ELIZABETH DE LA FUENTE
adhr49@r.postjobfree.com 832-***-**** HOUSTON, TEXAS 77015
Summary Efficient Patient Service Representative with 25 years of experience working in hospital/clinic facility's. Extensive knowledge of medical record organization and patient advocacy. Successful at helping patients through every step of the healthcare process. Efficient and attentive Patient Service Coordinator capable of pulling charts, processing payments and managing procedure schedules. Ready to bring strong communication, organizational and multitasking abilities to a challenging new role in a fast-paced environment.
Skills Organized Insurance billing and coding with foundation in records management.
Experienced in
Billing and collection procedures. Advanced
medical terminology knowledge. Medical
billing
And coding specialist with 18 years providing
administrative and patient support in hospital
and
Medical office settings. Advanced knowledge
of private insurance processes and codes.
Patient oriented
Medical Receptionist with strong attention to
detail, professional telephone etiquette
And organization
Skills
Medical terminology expert
ICD-10 (International Classification of Disease
Systems)
Billing and collection procedures expert
Hospital inpatient and outpatient records
Inpatient records coding proficiency
Resourceful and reliable worker
Office support (phones, faxing, filing)
Outpatient surgery coding specialist
Patient referrals expert
HCPCS Coding Guidelines
Familiar with commercial and private
insurance
Carriers
Patient chart auditing ability
Adept multi-tasker
Insurance and collections procedures
Understands insurance benefits
Excellent verbal communication
Administrative, Filing, Coding
Attention to detail, Financial, Receptionist
Auditing, Forms, San
Benefits, Front Office, Supervisor
Billing, ICD-9, Technician
Business correspondence, Insurance,
Telephone
Charts, Medical Billing, Telephone etiquette
Clerical, Medical terminology, Phones
Copying, Office, Verbal communication
Counseling, Nursing
CPT, Organization
Clients, Skills
Documentation, Phone system
Faxing, Policies
File management, Processes
Experience Patient Service Representative 06/2019 - 09/2020 UT Physicians Houston, TX
Coordinated between patients and healthcare professionals to meet patient needs. Utilized customer service skills and detailed system knowledge to support hospital and clinic E
D
operations.
Scheduled and confirmed patient appointments with patients and healthcare professionals. Checked claims for errors, corrected issues and mailed out promptly. Checked daily doctor schedules and verified insurance. Educated patients and families on treatments, procedures, medications, continuing care and community resources.
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations. Ran credit card batches and balanced deposits on a daily basis. Referred patients to appropriate professionals and services. Improved operations by working with team members and customers to find workable solutions. Financial Clearance Associate 06/2018 - 07/2019
MD Anderson Cancer Center/ObjectWin Houston, TX
Financial Clearance Associate is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to financial clearance activities.
This includes adherence to the department's policies and procedures related to the verification of eligibility/benefits, Pre-authorization requirements, financial counseling and other identified financial clearance related duties.
Also responsible for timely escalating registration/financial clearance issues to the Financial Clearance Manager/Supervisor for resolution.
Insurance Verification Specialist 03/2017 - 02/2018 WEST HOUSTON SURGICARE Houston, Texas
Responsible for verifying all patient and insurance demographic information, obtain insurance coverage.
Pre-authorization for in-patient and out patient.
Verification and pre-certification from the insurance company, when required. Quotes the facility fees, to the.
Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed.
Patient, required at time of service, prepares the check-off sheet and creates the patient medical record.
Received and routed business correspondence to correct department or staff member. Greeted incoming customers in a professional manner and provided friendly, knowledgeable assistance.
Answered telephone inquiries from clients, vendors and the public. Provided clerical support to company employees, including copying, faxing and file management.
Answered and quickly redirected up to 3-6 calls per 1-2 minutes. AEROTEK: OBSTETRIX MEDICAL GROUP Insurance Biller Houston, Texas 12/2016 - 03/2017 Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Precisely completed appropriate claims paperwork, documentation and system entry. Correctly coded and billed medical claims for various hospital and nursing facilities. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Professionally and courteously verified appointment times with patients. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Adeptly managed a multi-line phone system and pleasantly greeted all patients. Verified patients' eligibility and claims status with insurance agencies. Entered orders into the EMR system efficiently and without errors. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient.
Medical records.
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy. Service Linkage Worker 03/2008 - 12/2015
HARRIS HEATH SYSTEM Houston, Texas
Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Precisely completed appropriate claims paperwork, documentation and system entry. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed.
Correctly coded and billed medical claims for various hospital and nursing facilities. Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Professionally and courteously verified appointment times with patients. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Adeptly managed a multi-line phone system and pleasantly greeted all patients. Verified patients' eligibility and claims status with insurance agencies. Entered orders into the EMR system efficiently and without errors. Determined prior authorizations for medication and outpatient procedures. Pre-certified medical and radiology procedures, surgeries and echocardiograms. Education and
Training
Medical Billing and Coding San Jacinto College Houston Texas 2019 ASSOCIATE OF APPLIED SCIENCE
Certificate of Technology for Medical Billing and Coding. Coursework in Healthcare Management Certificate in Health Information Administration Coursework in Medical Front Office Assisting Health Information Technician (RHIT) coursework
Certifications CPR certified through American Heart Association Healthcare Management Certificate Certified Medical Assistant Phlebotomist Epic and Windows NextGen and PrognoCIS Advantx Availity I-Exchange Passport