Customer Service
Resume:
Marina Guzman
Austin Texas ****8
Phone: 512-***-****
Email: adtbuv@r.postjobfree.com
OBJECTIVE:
To obtain a position which maximizes my team leading experience, guiding by example and utilizing vast experience in directing a team towards its deadlines and thus achieving company goals.
SUMMARY OF QUALIFICATIONS:
●Team Leadership
●Proficient in EMR front desk medical office management/training for large, busy surgery centers- HCA
●Bilingual- Medical Terminology/ Assisting with translating
●Surgery scheduling, verification of benefits, posting payments
●Collector
●Great communicator with excellent organizational, time management, and follow through skills.
PROFESSIONAL EXPERIENCE
St. David’s HCA- Surgicare of South Austin January 2013-
Senior Lead Business Office Representative
●Earned leadership status by setting inspirational goals and setting examples for our team to perform and produce their best
●Team members come to me for problem solving or solutions
●Fill in for Director in her absence
●Prepare weekly and monthly deposits
●Manage reconciliation of daily reports
●Billing oversight
●Train incoming interns
●Correspond with Regional Business Office Manager about Insurance Contracts
●Correspond with Regional Insurance Managers
●Collect all information necessary to prepare insurance claims and bill within timely filing both paper and electronic filing
●Handles physicians issues i.e.: Dictation, Referrals, Authorizations
●Great rapport with Physicians
●Interpret Explanation of Benefits
●Post all payments from Insurances/ patients/ lockbox
●Responsible for Correspondence from Insurance requests
●Assist Anesthesia with missing Demographic information and payment
●Prepare appeals for denied claims
●Obtain Authorizations
●Understand insurance guidelines including Medicare and other government, private pay and managed-care plans
●Knowledgeable in medical terminology ICD-10/ HCPCS/ CPT CODES
●Surgery scheduling, Insurance verification, Refund Request, Medical Records
●Weekly and Month End Reports- Send to Corporate
●Provide support when needed and cover when peers are out
●Screen patients for Financial Assistance
CTOA/ Woman Partners in Health June 2010- January 2013
Team Lead Front office/ Surgery Scheduler
●Coordinating the scheduling of all surgeries for 8 Doctors
●Checking in / out 175 average patients daily.
●Collecting payment at check-in and over the phone for prior balances
●Maintain EMR Records, Scheduling packets and computer schedules.
●Faxing orders to the appropriate facilities.
●Obtain Authorizations / Pre Certs. / Insurance Verification.
●Coordinate Assisting Physicians surgeries
●Perform other duties or functions as assigned.
●Follow up with charge posting, patient collections
●Correcting CPT/ICD-9 coding for billing.
●Prioritizing Surgeries
Texas Cardiovascular Co., Austin Texas July 2007 - 2010
Medical Receptionist
●Manage a medical front desk in areas of manual and computerized scheduling, billing, training, and medical/insurance records management, including major carriers Medicare and Medicaid.
●Process an average of 300 patients on a weekly basis for a fast-paced specialist practice.
●Maintain open lines of communication between patients, physician, staff, and laboratory personnel.
●Respond to priority issues to ensure the prompt referral of urgently needed medical care.
●Travel to outlying clinics with physicians and medical staff twice a week.
●Collecting/posting patient payments at close of day.
●Obtain medical records from physicians prior to appointments.
●Interfaced directly with a diverse population of patients, responding to various inquiries and concerns.
Austin Gastroenterology, Austin Texas August 2006- June 2007
Front Office/ Phone Operator
●Scheduled incoming calls and triaged to nurse or physician.
●Processed patient's' medical insurance information quickly and accurately.
●Prepared Charts for next day appointments including medical records requests.
●Multi-phone line use
EDUCATION
●ACC, Austin Texas
Undergraduate, August 2008
●Southern Careers Institute, Austin Texas
Administrative/ Medical Billing- Certificate, May 2005
●Crockett High School, Austin Texas
Diploma, May 2003
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