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Medical Billing

Location:
Crosby, TX
Posted:
November 12, 2020

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Resume:

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



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