Service for outstanding support. Sales and Marketing Representative - Customer Service Global Connection - Atlanta, GA
October 2000 to September 2001
Worked cooperatively in a diverse environment, demonstrating the ability to adjust to daily routines, work independently, prioritize and apply interpersonal skills.
* Provided quality assurance to all customers with excellent customer service.
* Resolved billing and service issues in a prompt and effective manner by utilizing multiple computer systems simultaneously.
Assistant Manager
Ben-Rey Christian Bookstore - Doraville, GA
February 1999 to September 2000
* Assisted the store manager with overall operations and sales and maintained high standards for excellence.
* Responsibilities and duties included in displaying merchandise, managing cash register and inventory, creating and maintaining a client base.
* Attained hands-on experience in inventory control along with a reputation for dedication.
* Participated in developing and implementing store plans for service, procedures and resources. Education
Bachelor's in Metallurgical Engineering
UPTC Colombia
1992 to 1998
Skills
• Billing (10+ years)
• CPR (Less than 1 year)
• HIPAA (10+ years)
• MEDICAL INVOICING (10+ years)
• Medisoft (10+ years)
• Microsoft Office (10+ years)
• EMR Practice Fusion (5 years)
• CPT Coding (10+ years)
• Medical Coding (10+ years)
• ICD-10 (10+ years)
• Medical Records (10+ years)
• Experience Administering Injections (10+ years)
• Medical Billing (10+ years)
• Vital Signs (10+ years)
• Medical Office Experience (10+ years)
• Medical Terminology (10+ years)
• EMR systems (10+ years)
• ICD coding
• Managed care
• Insurance Verification
• Microsoft Excel
• Administrative Experience
• GAMMIS (10+ years)
Languages
• Spanish - Expert
Certifications and Licenses
CPR Certification
CBCS
August 2019 to August 2023
NHA Certified Billing and Coding Specialist
CCMA
July 2019 to July 2023
NHA Certified Clinical Medical Assistant
CMAA
August 2019 to August 2023
NHA Certified Medical Administrative Assistant
Certified Coding Specialist
Assessments
Medical terminology — Proficient
July 2021
Understanding and using medical terminology
Full results: Proficient
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
Medical coding and billing background enhanced with people skills and emotional intelligence. Highly motivated office manager with the ability to drive complex projects from concept to completion while performing daily administrative tasks necessary to maintain operations. Efficiently manages goals, quality standards and timelines for multiple projects. Possesses a thorough knowledge of administrative management. Hands-on approach individual that enjoys close-up, as well as, big picture analysis. Extremely deadline oriented and accuracy delivery driven. Experienced in highly analytical and service oriented positions. Bilingual [Spanish] and computer literate. Skills
* Proficient PC skills: Ms Office applications (Word, Excel, Power Point, and Microsoft Access).
* Strong organizational, multitasking, and prioritization skills.
* Self-motivated and have the ability to work unsupervised.
* Fluency in Spanish.
* Venipuncture, Injections, Urianalysis, Ptient Vital Signs, Medisoft, HIPAA, CPR Certified.
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