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Authorization Specialist Medical Assistant

Location:
Phoenix, AZ
Posted:
August 02, 2022

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Resume:

PROFILE

I am seeking career advancement and opportunities to improve my skills. I have extensive customer service and billing experience and have led teams. I am highly motivated to succeed. Track record of increasing sales and collections through outstanding phone, chat room and email communication. Interested in focusing on existing and new accounts and ensuring exceptional client retention.

EXPERIENCE

Patient Financial Services (billing), Southwest Medical Imaging — 2019 to Present

I appropriately and accurately pull records for patient care, quality review, and auditing in a timely manner. Observing confidentiality and safeguarding all patient related information. I am responsible for coordinating the release of medical information to insurance companies, lawyers, state, and federal agencies. I am also in charge of files coming back form clearing house to rebill corrections and EMR updates as well as CRM systems. Taking billing and insurance calls for possible billing issues or request from Patients and or Insurance companies.

Relationship Manager, JP Morgan Chase Bank — 2018-2019

Directing all operational aspects including distribution, customer service, human resources, administration and sales in accordance with the bank’s objectives. Building and maintaining relationships with clients and key personnel within customer companies. Conducting business reviews to ensure clients are satisfied with their products and services. Updating Sales Force system and ensuring account manager peers are aware of changes within client’s accounts.

Patient Financial Services Team Leader, Revsolve Inc — 2017-2018

Providing financial counseling to patients and their families. I explained company financial guidelines and provide information as to available resources like financial assistance, enhanced financial assistance or government resources available to apply. Went over charges for services provided through multiple systems for different hospitals in the region i.e. Epic, GE, Allscripts, Nextgen etc. I consistently placed outbound calls for a team effort to meet the expectation of the company’s clients.

Referral and Authorization Specialist II, Dignity Health — 2017

Processed referrals and submitted medical records to insurance carriers to expedite prior authorization processes. Secured patient’s demographics and medical information by using great discretion and ensuring that all procedures were in sync with HIPPA compliance and regulation.

Medical Assistant/Patient Access Coordinator, Surf Pediatrics — 2014-2017

I started as a Patient Access Coordinator (front desk) answering phones, checking insurance eligibility, coding visits for billing department. Obtained promotion to the Medical Assistant position and learned WRS system for EMR and billing. I was also in charge of rooming patients, taking vitals and performing tests (blood levels, urine samples, etc.) Assisted to promote the business by taking on a Synagis group of candidate families for a health project.

Relationship Banker, BB&T Bank -Truist 2010 - 2014

Served as primary contact for new account openings and cross sale of other products and services to clients and prospects. Made contact with clients and prospects daily by phone and in person to identify additional client financial needs and strengthen relationships as well as refer to other lines of business, including retail and business loans, mortgage, investments, private banking, insurance, small business, merchant services, and other areas. I was the point of contact for client problem resolution and performed maintenance for current client’s accounts.

Extended Business Office Agent, Emerald AR Systems 2007 - 2010

I was in charge of customer questions regarding billing issues with their accounts. Provided advise of necessary actions and strategies for debt repayment, located and notified customers of delinquent accounts by mail or telephone to solicit payments and to review the terms of sales, service or credit contracts. Arranged for debt repayment or establish repayment schedules based on customers’ financial situations.

EDUCATION

National University of Mexico City (UNAM) Mexico City — Business Administration Degree 2003

CERTIFICATIONS LANGUAGES

-Series 6 (FINRA) -Spanish

-Series 63 (FINRA) -English

-Arizona Life and Health Insurance License -French

-Arizona Notary Public

Silvia L Sayers

8650 E Sandalwood Dr

Scottsdale, AZ 85250

Ph: 480-***-****

adrzhi@r.postjobfree.com



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