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Medical Biller Team Supervisor

Location:
Diamond Bar, CA
Posted:
August 09, 2021

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Resume:

Ana C. Armendariz-Sanchez

Diamond Bar, California 91765

626-***-**** adn32z@r.postjobfree.com

QUALIFICATIONS SUMMARY

• Healthcare professional with over 20 years of experience and holding roles within various departments, working such as Medical Biller, Medical Assistant, Office Manager, Medical Receptionist, Prescription Authorizations Coordinator and other numerous rolls.

• Proven ability to communicate well across all organizational levels and work in a collaborative manner to achieve goals.

• Great team player, open minded and willing to always learn.

• Fast Leaner.

RELEVANT SKILLS

• Strong knowledge of medical terminology and basic non-invasive diagnostic equipment

(blood pressure cuff, stethoscope and ophthalmoscope and otoscope) as well as a general understanding of basic physical examination.

• Assist clinician with procedures (gynecological exams, laceration repairs, wound care, other minor surgical procedures)

• Perform medication administration within scope of practice and documents administration of medications and procedures. Ensures proper documentation of medication administration and documentation procedures

• Bilingual in Spanish, red, write and speak

• BLS/CPR Certified

• Computer oriented, 50 wpm

• Phlebotomy Certified

• Certified Medical Assistant

• Medical Biller

• Prescription Authorization Coordinator

EMPLOYMENT HISTORY

In House Physicians, Los Angeles, CA

Medical Assistant/Health Screener/COVID Tester July 2020-Present

• Trained medical assistants and receptionist to provide excellent customer service to our patients.

• Reviewed and verified time cards for prompt and accurate payroll processing.

• Maintained office efficiency by planning and implementing office systems.

• Assisted the doctor with medical procedures as requested.

• Assisted patients with forms and verified insurance eligibility once they have been triaged.

• Ensured completeness of medical chart to capture all charges accurately to maximize reimbursement.

• Perform COVID testing

• Implementing standing orders

• Test site maintenance including set-up and clean-up of remote testing locations Williams OBG & Associates, San Dimas, CA

Office Manager/Medical Biller /Medical Assistant July 2020-Present Medical Assistant/Health Screener/COVID Tester

January 2020 to June 2020

• Trained medical assistants and receptionist to provide excellent customer service to our patients.

• Reviewed and verified time cards for prompt and accurate payroll processing.

• Maintained office efficiency by planning and implementing office systems.

• Assisted the doctor with medical procedures as requested.

• Billed insurance companies according to contracted rates and services provided.

• Posted payments to patient general ledger accounts.

• Generated referrals and followed up on patient accounts.

• Ensured completeness of medical chart to capture all charges accurately to maximize reimbursement.

• Followed up with insurance companies on pending claims and submit additional information if requested. Followed up with insurance companies on pending claims and submit additional information if requested.Obtaining referrals and pre- authorizations as required for procedures.

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

• Following up on unpaid claims within standard billing cycle timeframe.

• Checking each insurance payment for accuracy and compliance with contract. HealthCare Partners, Glendora, CA

Medical Assistant/Receptionist January 2009 – January 2019

• Performed patient centered procedures under the supervision of a clinician, registered nurse, licensed vocational nurse, and Care Team Supervisor to ensure safe and appropriate care.

• Administered medication as directed by the Physician.

• Prepared patient for medical examinations.

• Received patients in a friendly manner and assigned priority based on medical condition.

• Verified medical insurance eligibility and applied appropriate co-payments as required. Received patients in a friendly manner and assigned priority based on medical condition.

• Performed EKG, assist assigned physician(s) and/or other health care professional(s) such as Wound care, Immunizations, Injections, Vision exams, Sterilized instruments.

• Performed routine clerical functions as assigned (making appointments, chart management, telephone calls)

Rex Medical Group, Duarte, CA October 2010 – August 2014 Office Manager/Medical Biller /Medical Assistant/Prescription Authorizations

• Trained medical assistants and receptionist to provide excellent customer service to our patients.

• Reviewed and verified time cards for prompt and accurate payroll processing.

• Maintained office efficiency by planning and implementing office systems.

• Assisted the doctor with medical procedures as requested.

• Billed insurance companies according to contracted rates and services provided.

• Posted payments to patient general ledger accounts.

• Generated referrals and followed up on patient accounts.

• Ensured completeness of medical chart to capture all charges accurately to maximize reimbursement.

• Followed up with insurance companies on pending claims and submit additional information if requested.Obtaining referrals and pre-authorizations as required for procedures.

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

• Following up on unpaid claims within standard billing cycle timeframe.

• Checking each insurance payment for accuracy and compliance with contract. Foothill Presbyterian Hospital, Glendora, CA

Emergency Room Registration Representative October 2009 – April 2011

• Assisted patients with forms and verified insurance eligibility once they have been triaged.

• Collected payments as required and posted payments into patient account.

• Ensured patients understood all the forms and had them execute them.

• Verified accuracy of patient demographic data for payment processing.

• Checked insurance eligibility if necessary.

• Verified insurance eligibility/benefits, obtained authorizations.

• Processed pre-admits, in- patients, ancillary patients and emergency room registrations per hospital and department policy and procedures.

• Performed routine clerical functions as assigned (making appointments, chart management, telephone calls)

QTC Management, Diamond Bar, CA January 2005-November 2008 Care Coordinator

• Performed routine clerical functions as assigned (making appointments, chart management, telephone calls)

• Medical coding

• Reviewed final documentation for accuracy and finalized for medical professionals.

• Contacted medical professionals for medical clarifications. S. Patt Dermatology Center, Pomona, CA November 2003-December 2004 Medical Assistant/Medical Biller

• Performed patient centered procedures under the supervision of a clinician to ensure safe and appropriate care. Prepared patient for medical examinations.

• Administered medication as directed by the Physician.

• Verified medical insurance eligibility, billing, applied appropriate co-payments as required.

• Performed routine clerical functions as assigned (making appointments, chart management, telephone calls)

• Followed up with insurance companies on pending claims and submit additional information if requested.Obtaining referrals and pre-authorizations as required for procedures.

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.

• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

• Following up on unpaid claims within standard billing cycle timeframe.

• Checking each insurance payment for accuracy and compliance with contract. Westside Woman's Health Center, Santa Monica, CA

Medical Assistant/Receptionist/Medical Biller/Prescription Authorizations January 2000 – January 2004

• Performed patient centered procedures under the supervision of a clinician, registered nurse, licensed vocational nurse, and Care Team Supervisor to ensure safe and appropriate care.

• Administered medication as directed by the Physician.

• Prepared patient for medical examinations.

• Received patients in a friendly manner and assigned priority based on medical condition. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.

• Verified medical insurance eligibility and applied appropriate co-payments as required. Received patients in a friendly manner and assigned priority based on medical condition.

• Performed routine clerical functions as assigned (making appointments, chart management, telephone calls)

• Followed up with insurance companies on pending claims and submit additional information if requested.Obtaining referrals and pre-authorizations as required for procedures.

• Checking eligibility and benefits verification for treatments, hospitalizations, and procedures, Reviewing patient bills for accuracy and completeness, and obtaining any missing information.

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.



Contact this candidate