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Data Entry Medical Billing

Location:
San Luis Obispo, CA
Posted:
December 15, 2022

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Resume:

Diana Peinado

Front Office Coordinator

Certified Medical Assistant (Front/Back Office),

LTD X-Ray Technician

Guadalupe, CA 93434

805-***-****

adt20j@r.postjobfree.com

Skills

•Excellent Customer Service Skills

•I Can Work Independently or in A Group Environment Self Disciplined & Organized

•Effective Communication Skills

•Efficient Skills in Problem Solving

•Bilingual in Spanish (Read, Write & Speak) Intermediate

•Knowledgeable in Medical TerminologTerminologyy

•Efficient in Medical RecordsHonest, Integrity, & Reliability

• Experienced in Medical Front/Back Office Front/Back Office Responsibilities

/AM/PM Tasks

•Knowledgeable in MS Word, Outlook

•Ability to Positively Interact With all Levels of Employees, Physicians, CEO’s, & Management, and Co-workers

•Current BLS

•Empathetic to Patients Needs, Active Listener. & an Active Listener

Typing 35 wpm (3/1/2022)

Call Center Agent

Employment History

Agent/Customer Service

March 1, 2022- Current

Answering Service Plus, Advantage Answering Plus, Inc., Empressa Suite C, San Luis Obispo Ca. 93401

•Answer Inbound Phone Calls incoming phone calls

•Provide

•. We professionally greet callers, and Request Required Information

•provide and request required information,Input Information Into Echo Systems

• document information Transfer Incoming Calls To The Appropriate Person/Office

•and transfer incoming callsRetrieve and Relay Messages For Specific Providers or take messages as necessary.

•Relay and relay and Route route Critical Messages To the On-Call Personal, Prioritizing Emergency Callscritical messages to on-call personnel by prioritizing emergency calls, paging individuals to inform of emergencies and utilizing call center tools to ensure the right person receives the right message at the right time. Again, we provide INBOUND customer support only - we are not a telemarketing center.

Eligibility Specialists/PCC Data Entry/Medical Coder

Coder September 2007 to March 2009

Santa Ynez Tribal Health Clinic,. 90 Via Juana Rd. Santa Ynez Ca. 93460. 805-***-****

•Educated CHS & Non-CHS patients eligibility and affordability optionss

Provided monthly reports to all department medical director, supervisors & management

•Covered shifts, breaks, meetings, and covered full shifts if needed forAssisted front & back staffoffice staff to maintain patient flow for providers/clinic

•Attended meetings/seminars to keep up with changes in all state & county programs

•Executed & managed all CHS referrals, attained pre-authorizations,, scheduled appointments, followed up on appointments

•Analyzed all medical records to determine the completeness of records in compliance with auditing requirements. Verified presents of all necessary reports, forms, and signatures. Enumerated and substantiated all diagnosis, treatments and therapies

•Compared PCC, super bill, and chart notes, to ensure the consistency of records that includes references to several diseases, various medical, diagnostic, therapeutic, and surgical procedures. Identified inconsistencies and or discrepancies among medical documentation and discussed it with appropriate staff member.

•Adjusted medical codes to reflect the resources used in the care of patient.

•Entered information from PCC records daily into RPMS for both dental and medical departments.

•Maintained confidentiality and security of all medical and dental records in accordance with privacy act, AAAHC & IHS policies and procedures.

•Monitored and recorded discrepancies from PCC record review, returned forms to providers for correction.

•Assisted auditing Team with compiling and retrieving medical records data for audits, performance improvement studies, research, patient care evaluation activities, reports and compliance.

•Participated in the updating of super-bills and staff training annually incorporating changes in ICD-9-CM, CPT & HCPCS codes

•Collaborated with Clinic Manager, Medical Director, Dental Director, Financial Services Manager, to improve billing and collection documentation and other processes throughout the Santa Ynez Tribal Health Clinic. Prepared and provided table one reports to the Fiscal Manager at the end of month.

