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Patient Accounts Customer Service, accounts receivable

Location:
Wichita, KS, 67204
Posted:
June 09, 2024

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Resume:

GLENDY GONZALEZ ALVAREZ

**** * ********* ** #*** Wichita, KS 67213 H: 316-***-**** **********@*****.***

PROFESSIONAL SUMMARY

My medical billing experience has provided me with exceptional knowledge of the healthcare industry, I am confident that I can benefit your business.

PROFESSIONAL EXPERIENCE

03/2014 to Current

Supervisor-Accounts Receivable

Bryan-Kearney Regional Medical Center remote

Hospital based clinic billing and follow-up for all insurance payers.

Appeals and resolution on complex accounts for all payers.

Resolve claim issues with insurance representatives.

First contact person with issues on accounts for our patient accounts department.

Review audits from all payers and appeal if needed.

Assist customer service with Spanish speaking calls.

Train new staff

1/2014 to 3/2014

Patient Accounts

Wichita Urology Group - Wichita, KS

Called patients for outstanding balances.

Sent collection letters to patients.

Uploaded files of accounts to our Collections Agency weekly

Answer phone calls from patients regarding bills.

Posted Self Pay payments.

5/2013 to 10/2013

Insurance Follow Up

Dr. Ron Marek Wichita, KS

Follow-up on unpaid claims and denials.

Sent appeals to insurance with propriate documentation.

Billed Auto and Worker Compensation claims with documentation attached.

Scheduled appointments and answered calls regarding bills.

03/2009 to 05/2013

Patient Accounts Representative

Via Christi Health Wichita, KS

Verified claim statuses and eligibility for patients.

Commercial billing for both primary/secondary payers.

Attached itemized statements on high dollar claims.

Submitted medical records for claims for Auto and WC claims.

Patient Access Representative

Via Christi Health Saint Teresa Hospital

Patient Registration-Emergency Department.

Obtained signatures from the patient to give us consent to treat.

Collected all demographics from patients including insurance information.

Collected any copays for the visit based on eligibility with insurance.

Billing Clerk

Via Christi Health

AMS Laboratory

Posted payments from patients and insurance companies.

Answered phone calls from patients and clients.

Set up payment plans and collect payments.

Assisted the front desk by interpreting to Spanish speaking patients.

EDUCATION AND TRAINING

2005

High School Diploma

Wichita High School East

2022 Associates in Applied Science-Business Administration

2023 Currently enrolled at WSU for my Bachelor’s in Healthcare Management

(graduation Spring 2025)

PROFESSIONAL AFFILIATIONS

Ability to lead, influence, manage, and motivate others.

Knowledge of revenue cycle practices

Knowledge of CMS laws, regulations, and guidelines

Computer proficiency in Microsoft office: Word, Excel, Power Point

Excellent verbal and written communication skills.

Excellent problem-solving skills.

Ability to work in an individual and/or team environment.

SSI Billing Software, 14 years

EMR systems: Nextgen, Meditech, Pulse, Epic

FISS/DDE-10 years

Bilingual-Spanish



Contact this candidate