Account Coordinator Office
Resume:
JANETT MENDOZA
BAKERSFIELD, CA. 93313
**********@*****.***
CELL PHONE 818- 269-7286
OBJECTIVE:
To obtain a position in a respected company where my experience and knowledge will have valuable application and
allow room for growth within.
WORK HISTORY:
03/2020 to Current Office Service Technician, Kern Medical
Working out of corrections facility in conjunction with the Sheriff’s Department. Responsible for scheduling inmate
medical appointments and ensure transportation are available for such. Prepare daily reports reflecting services for
night shift as well as any outgoing transfers. Update all necessary systems of housing changes and releases daily.
Register incoming Federal Inmates as well as prepping outgoing summaries with all needed records and medication if
needed. Scan medical documents into electronic charts as well as other clerical duties.
10/2019 – 02/2020 Marketing Coordinator, NBB Beauty Bar & Academy
(Volunteer)
Promote services on various social media platforms, set up promotional space at local fairs, and mall kiosk. Schedule
externship hours with performing art theaters for soon to be graduates.
2004- 03/2017 Client Account Coordinator, US Health Works Medical Group
Assisted in the setup of new accounts and introduced services that our company offers to new and existing clients.
Worked as Liaison between TPA, Clients and the Company to resolve pricing discrepancies, aid in reimbursement
issues, establishing claims, and enhancing communication between all. Focused on restoring and strengthening
business relationships to prevent loss of business. Personalized meetings to make sure that all the client’s needs are
met. Participated in meetings with Management to discuss obstacles that were identified as barriers in the revenue cycle
through monthly aging reports. Registration of accounts to include demographics, charge entry, and payments.
Responsible for initiating and receiving customer calls concerning billing and collections on established accounts.
2001-2004 A/R Collector, US Health Works Medical Group
Managed Account Receivable of 2.8 million dollars with special stress to reduce accounts with 90 days delinquencies
and over, and appeal denied claims as needed. Assist clients with inquiries regarding pricing, account balances or other
discrepancies on accounts. Customized billing for sensitive accounts with specialized reporting and tracking
procedures. Review billing process of assigned account to ensure account is set up accordingly to contract guidelines
and client requirements. Employer accounts follow up and resolution, obtained credit agreements for outstanding
balances. Contact commercial insurance companies via telephone or e-mail to collect on claims.
2000-2001 Claims Follow-up Representative, Synergistic Systems
Followed up on claims for ER Physician billing and appealed insurance denials. Posting of insurance and patient
payments as well as applying proper insurance adjustments to accounts. Verifying insurance benefits and eligibility
when assisting the Insurance Department and supported the Customer Service Department when assistance needed.
1997-2000 Business Office Coordinator, Facey Medical Foundation
Verified insurance eligibility and benefits. Called insurance company to provide needed information and obtain
approval for specialty manner for patient visit and billing purposes Collected co-pays/co-insurance dues from patients
as well as set up payment arrangements. Obtain treatment authorizations for all medical services requested by the
provider. Communicate with adjuster, nurse case manager, and / or utilization review department for additional
information or follow up. Tracking of all authorizations and denials. IMR process for denied treatment.
EDUCATION:
San Joaquin Valley College, 2019
Medical Terminology, Mission College, 1998
Medical Billing, Mission College, 1998
Sylmar High School, 1993
SKILLS:
Insurance knowledge (HMO, PPO, Medi-Cal, Work Comp) U.S. Health Insurance Portability and Accountability
(HIPAA), ICD-9 and CPT coding, Medical Terminology, Revenue Cycle, Computer literate (Word, Excel, Outlook,
AS400, IDX, Star, Cerner, CJIS), Typing 50 wpm. Bilingual fluently English/ Spanish,, Excellent Customer Service.
REFERENCES:
Professional and Personal references are available upon request.
Contact this candidate