• appointment, followed up on n-show referrals

Front Office Coordinator/PCC Data Entry/Medical Coder

September 2005 to September 2007

Santa Ynez Tribal Health Clinic, 90

Via Juana Rd 93460

90 Via Juana Rd Santa Ynez, CA. 93460 805-***-****

•Took inventory, ordered office supplies, maintained an organized supply room

•Maintained medical & dental files by implementing effective filing

•Supervised the front office staff made sure policies & procedures were being implemented

•Conducted interviews for new hires and also executed annually employee reviews

•Examined, corrected & submitted employee timecards

•Entered all new patient demographics into RPMS prior to first appointment

•Assisted front & back office for meetings, breaks, and filled in for open shifts as needed

•Blocked off Providers schedules to accommodate meetings, holidays, or requested time off in RPMS

•Verified daily cash with staff member in Am/Pm, also reconciled the credit card receipts, checks, & cash receipts, to daily ledger & super-bills

•Executed random & quarterly chart audits, checked documentation, signatures, ICD-9 codes, made sure all paperwork was complete and filed correctly

•Delegated tasks to front office staff to complete in between patients & during down

Medical time

Medical Assistant Back Office/Medical & Dental Receptionist September 2004 to September 2005

Santa Ynez Tribal Health Clinic,

90 Via Juana Rd Santa Ynez Ca. 93460 805-***-****

•Escorted patients to exam rooms, obtained patient vitals, medical history, chief complaint

•Performed EKG's & venipunctures

•Held certificates in NON-DOT & DOT drug screening

•Effectively disinfected rooms & equipment

•Efficiently restocked & organized exam rooms

•ImputedInputed all new patient demographics

•Answered heavy multi-lined phones, collected,u & distributed inbound/outbound messages/ relayed messages to appropriate phone calls to appropriate staff member in a timely manner member

•Collected self pay payments, co-pays, and & deductibles from patients

•Filed any and all documents pertaining to patient in the appropriate section in chart, filed charts alphabetically/numerically

•Called in patient prescriptions & refills as ordered by attending Physician Provider

•Sterilized (autoclaved) surgical instruments following CLIA

•Set up sterile & non-sterile fields for physician

•Assisted Physician with all medical procedures

X-Ray Technician/Medical Assistant

October 2002 to October 2004

TheThe Doctors Office Urgent-care,

CHCCC 1057 E. Grand Ave Arroyo Grande, Ca 934**-***** 805-***-****

•Executed Upon receiving order from Physician, executed X-Rays safely by correctly using shielding equipmeequipment /following guidelines nt following

•Escorted patients to room, administered medications (oral/injection/topical/sublingual per attending Physician

•Disinfected and restocked rooms

•Returned patient calls and addressed concerns.

•Placed splints, ortho-casts, arm slings, measured for crutches. Finger splints, and wrist splints

•Set up non- sterile and sterile fields for provider

•12 Lead EKG, EKG Monitor,

Supervised On Site Billing Department/

Managed Medical Billing Department /Medical Assistant/X-Ray Technician

October 1996 to October 2002

Med Stop Urgent-care,

283 Madonna Rd STE B, San Luis Obispo. CA 93405 805-***-****

•Researched bulling inquiries & resolved concerns

•Created effective operations to billing software cleaned up very old/past due accounts to match contracts, in which improved not only our billing accuracy, our accounts receivable doubled

•Hired, trained, and collaborated with billing staff on procedures, compliance requirements and collections techniques

Established and checked coding procedures, monitored reports and updated internal /external files

•Escorted patients to room, obtained vitals, medical history, chief complaint

Performed X-Rays upon Physicians request/ followed all

guidelines

•Collaborated with collection agencies on old and past due accounts.

•Collaborated with collections agency on very old & past due accounts

Education

Allan Hancock College, 800 South College, Santa Maria, ca. 93454

Certificate: CNA

Dr Santa Maria, CA 93454 805-***-****

Associates of

Certificate: Nursing Assistant (CNA)

Central California School of Continuing Education, 3195 McMillan

Ste FF San Luis Obispo, Ca, 93401 805-***-****

Permits: Chest, Torso-Skeletal, Extremities

,/Torso-skeletal /Extremities

Certificates:: Medical Assistant. CCMA, (CCMA)

Certificate: Venipuncture, EKG’s

Certificate: EKG’s

Santa Maria High School, 901 S. Broadway Santa Maria Ca. 93454. 805-***-****

Diploma: General Education



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