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Receivable Specialist Patient Access

Location:
Chicago, IL
Posted:
March 18, 2024

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Resume:

MARIANELA VARGAS

Chicago, IL ***** · 773-***-****

ad4ewy@r.postjobfree.com

Detailed with experience in inputting and organizing data in various software applications. Trained in transcription, word processing and spreadsheet. Organized individual recognized to transposing large amounts of data with accuracy.

EXPERIENCE

08/2023 – 01/2024

Patient Access Specialist, Bristol Myers Squibb/Access Support Oncology (6 month contract)

•Benefit verification

•Performed Current Procedural Terminology (CPT) and International Classification of Diseases

•(ICD10) coding through abstraction of the medical record

•Medical billing and coding

•Extensive payer research

•Payer tracking (Medicare, Medicaid, Tricare, and various private Payers)

•Prior authorization and pre-determination initiation process in regards to medical procedures

•Provided support to medical staff by obtaining authorizations from insurers for services rendered.

•Demonstrated knowledge of coding systems used in the healthcare setting for reimbursement purposes

•Ensured timely processing of enrollments

•Follow-up for the provider

•Verified patient insurance coverage

•Verified insurance information

•Ensured all required forms were completed accurately

•Created spreadsheets through Excel

•Documenting insurance information, personal information, payment methods and other important patient information

•Updating patient files and appointment information accurately

•Communicating information and important details to other medical care staff

•Contacting insurance companies regarding coverage, preapprovals, billing and other issues

•Managing various types of paperwork and other clerical duties

•Experience working making a high volume of calls daily

•Microsoft Word

•Excel

04/2022 - 08/2023

RECEPTIONIST TECH/MEDICAL SCREENER, CSL PLASMA CENTER

•Obtained blood samples for medical testing through capillary puncture

•Conducted donor vitals, blood pressure, and heart rate

•Answered and directed incoming calls using multi-line telephone system

•Served visitors by greeting, welcoming and directing to appropriate personnel

•Updated and recorded customer or client information to maintain accounts

•Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment

•Protected clients' rights by maintaining confidentiality

01/2020 - 04/2022

CERTIFIED NURSING ASSISTANT, COMMUNITY FIRST MEDICAL CENTER

•Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness

•Conducted donor vitals, blood pressure, and heart rate

•Answered and directed incoming calls using multi-line telephone system

•Served visitors by greeting, welcoming and directing to appropriate personnel

•Updated and recorded customer or client information to maintain accounts

•Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment

•Protected clients' rights by maintaining confidentiality

01/2018 – 01/2020

CERTIFIED NURSING ASSISTANT, ASCENSION LIVING

•Facilitated activities of daily living, personal hygiene management, feeding and ambulation

•Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate

•Managed and maintained patient rooms, shared-living areas and nursing stations

•Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns

•Used mobility devices to transport patients

02/2015 - 12/2017

CUSTOMER SERVICE ASSOCIATE, PRIME NOW

•Supported customer service goals and enhanced relations through friendly, knowledgeable and positive communication

•Delivered fast, friendly and knowledgeable service for routine questions and service complaints

•Educated customers on special pricing opportunities and company offerings

•Documented customer correspondence to track requests, problems and solutions

•Upheld quality control policies and procedures to increase customer satisfaction

06/2012 - 02/2015

DATA ENTRY CLERK, NORTHWEST INSURANCE NETWORK

•Input client information into spreadsheets and company database to provide leaders with quick access to essential client data

•Identified and corrected data entry errors to prevent duplication across systems

•Reviewed and updated account information in company computer system

•Proofread and edited documents to correct errors

•Transferred data from hard copies to digital databases, organizing information in new formats

•Contacted customers via phone or email to address data inquiries

05/2007 – 06/2012

DATA ENTRY CLERK, BRUSH INSURANCE AGENCY

•Located information contained in files to meet requests by supervisors and other departments

•Verified confidential or private client information in adherence to state and federal laws

•Verified outdated data and implemented necessary changes to records

•Reviewed, corrected or deleted data, verifying customer and account information

•Input client information into spreadsheets and company database to provide leaders with quick access to essential client data

•Reviewed and updated account information in company computer system

•Identified and corrected data entry errors to prevent duplication across systems

EDUCATION

10/2018

GED, WILBURT WRIGHT COLLEGE

01/ 2019

Nursing, MALCOLM X COLLEGE

SKILLS

•Friendly, Positive Attitude

•Data Entry and Database Software

•Call Answering and Routing

•Research and Data Analysis

•Customer Service

•Administrative Support

•Office Equipment Operations

•Documentation and Reporting

•Professional and Polished Presentation

•Good Work Ethic

•Calm and Level-Headed Under Duress

•Electronic Recordkeeping

•Conducting vitals, blood pressure, blood sugar and heart rate.

•Electronic Recordkeeping

•Data Entry

•Data Review

•Attention to Detail

•Collecting Information

•Verifying Data Accuracy

•Customer Service-Oriented

•Data Processing

•Filing and Data Archiving

•Typing

•Verbal and Written Communication

•English/Spanish Fluency

•Obtaining blood samples for medical testing through capillary puncture.

•Excel Spreadsheets

•Word Processing

•Deadline and detail oriented

•Strong organization skills

•Experience working making a high volume of calls daily

•Effective time management

•Excel

•Excel Spreadsheets

Professional References

Sandra Cameron

Accounts Payable

Anixter Inc.

773-***-****

ad4ewy@r.postjobfree.com

Coworker

Miguelina Vargas

Human Resources

Quantum Graphics

773-***-****

ad4ewy@r.postjobfree.com

Coworker



Contact this candidate