Medical Billing Front Desk

ALMA (SUSIE) GALVEZ

Phone: 520-***-****

E-Mail: ***********@*****.***

Objective

To obtain employment in a permanent position that will allow me to utilize my skills, experience and abilities while offering me room for growth and advancement.

Abilities

Experienced in the healthcare field, which includes both front and back office, Medical Billing and collections. I have knowledge in various medical systems and programs, I consider myself a team player, I am bilingual (Spanish) and have medical terminology, and I have also translated medical information.

Employment History

Revenue Cycle Specialist

Southwest Medical Imaging

Scottsdale, AZ

07/2021 – PRESENT

Working Remotely: Responsibilities included were to verify and update insurances, follow up on claims that are outstanding and work denials, or submit reconsiderations or appeals. Systems: Imagine, Fuji, Phicure. Salary: $22.00 hourly.

Medical Billing AR Follow-up 01/20218 – 03/2021

Surgery Center Management Service Mesa, AZ

Working remotely: Responsible for all insurance plans and patient follow-up for two Surgical Centers Located in Texas and Pennsylvania, reviewing denials and submitting appeals and fixing claims with errored CPT’s and Diagnosis to get claims processed. Was responsible for patient billing statements and making payment arrangements on account balances. Provided estimated patient responsibilities prior to surgery, review and submit refunds and translate to all client account that are Spanish Speakers. Systems used: Management Plus, Trizetto, Oasis and Waystar, Webpass for patient payments. Wages paid $20.00 Hourly.

Medical Billing AR Follow-up 04/2016 – 01/2018

Spectrum Dermatology, LLC Scottsdale, AZ

Worked Remotely: Responsible for insurance follow-up on denied claims and patient balances. Handled patient complaints and resolve issues, I also supervised front desk staff and trained. I was also responsible for reviewing claims that crossover from EMA making sure insurances are valid and coding is correct prior to submitting to insurances. Systems used: EMA, Advanced MD. Wages paid $18.50 hourly.

Medical Billing AR Follow-up 09/2015 – 04/2016

Advanced Surgical Associates Mesa, AZ

Responsible for working the accounts past 90 days in resolving non-payment issues to get claims processed by providing proof of timely or appealing claims for payments, I also provided quotes for patients with high deductibles and collecting prior to having their procedure. Systems used: EClinical. Wages $17.50 hourly.

Medical Billing Follow-up 04/2015 – 09/2015

XOLMed Mesa, AZ

Worked Remotely and in office: Responsible for reviewing reports of a Urology and Pediatric Offices working the accounts past 90 days in resolving non-payment issues to get claims processed by providing proof of timely or appealing claims for payment. System used: GE Centricity, Advanced MD. Wages $17.00 hourly.

Medical Payment Posting Lead 02/2014 – 04/2015

Urgent Care Extra Mesa, AZ

Responsible for posting payments for PPO/HMO and AHCCC’s/MEDICAID insurances for Arizona and Nevada. Put claims that are under paid or denied on error to have follow-up may fix claim and rebill for payment. Worked special projects with insurances to ensure proper payment on claims and assist with follow-up. Translated form to Spanish. System used: Advanced MD, Google drive, Excel spreadsheets. Wages $16.50 hourly.

Education History

06/01/1991 Barry Goldwater High School – High School Diploma

06/01/1991 Barry Goldwater High School – Vocational School Certificate

05/01/1997 Cochise College – One year of College General Studies

08/12/2012 Central Arizona College – Coding and Reimbursement

09/27/2021 Trident University, Presently attending – Certificate in Medical Billing and Coding

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