Medical Billing Customer Service
Resume:
Sandra Arzate
Address: ***** ********** ** ****** ** 77386
Email:****************@*****.***
Phone#346-***-****
Skills:
●2+ years’ experience in the medical industry
●Experienced in insurance verification, medical billing, coding, and scheduling
●Proficient in Microsoft Word, Excel, PowerPoint, Thera Manager, and EClinical works
●Bilingual in English and Spanish (read, write, and speak)
●Quick learner, Organized
Experience:
Texas Oncology.
Bilingual Billing Specialist.
Jan 2020-April
Collects and reviews all patient insurance information needed to complete the billing process.
Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors.
Fix patient charts and update them under EMR software
Organized spreadsheet
Meddata Nov 2017 Oct 2018
Bilingual Advocate/Lead
Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance.
Complete the appropriate applications and following through until approved
Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked
Provide exceptional customer service skills at all times
Participated in ongoing trainings in order to apply the content learned in dealings with patients and cases
Maintain assigned work queue of patient accounts
Collaborate with hospital staff, case managers, social workers, financial counselors
Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients.
Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue.
Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted
Request home visits as needed to acquire documentation
As per established protocols, inform the client in a timely manner of all approvals and denials of coverage
Participated in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs
Verified insurances from different commercial insurances including but not limited to Medicaid, Medicare, CHIP, Blue Cross Blue Shield, and United health care
Spring Branch Community Health Center Jan 2017 – Oct 2017
Receptionist/Eligibility
●Greet and check-in/check-out patients, and collect personal, medical, and insurance information
●Schedule, reschedule, and verify patient appointments
●Utilized EClinical works to keep patient information and files updated
●Collected co-payments and balances from patients and recorded all payment transactions
●Called all no-show patients in attempt to reschedule appointments as well as verify next day appointments
●Scheduled labs testing and ultrasounds for clinics
●Verified insurances from different commercial insurances including but not limited to Medicaid, Medicare, CHIP, Blue Cross Blue Shield, and United health care
●Verified CPT codes and demographics
Childtime Learning Care Feb 2013 – Feb 2015
Teacher
●Tracked and completed daily charts and reports for the children
●Assisted in the implementation of a curriculum in the classroom
●Brought a personal creative touch to the classroom including decorating posting evidence of engagements connecting with parents and staff
●Worked with the Classroom Teacher to resolve any issues with the children
Kingwood Medical Center Mar 2011 – Dec 2012
Food & Nutrition
●Assisted with daily menu preparations
●Assisted with daily kitchen cleanup duties
●Documented the nutritional requirements of all patients
●Helped with specialized food preparation in accordance with dietary restrictions
Education:
Caney High School Grad: 2011
●High School Diploma
Texas School of Business Grad: 2014
●Medical Billing and Coding Certificate
●Medical Billing and Coding Externship 220 hours
Certifications:
●CPR Certified:2017-2019
●Certificate ”HIPAA Privacy and Security for Registration and Front Office”
●Certificate “Patient Rights”
●Certificate of Achievement / Major GPA 3.50-3.99
●Childcare Certification
Contact this candidate