Medical Billing Appointment Setter

CHRISTINA L.CHAVEZ 505-***-****(cell)

505-***-****(Home)

#** ** **** ********, ** 87417 / *****************@*****.***

Well-educated and bi-lingual (English and Navajo) professional who provides outstanding customer service and seamlessly coordinates efforts with peers and senior leadership, is ready for opportunities to transition to the healthcare field with a progressive organization. Type 40 words per minute with extensive data entry, point-of-sale system, 10-key and Microsoft program proficiencies. Adept at organizing/prioritizing numerous duties without loss of quality or sacrificing deadlines. Able to produce equally impressive results, working independently or within the team dynamic.

Skills include:

- Analysis/Assessment

Extract, analyze and code surgical procedures and diagnosis using ICD-9-CM & CPT codes.

- Business Acumen

- Customer Service

Understand business implications of decisions, and display orientation to profitability with accurate claims for better reimbursements and fewer denials.

Manage difficult or emotional customer situations, and anticipate and provide solutions to meet customer needs.

MEDICAL TRAINING OVERVIEW / CORE QUALIFICATIONS

Ultimate Medical 2015

Medical Billing and Coding Diploma (GPA: 4.0)

- Earned UMA Certificate of Academic Excellence – Gold List/Dean’s List.

Enhanced knowledge base includes: Research and Writing Skills, Analyzing and Solving Issues, Business Communications, Accounting for Managers, Biology and Sociology.

Insurance Billing: Strong knowledge of medical administrative procedures, including billing, record-keeping, and processing insurance claims. Able to properly utilize CMS 1500 and CM 1450 (UB-04) forms to report claims.

Medical Coding: Proven ability to assign appropriate codes to patient systems, diagnosis, operations, and treatments to process reimbursements. Additional skills include: Monitoring and auditing documents required for data entry.

Computer & Administrative Skills: Microsoft Office; Greenway Prime Suite EMR; general office duties; data entry and retrieval.

Analysis/Assessment: Able to synthesize complex or diverse information; collect and research data; research and find relevant information and identify key issues and relationships from a base of information.

PROFESSIONAL EXPERIENCE

Red Rock Dental-Farmington 07/201*-**-****

3030 E Main St Suite T-1 Farmington, NM 87401

Front Desk Receptionist- Wilhelmina Jim

Greeted visitors, handling incoming calls, schedule appointments and perform general administrative duties in a healthcare facility.

Answered phones and transferred to the appropriate staff member.

Took and distributed accurate messages.

Greeted public and clients and directed them to correct staff member.

Faxed, scanned and copied documents.

Kept office area clean and tidy.

LaPlata Family Medicine-Durango 02/2019-04/2019

316 Sawyer Dr. Durango, Co 81303

Medical Biller and Coder- Marcia Archuleta

Prepare and clean claims to various insurance companies either electronically or by paper.

Answer questions from patients and insurance companies.

Identify and resolve patient billing complaints

Prepare, review and send patient statements

Evaluate patient’s financial status and establish budget plan

Follow the report status of delinquent account

Make recommendations for delinquent accounts to be forwarded to collection agencies

Perform various collection actions including contacting patients by phone, and resubmitting claims to third party payers

Process payments from insurance companies

Translate patient information into alpha numeric and numeric codes

Using several coding systems, including Level I HCPCS and Level II HCPCS

Investigate and correct rejected and denied claims

Participate in educational activities and weekly, monthly and quarterly staff meetings

Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations

Genesis Physicians Associates- Farmington 08/2016 – 10/2016

4801 N Butler Farmington, NM 87401

Front Desk Medical Secretary/ Appointment Setter-Luanna Jones

Greeted visitors, handling incoming calls, schedule appointments and perform general administrative duties in a healthcare facility.

Answered phones and transferred to the appropriate staff member.

Took and distributed accurate messages.

Greeted public and clients and directed them to correct staff member.

Faxed, scanned and copied documents.

Kept office area clean and tidy.

Fairfield Inn and Suites Marriott-Durango 08/2016-10/2016

21719 W Highway 160 Durango, CO 81301

Housekeeping-Laundry Attendant- Kayleigh Richardson

Ensure efficient and proper operation of laundry equipment;

Greet each guest politely;

Handle and store all cleaning agents according to set regulations;

Identify and report any linen found not belonging to Fairfield Inn and Suite

Keep laundry area organized and clean;

Supply an adequate amount of linens for Room Attendants to properly complete all

duties;

Train and assist new employees with techniques and procedures;

Work with fellow employees and management to achieve the standards set by Fairfield Inn and Suites

Wal-Mart Pharmacy- Farmington, 09/2015-5/2016

Store 3428

Pharmacy Technician-Jared White

Input information from a doctor's prescription into the Conexus Pharmacy system. Fill patient’s medicines as directed by Conexus system. Answer phones & enter refill information for customers. Order supplies and medications through the warehouse and McKesson suppliers. Restock supplies and medications chronologically. Check out patient prescriptions through the Tasco Pharmacy system. Run the register. Help patients with their insurance inquiries and update their insurance information. Find discount information for patients without prescription insurance. Help the pharmacist with customer inquiries.

DCI Biologicals / BPL Plasma – Farmington, NM04/2015 – 05/2015

Donor Technician – Heath Faulkner

●Determined donor acceptability, prepared donor booth and machine for pheresis process, and monitored patient.

●Responded to alarms or signals and maintained awareness for any reaction.

●Ensured accurate and legible recording of patient data in medical charts.

●Followed OSHA and HIPAA policies and procedures.

Village Inn – Farmington, NM Server-Charles Holmbert 2013 – 2013

IHOP – Farmington, NM Server-Daisy Padilla 2001 – 2010

Key Achievements:

Played a central role in increasing the company’s footprint within the local market by providing outstanding customer service and earning repeat business.

Communicated positively with management and co-workers, fostering a cooperative working environment in which all members collaborated to develop/implement best practices.

Maintained a working knowledge of all items on the menu, while upholding a professional attitude, service excellence and high level of customer satisfaction.

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