Cynthia Cruz

***** *. ***** ****** ******* #****

Phoenix, AZ 85053

Email: ad2yk8@r.postjobfree.com

Phone number: 602-***-****

Accomplished professional, with diverse background in customer service and the healthcare industry. Seeking an opportunity with a growing company to enhance my experience and qualifications to contribute to the goals and objectives of a company’s services. Self-motivated, able to work both independently and as a team member along with the ability to multi-task. Professional Experience:

Caid Solutions, Arizona (company sold to EnableComp)– Appeals Coordinator

-Perform medical insurance follow-up with Medicaid Agencies in the US.

-Handled denials and submitted appeals.

-Obtain hospital retro-authorizations and physician referrals to overturn denials.

-Submit electronic or hard copy claim to appropriate Medicaid Agency. InHouse Techies Inc, Arizona – Office Manager

-Responsible for incoming Customer support calls and create an open service ticket for issue to be resolved by IT Division.

-Assisted clients with password reset, create new email accounts, placed cell phone orders with accessories, ordered computer parts.

-Coordinated all technician appointments.

-Handled Accounts Receivables and Accounts Payables via QuickBooks.

-Created and mailed client Invoices.

NBA, LLC, Arizona (company sold to Cardon Healthcare) – Lead Medical Biller

-Responsible for training and auditing of new hires in the Billing Department in all aspects of insurance verification, prior authorizations, physician referrals, paper and electronic billing.

-Perform quality audits for all Billers.

-Responsible for claim closures.

-Extensive knowledge of every Medicaid Agency and their contracted agencies.

-Extensive use of Emdeon solution, Medifax, for insurance eligibility status. Sun Radiology, Arizona – Billing and Authorization Specialist

-Verified insurance benefits and obtained authorization for services for diagnostic services such as MRI, CT, PET, Nuclear Medicine, Mammograms.

-Posted charges and submitted claims to insurance companies

-Perform medical insurance follow-up.

-Processed denials and appeals.

-Scheduled patient appointments.

NBA, LLC, Arizona – Medical Biller

-Submit claim electronic or hard copy to appropriate Medicaid Agency.

-Obtain hospital retro-authorizations and physician referrals.

-Perform medical insurance follow-up with Medicaid Agencies in the US.

-Handled denials and submitted appeals.

-Extensive use of Emdeon solution, Medifax, for insurance eligibility status. NHI Billing Services, Arizona – Medical Claims Follow-Up

-Perform medical insurance follow-up with Medicaid Agencies in the US.

-Submit claim electronic or hard copy to appropriate Medicaid Agency.

-Obtain hospital retro-authorizations and physician referrals.

-Submitted appeals.

-Extensive use of Emdeon solution, Medifax, for insurance eligibility status. Hartford Insurance, Arizona – Med Pay Claims Processor

-Review medical bills for valid treatment as a result of auto accident.

-Approve payment of medical bills related to auto accident.

-Back-up Receptionist for Customer Service Department. NHI Billing Services, Arizona – Receptionist/Billing Department Support

-Receptionist on multi-line phone system handling calls from healthcare providers and Medicaid Agencies.

-Process and distribute daily mail.

-Responsible for data entry of healthcare claims and maintained high quality standards.

-Obtain hospital retro-authorizations and physician referrals.

-Extensive use of Emdeon solution, Medifax, for insurance eligibility status. Education:

Centennial High School, graduated May 1998.

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