Customer Service/Medical Records Patient Care
Resume:
Diamela Morales Cabrera
San Antonio, Texas 78222
Phone Number: (210) – 596 – 0949
Email: *********@*******.***
OBJECTIVE
Work for a private or public institution where I could apply my knowledge and at the same time acquire new experiences in the working area. Grow professionally in the field to perform with leadership and perseverance, setting short- and long-term goals for the growth of the institution.
EXPERIENCE
May 2024 - Present
Getix Health
Position: Patient Eligibility Advocate
Analyze, distribute, and follow-up on special requests and adjustments with hospital personnel.
Keeping the patient informed of the account progress.
Screen patients and/or patient representatives to determine potential eligibility for Third Party resources.
Ensure accounts are processed in accordance to Eligibility Program standards, and all applicable federal and state regulations guidelines.
Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.
2017 – 2023
CDS in Texas/LifePan
Position: Provider assistant
Assist an elderly in their household tasks and assistance with their medications.
Conducted administrative tasks such as scheduling appointments and managing medical records.
Collaborated with healthcare teams to ensure quality patient care was provided in a timely manner.
Answered phone calls, emails, and other communication with her doctors.
Maintained strict patient person privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
2012 – 2015
Careme Group Corporation in San Juan, P.R.
Position: Exam administrator
Administration of academy achievement test in public schools.
Report writing.
2004 – March 2010
Metropolitan Hospital, Mental Health (Population: 18-62 old) Cabo Rojo, P.R.
Position: Admissions/Medical use officer
Initial assessment of patients (Total and Partial hospitalization).
Prepares paper records.
Customer’s bill processing.
Interviewed patients to complete case histories and intake forms.
Managed medical records using an electronic health record system.
Patient registration.
Updated systematized demographic information and processing and CPT codes.
Accurately entered billing codes into the computer system for
reimbursement purposes.
Check covering medical plans including Medicaid, Medicare and Advantage.
Audit incomplete records and send doctors and psychologist to complete them. (Audit of medical records).
Appeal of denied cases.
Claim review in which denial follow up was worked.
Seek resolution to problematic accounts and payment discrepancies.
Assist with collecting and recording co-pays (cash and/or charge) including balancing the day in the computer.
Crisis intervention and telephone intervention.
Verification of the medical plan to obtain authorizations.
Followed HIPAA guidelines to ensure confidentiality of patient
information.
2003 – 2004
Centro de Fortalecimiento Familiar ESCAPE
San Germán, P.R.
Position: Assistant Coordinator NANAS project
Coordination of services to participants.
Drafting of monthly, quarterly, annual, closure reports and statistical reports.
Managed medical records.
Coordination and participation of monthly meetings of volunteers, Interagency Committee, Initial training, among others.
Updated contact lists with relevant information about clients or partners.
Developed strong interaction and communication skills as result of participating in staff meetings and collaborating with families and guardians regarding special events.
EDUCATION
2018
Alamo College San Antonio, Tx
Medical Billing Course
2015
Interamerican University of Puerto Rico, San German Campus
Master In International Business Administration (Process)
1998 – 2002
Interamerican University of Puerto Rico
San Germán, Campus
Bachelor of Arts: Psychology
ASSOCIATIONS
2023
AHIMA
2004 – 2009
Association of Students of Psychology (AEPSI) and
Association of Students of Sociology
Interamerican University of Puerto Rico, San Germán Campus
SKILLS AND ABILITIES
Efficient management of Programs: Microsoft Office, typing speed, SPSS, Evolution Systems, Artiva, Infomedika, Inmediata, ProQuest Systems, HC -System, Word Processing and Internet. Maintains confidentiality, creativity, leadership, organization, auditing, data entry, file manager, detail oriented, problem solving and teamwork. Excellent clerical skills, knowledge of medical terminology, excellent skills in clinical documentation, quick learning, oriented to work in public, knowledge of the English and Spanish language. Patient history documentation, electronic medical records management, medicaid and medicare knowledge, data entry, knowledge of HIPPA Law.
References
Available if solicited.
Contact this candidate