Medical Billing Area Coordinator

Elude Torres

*** ***** ** ***, **** Hartford, CT 06118 860-***-**** **************@*****.***

Customer Service Specialist

I am seeking an opportunity to excel in your facility where I can utilize the skills and knowledge I obtained and have the chance to apply my skills with a team of professionals.

Skills and Qualifications

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Certified Phlebotomist-NHA 4/2018

Certified Electronic Health Records-NHA-5/2017

ICD-10 & CPT Coding

Medical Terminology

Medical Billing & Reimbursement MS Word

Medical Insurance Claim Appeals

Anatomy & Philosophy Claim Submission HIPAA Complaint Administrative Support

Medical Software Key Holder Payment Posting

Insurance Authorization Bilingual: Spanish/English

CPR Certified-AHS exp. 06/2019

Certified Pharmacy Tech-State of CT- 03/2016

Education

American Institute, West Hartford, CT Phlebotomy Program 2018 Branford Hall, Windsor, CT Health Claims Specialist 2017

• Work Study 11/2016 “Hands-On” Skills Include:

• Comprehensive classroom theory courses and applying material learned in computer labs

• Prepared medical insurance claims and submit to the appropriate insurance companies

• Utilize computerized medical billing inputting patient information; scheduling appointments; entering

diagnostic and procedural codes; processing day-to-day billing and generating reports and insurance

claims

• Understanding of CPT coding of procedures and coding of diagnostics

• Study the language of medical terminology and anatomy and physiology

• EMR, patient info, scheduling, billing and coding

Employment History

SCA Pharmaceuticals, Windsor CT IV Sterile Compounding Technician 05/2019-02/2020

● Undergo stringent training program and become qualified to work in an aseptic environment

inside ISO7 rooms and ISO5 work space

● Undergo thorough training curriculum on gowning, compounding, aseptic manipulations, USP 797 regulations, FDA cGMP-503B regulations, media fills, internal SOP's.

● Garb up using fully sterile gowning attire

● Prepare IV as admixtures for batch compounding of routine items.

● Typical admixtures prepared at this facility include IV Bags, syringes, and specialty container

closures.

● Document work performed at multiple stages in the process.

● Participate and assist with line clearance activities

● Continuous improvement, safety, and training

● Identify, communicate and solve problems to ensure quality, efficiency, and safety objectives are

met

● Count materials/product to ensure accurate count

● Apply labels to various components

● Verify incoming materials for use

● Complete end of batch reconciliation and count verification

● Retrieve product sample ●

Trinity Health of New England Message Center Operator 01/2018-01/2019

• Answer incoming telephone calls and direct to appropriate department

• Take messages from patients, doctors, pharmacies etc.

• Take consultation requests from doctors and hospitals

• Assist with office duties that can be performed at the switchboard

• Assist with emergency codes announcements.

• Translate documents

Physicians’ Ancillary Services, Rocky Hill, CT Patient Account Coordinator 04/2017-11/2017

• Assign incoming referrals to designated areas to area coordinator

• Process insurance predetermination, precertification and preauthorization according to their

requirements as well as verify benefits and eligibility

• Schedule, coordinate and confirm appointments

• Record appointment details into system and communicate with technicians in special situations

• Kareo Billing and knowledge of Athena Billing as well as set up payment agreements

Contact this candidate