Objective

To gain employment with a strong company that would provide job security while offering good opportunities for advancement. Motivated by a strong desire to improve the quality of life for my family, as well as myself. Seeking a position that includes my recent experience in Patient Registration / Insurance Eligibility. I will consider positions involving claims processing, claims editing and EHR.

Education

Kaplan College, Bakersfield, CA 09/2014 – 06/2016

Medical Office Specialist Program

Skills and Qualifications

Conversational, Spanish

Electronic Medical Records

Medical Terminology

Medical Insurance Verification

Claims Entry

Electronic Claim Submission

ICD-9 and CPT Procedures

Efficient in Cerner, VersaForm, PowerChart

Microsoft Office

Patient Scheduling

10-Key, Typing Speed of 55wpm

Billing and Coding Procedures

Professional Experience

Memorial Urgent Care. 10/2016 - 03/2020

My vast duties included ensuring claims are entered and submitted in a timely manner; using correct charges, codes, and modifiers. Research and resolve EOP rejections and other issues with outstanding accounts. Sent secondary claims upon processing of primary insurance. Posting payments to the correct accounts, making correct adjusting and follow up on payments denials.

Medical Office Specialist Externship (200 Hours) 04/2015 – 06/2015

Central Valley Medical Group, Bakersfield, CA

Front office duties including scheduling patient appointments, insurance verification and eligibility, processing co-pays and providing customer service & problem solving for patients and their families.

Billing Clerk (Seasonal) 03/2014 – 07/2014

Bakersfield Memorial Hospital, Bakersfield, CA

Seasonal position to assist in the closing of the fiscal year. Processed insurance claim forms, processed denials, and billing secondary. Maintained high levels of efficiency to meet and exceed deadlines.

Patient Registration Specialist/Scheduler 05/2007 – 01/2014

Casa Grande Medical Center, Casa Grande, AZ

Interview patients/families for healthcare information. Perform registration and update patient demographics accurately. Collect clinical data necessary to register patients. Provides validation of insurance information, benefits eligibility, collection of co-pays, deductibles, and self-pay liability. Advise customers/applicators and immediate supervisor when authorization requirements are not met. Maintain excellent customer service, which is to improve good quality patient care. Objective is to meet the needs of the customer, answer questions and resolve simple or complex problems that a customer may face. Attend training or staff meetings related to job responsibilities.

Professional Experience (continued)

Billing Clerk/Collections 07/1999-05/2007

Gila River Indian Community, Casa Grande, AZ

My vast duties included ensuring claims are entered and submitted in a timely manner; using correct charges, codes, and modifiers. Research and resolve EOP rejections and other issues with outstanding accounts. Sent secondary claims upon processing of primary insurance. Maintained monthly processing of patient statements. Correct insurance edit reports related to the area of responsibility. Maintain an open communication with billing leadership regarding any potential problems or consistencies related to incomplete/incorrect requisitions or recommendations to improve billing operations. Upholds a commitment to quality teamwork and professionalism. Managed records and account receivable filing. Sustained a safe working environment and ensuring implementation of policies and procedures.