Customer Service Medical Billing

YANILSA CANOVA

Staten Island, NY *****

201-***-**** *************@*****.***

PROESSIONAL PROFILE

Customer service oriented professional, able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain patient privacy and confidentiality.

Attention to detail needed to maintain high levels of accuracy.

Manage time and priorities to submit timely documentation.

Communicate effectively to promote a positive work environment.

Bilingual – Fluent in English and Spanish.

Communication Platforms – Zoom, Skype, Google Meet, and MS Teams.

Microsoft Office Applications – Word, Excel, Outlook, and PowerPoint Type 90 WPM. KEY QUALIFICATIONS

Medical Billing Accounts Receivable Collections Co-Pay Deductibles Co-Insurance EOBs Revenue Cycle Management Posting Payments Government (Medicare & Medicaid) Third Party Payers Electronic Health Records (EHR) Electronic Medical Records (EMR) Managed Care (HMO, PPO, and POS) Workers Compensation Insurance Verification Insurance Claim Processing CMS 1500 CMS 1450 (UB-04) Front Office Operations Medical Office Procedures Scheduling Medical Terminology Anatomy & Physiology HIPAA Compliance Medical Coding (ICD-10, HCPCS, CPT) EDUCATION / PROFESSIONAL DEVELOPMENT

Ultimate Medical Academy Associate of Science Degree – Medical Billing and Coding, 2024 Ultimate Medical Academy HIPAA Essentials for Healthcare Professionals Certificate Branford Hall Career Institute Medical Assistant, 2018 WORK EXPERIENCE

Alorica – Remote 06/2024 – Present

Customer Care Representative

Assisting doctors and insurance companies with account management, billing inquiries, service-related concerns to ensure a positive experience.

Utilize COMPASS to locate member accounts, review payments, benefits, and deductibles, while ensuring HIPAA compliance.

Manage time-sensitive inbound / outbound calls in ALORICA CONNECTS by documenting denial claims, prescription refills, shipments updates, and prescription coding explanations.

Proactively navigating SOURCE to stay updated on company guidelines and solutions during live call scenarios.

Work independently in a team environment, by collaborating with team members to troubleshoot complex issues and to meet company performance metrics.

Angelina’s Restaurant – Staten Island, NY 11/2023 – 06/2024

Server / Customer Service

Took food and drink orders, served meals, operated cash register, and processed payments.

Stayed familiar with menu items, advised patrons of specials, and answered questions.

Collaborated with other staff members to provide excellent customer service.

Maintained a clean and safe environment by following health and safety guidelines.

Perform closing duties with acute detail, ensuring the store is prepared for the next business day. Provident Bank – Newark, NJ 03/2017 – 09/2018

Bank Teller / Customer Service

Processed transactions accurately and efficiently in accordance with established policies and procedures.

Identified customer needs and answered questions pertaining to financial products and services.

Conducted daily transactions and maintained the drawer balance of cash, checks and deposits.

Proactively acted and followed up to ensure timely and efficient resolution of issues.

Provided quality customer service, followed procedures, and handled confidential information. Served as a Volunteer at Children’s Hospital of New Jersey

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