Nora Campos

**** ***** **.

Santa Teresa, NM ****8 575-***-**** ad1m97@r.postjobfree.com

PROFESSIONAL SUMMARY

Hardworking Lab Technician bringing 1 year of expertise in microbiology, chemistry, blood bank and hematology testing needs. Skilled multitasker with excellent communication and problem-solving skills. Work on projects, update contractual on procedure codes, interim billing, close charges, use web portal with individual insurances, send out billings through clearing house, answer emails from different departments, appeal claims, recoupment of monies from insurances, work zero checks, apply credit card payments. Proven history of maintaining equipment and lab areas in alignment with regulatory guidelines. Adheres to HIPAA guidelines and regulations.

PERSONAL PROFILE

I have excellent oral and written communication skills. As a volunteer firefighter, I reinforced my teamwork skills and ability to communicate with different types of people. I am well organized, meticulous, multitasker, self-motivated, patient and follow guidelines and proper procedures. I worked in hospital and private laboratories as a Medical Laboratory Technician and these qualities are essential . I often worked the evening shift alone. I have worked with countless numbers of insurance programs and have mastered them. These programs have allowed me to work with different personnel from all medical and behavioral coverages. I have proven my ability to complete my assignments. I am always willing to assist my co-worker if a problem occurs. I have many years of experience in the insurance industry. I am able to make decisions and know I am a very confident person.

Education

Vista College – El Paso, Texas Associate of Applied Science – Medical Laboratory

Graduated 2020

Vista College – Las Cruces, NM Certificate - Medical Assistant Graduated 2013

WORK HISTORY

Emergence Health Network El Paso, TX June 2022

Reimbursement Specialist

•Remittance and provide reimbursement and billing assistance to review with department staff.

•Hospital and Behavorial Billing/Collections.

•Determine reason for denial or underpayment with modifiers and provider participating with insurance or incorrect units not paid.

•Use portals for verification of patients benefits, time of eligibility and coverage.

•Work with TMHP, Medicare, Commercial, Tricare and other insurance companies for claims.

•Review and update account receivables database and take appropriate action.

•Report and reconcile unbilled, denied, and underpaid claims and appeal claims to include documentation of action taken on claim.

•Recommend to supervisor which accounts should be written off and ensure process to follow through. Work with Med Tech, Avatar NX, Alpha Collector, Claim MD clearing house and portals.

Gerald Champion Regional Medical Center Alamogordo, NM Nov 2020 - May 2022

Medical Laboratory Technician

•Handled specimens according to laboratory protocols to maximize accuracy and precision of results.

•Maintained confidentiality of all patient information to conform to HIPAA, internal and other regulatory standards.

•Utilized expertise in microbiology, chemistry, blood bank and hematology to help with diagnosis of medical issues.

•Set up, maintained, and verified sterility of lab equipment and tools.

•Analyzed experiment and test results to validate adherence to standards and specification.

•Assisted with safe transfusions by conducting tests and completing blood counts.

•Specimen Collection

•Prep & Process

•Phlebotomy

•Medical Technology

•Lab equipment, maintenance

•Lab test & procedure

•QC

•Urinalysis

•Serology

•Microbiology

•Blood bank

•Immunology

•Chemistry

•WPM 55

•Microsoft Office

•Cerner software proficiency

•Bilingual

•Non Dot Certification

Southwest Drug/Alcohol & DNA Testing – El Paso, Texas July– Sept 2020

Testing Assistant

•Accepted urine for drug test from applicants.

•Packaged urine samples in lab bag to be sent to Quest Lab.

•Sanitized lab and kept area in clean appearance.

•Reorganized files, invoices, and emailed statement to companies.

•Acquired pick up with Fed Ex to send out specimens.

•Consulted on cash or credit card payments.

El Paso Surgical Center – El Paso, Texas Sept 2019 – March 2020

Collector - Medical Billing Office with Agency Healthtrust Workforce Solution

•Performed collections with patients and medical insurances.

•Reviewed claims from clearing house Waystar and Advantx.

•Screened portals for private, commercial, Medicaid, Medicare, and work comp.

•Tracked correspondence, fee-schedule, write off forms, phone calls, authorizations, filing, appealed claims.

•Resolved projects to meet deadlines

Conviva Care Center– El Paso, Texas July 2018 - Sept 2019

HEDIS Specialist

•Retrieved medical records from several medical providers who participated with HUMANA Medicare Insurance.

•Consolidated Humana preventative’s colonoscopy, mammograms, diabetic eye exams, routine checks as physical exams, RA, medications, bone density for total credited goal set results.

El Paso Specialty Hospital – El Paso, Texas Aug 2017 – May 2018

Billing Specialist

•Operated with Greenway, Med Tech, secondary claims, patient statements, re-determination forms, corrected edits in Clearing House, processed batches once coding was finalized.

•Reviewed late charges from patient claims, worked reason codes on modifier denials, and collections

•Handled patients questions.

•Oversaw claims from Medicaid, Medicare, work compensation, commercial, New Mexico Medicaid and New Mexico commercial, PPO, HMO, and POS insurances,

•Resolved projects to meet deadlines

References upon request

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