Medical Assistant Data Entry

Lidia Flamenco

**** ******* ** *** *****, NV ****1

702-***-****

************@*****.***

Objectives

Seeking a position in the health care field such as Medical Assistant/ Medical Biller/Management Administration/EVS to utilize my skills knowledge and provide growth opportunity with an organization. A record of success would be of value in a professional level to get the best knowledge, blend with a strong work ethic, completing daily tasks, making me a devoted learner, have insatiable appetite to gain and apply new skills in my daily, Having Patience, Compassion, Accountability, Integrity, and Respect Gratitude.

Skill Summary

Bilingual (English/Spanish); Claims Examining, Billing CMS-1500/ UB-04, Coding: CPT, ICD9-CM, ICD10, HCPCS,

COB, UCRs/Fee Schedule, Medical/Dental Terminology, Medicare, Medical, CCS, Workers Compensation, Commercial,

Payment Posting, Resolving Payments, Software MediSoft, Athena, MS Word 2007, CITRIX, ZENITH, CEDAR SINAI NETWORK, Outlook, Power Point, Windows, Excel, Mac, Typing: 40, AllScript, PM, HER, Medix, ATHENA, Control Max, JABBER, WINDOWS

WPM+10 Key: 98% accuracy, Alpha Numeric Filing, Data Entry, Elite, Professional Customer Service Skills, Insurance Verification/Collections, Microsoft office, EPIC System, Electronic Remittance, Advanced SC Import, CERNER, Amwell Online Care, Remote & Onsite, Nevada Medicaid, Commercial & private Insurance Verification

Medical Skills

Ear Irrigation, Venipuncture, Injection, Audio Gram, Surgical Techniques, Sterilization, Spirometry, Urinalysis, Ivy, registration, Scheduling, Referral Request, Call Insurances, Intake Complaint Assessment, Prepare Patient for Doctor Visit

Vital Signs, C.P.R, EKG, Vision, Family Planning, S.O.A.P, Pap Setting, Referrals, Filing/Pulling, Schedule, Send Lab Work to Laboratory, CMR’S Discharge Patient, Order Medications, Read Lab Results, CHDP Certified, Filling Certified, Covid-19 test Swabbing, Medicaid Application Submission, Electronic Verification Services, Case Managing, Chart Review

WORK EXPERIENCE

University Medical Center

Admitting & Discharge Register Specialist Jan 2021- Present Las Vegas, NV

Telehealth Services, Schedule Amwell, Arriving patients, Verifying Eligibility, Scan Insurances, Floater, Registration, Procedure Schedule, Assessments with Covid-19 testing, Pediatric ER, Adult ER, EMS Arrivals, Discharging Patients, Collect Payments, Interviewing Patients, MSPQ Forms For Medicare Patients, Nevada Health requirement Submission, Nevada Medicaid, California Medical, Out of State BCBS, Health Plan of Nevada, Workers Comp C4, Collect Co Pay, Deductibles, Self Pay, Collect Consent Forms, L&D, New Born Medicaid Process Application, Trauma Arrivals, Main Admitting, Obtain Authorizations, Lab Order, Reviewing and Resolving complains, Request Authorizations for Pre Op Surgeries, Schedule for Pre assessments, Lab Orders, EKG Orders, Functions by different Administration Protocols, Call Center, schedule patients, Referral Request, Telehealth piloting, Edit Accounts, Epic EHR

Touro University Center for Autism Development Rehabilitate

Authorization Specialist/Medical Assistant Oct 2020—Nov 2020 Las Vegas, NV

Front office, Intake Patient, Temperatures Check, Call Insurances, Verify & Request Authorizations, Assist Technicians, Process Billing Payment, Posting Charges, Send Invoice, Referrals Submission, Send Patient Enrollment Packages, Create Technician Weekly Scheduling, Request Medical Records, Referral Follow Up Invoices Create & request, Waiting List Reviewing, Rebill, Follow up with Medicaid & Medicare Claims, Manage Care Contracts,

Culinary Health Center

Front Desk Patient Representative March 2020 —Oct 2020 Las Vegas, NV

Greet Patients, Insurance Process, CSR, Customer Call Center Operator, Assist Patient, Data Entry, Covid-19 Screen

Mail Carrier, Supply Invoices, Call patients, Scheduling, COVID-19 Screening, medication Status, Work remotely, patient coordinator, administration assistance, referral patients, Remote Patient Coordinator, Track Payments

Community Memorial Health System

Biller Claim Coordinator May 2016— Dec 2016 Las Vegas, NV

Charge Entry, Collect Acct Money, Request Authorizations, claim examiner, Verify Eligibility, Send/ Receive fax,

Radiology, Psychiatry, Cardiology, Pulmonary, Rheumatology CPT and Diagnosis claims, Revise Audit, CMS 1500, Electronic Claims, Commercial, EOB, ERA, Deductibles, Co Insurance, out of pocket, in & out Network insurance, commercial Insurances Processing, Medicaid & Medicaid Application Submission

CHLA/PEDIATRIC MANAGEMENT GROUP Mar 2011—Mar 2016 Los Angeles, CA

Medical Biller, Claim Processor

Correct Claims, Call Insurance, Call Patient, Code Insurance, Check Zero Balance, Research,

Telephone Ethics, Medicare/ Medical Guidelines, Scanning, Manage Care, NICCU, PICU, Radiology, Pulmonology

Audits, Manage Care, HMO, PPO, Private, Cash, Claim Adjustments, Payment Posting, Medicare Audits

JWCH Institute Bell Gardens/Norwalk

Medical Assistant May 2006— Aug 2009

Pap Setting, Injection, Immunization, Venipuncture, Family Planning, Filing, E.K.G., CHDP,

Intake/Discharge Pt, Ear Irrigation, Order Medication, Sterilization, Send Referrals, CMR’S, Vita signs, Urinalysis Mobile Unit Assistant, Read Result, Vital Signs, Scheduling, Order Supply, STD Counseling, Send Lab, Request Referrals, Minor Surgeries, Medical Eligibility Submission Applications, Verify Eligibility by Income, Family Planning Eligibility Application, Counseling Patient, Case Management & Chart Review, Assessing patient & Coordination for HIV Program, Involve in Support

Education American Career College Health Claim Examiner/Medical Biller 2013 Los Angeles, CA

Partridge High School High School Diploma 2000 Long Beach, CA

United Educational Institute Medical Assistant 2004 Los Angeles, CA

University of Phoenix Bachelor of Science in Health Administration 2021 Pasadena, CA

Certificates Medical Biller, Medical Assistance, Venipuncture/ Injection Certificate, CPR, HIPAA, CHDP, BSHCA

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