Sophia Corrales
SKILLS
HIPAA Self-motivated and detail oriented
ICD-9/ICD-10 Account reconciliation
IDX Problem solving
HCFA 1500/UB92’S Good organizing skills
Basic Medical Terminology Insurance and Patient payment
Scanning, Copying and Faxing Accurate data entry skills
Medical Assist/front office Patient registration and processing ins.
Ins. Eligibility verification updating of patient demographics
Microsoft Word, Excel and Outlook Effective multi-tasking and time management skills
HLogic, CUBS, Availity Problem solving
BMI, Payspan Strong customer service skills
Cerner, The Box 10-key
Strong communication skills (written and verbal)
Debt consolidation and financial planning for Life ins. Break down of policies/budgeting
Coaching and training new hires for independent agents
Shipping and receiving sorting/packaging lift 40+ lbs.
EXPERIENCE
2016- Current Dignity Health Medical Foundation Corp. Rancho Cordova, CA
A/R PAYMENT REP I- II-Collecting accurate and thorough patient demographic data-Appropriate patient identification [Obtaining insurance information and verifying eligibility and benefits-Pulling EOB’s and check verification for accurate postings to insurance and /or patient accounts-Determining and collecting patient financial liability-referring patient to the registration specialist as needed for assistance with financial counseling and clearance- Meet Deadlines-Work spreadsheets10-key-Knowledge of office-with little to no supervision- managing procedures and filing systems-Fulfilling the Mission of Dignity Health
2008-2016 Dignity Health Medical Foundation Corp. Rancho Cordova, CA
COLLECTIONS –PATIENT ACCOUNT REP- Insurance verification and processing insurance claims-verification of documentation necessary for timely appeals and unpaid and denied claims-including requesting and collecting medical records-preparing financial documents for collections applications-organizing and creating process flows for patient financial assistance programs-contacting doctors' offices and collecting patient documents for proper assistance and payments-running financial background checks and verifying patients demographics for accurate processing-meeting with patients to assist with patient billing and general understanding of bills and steps for payments-communication with patients and insurance companies at any given time to obtain correct information for accurate claims processing-working with a small team to create process flows and steps to departments-Fulfilling the Mission of Dignity Health
2005 – 2007 Dignity Health Medical Foundation Corp. Rancho Cordova, CA
DATA ENTRY & CUSTOMER SERVICE REP I- Data entry-10-key- handling and processing in and outbound written correspondence with little to no supervision- Sorting, filing and processing and insurance and patient correspondence to assigned agents for processing- Printing-Sorting-Alpha & Numeric filing systems- Fulfilling the Mission of Dignity Health
2016- 2020 Primerica Financial Services Life Agent Sacramento, CA
I am a Life Insurance District Leader for One of the top Finance Companies. I worked with agents all over to help families with getting their families properly protected with life insurance and help them build a financial safety net for their current/future family. I provided debt consolidation plans, savings and protection policies. I received awards for my hard work and success and have spoken in front of groups to help with training and steps to grow.
2002-2005 Manpower Agency Sacramento, CA
Medical assistant/ Front office @Mercy General Hospital
Clerical Front office @Auto parts Co. / Title Co. Riverside, CA
Warehouse worker/Distribution office
Front desk scheduler for Medical/dental/retail offices
2000-2005 Ralphs Grocery Store Rancho Cordova, CA
Cashier/ Deli clerk/stocker/Inventory
EDUCATION/LICENSES
2016 Life Insurance License CA Dept. of Insurance
2004 Winterstein Adult Edu Medical Assistant Certification
2003 AMERICAN RIVER COLLEGE Pre-requisites- Psychology/Nursing
2001 WINTERSTEIN ADULT ED. High school diploma
References:
JOE GARCIA SYSCO SACRAMENTO 916-***-**** Friend
LISA DAVIS HIM MANAGEMENT 916-***-**** Professional
FREDDIE DIEZ DIEZ TAX SERVICE 916-***-**** Professional
5256 Thomasino Way Antelope, CA 95843 916-***-**** ***********@*****.***