Data Entry Patient Services
Resume:
Johana Arteaga
*********************@*****.***
Ontario CA
Summary:
Solid background in Customer/ Patient Services, with strong intellectual skills in administrative knowledge.Consistently exceeding Customer/ Patients needs. Experienced in handling multiple accounts and Hospital specialty offices. Ability to work independently or as a team. In search of a Successful Company or Corp where I can excel my experience.
• Accomplished Patient Registration Representative who comes with extensive experience in Billing and Invoices.
• Remarkable experience in reviewing invoices and dynamic records to ensure billing accuracy and send invoices.
• Extensive experience in handling and resolving inquiries regarding billing problems, Invoices and disputes and kept spreadsheets for recon- ciliation purposes.
• Proficient in ensuring accurate billing of customers and handling billing problems and disputes. Education
• GED
Work Experience:
Kimco Staffing -(onsite 3 month assignment) Oct’24 to Jan’25 Data Entry
• Create spreadsheets to track important customer information and orders.
• Transfer data from hard copy to a digital database.
• Update customer information in a database.
• Organize existing data in a spreadsheet.
• Verify outdated data and make any necessary changes to records.
• Operate common office equipment, like scanners and printers.
• Search for and investigate information contained in files.
• Perform regular database backups to secure data.
• Input text-based and numerical information from source documents.
• Provide occasional administrative support
• Sort and organize hard copies of paperwork after entering data electronically.
• Review data for deficiencies or errors.
• Assist with special projects that require large amounts of data entry.
• Provide data entry support across departments on an ad-hoc basis.
• Type in data quickly and efficiently.
• Updated 350 SSOP’s along with Updating pictures for SSOPs HealthCare Support Staffing - (Remote 3 month assignment) Jan’24 to Apr’24 Patient Coordinator II
• Prepared and processed invoices and SAP for high profile projects.
• Communicated with clients’ members and other departments resolving issues and providing clarification.
• Coordinated consultation and vendor invoicing processing.
• Patient financial services
• Eligibility, authorizations, denials, (Delegated work faxes to proper departments) Prior auths
• Data entry & follow ups (email & phone)
• Knowledgeable in Medicare, medical, Tricare, TriWest, trieast, health net, Workers Comp, Blue cross, blue shield, AARP and a lot more.
• Systems: Epic, Careradius, Doma, Avatar, Microsoft office - Excel, word & PowerPoint
• Reporting activities related to pertinent processes.
• Handling utility and other bills swiftly.
• Ensuring accurate billing of customers.
• Handling billing problems and disputes.
• Liaising with various parties to gather and share relevant information.
• Making required adjustments to customer accounts.
• Improving and redesigning processes.
• Maintaining records and documentation.
• Maintaining confidentiality of information.
• My daily workday consisted of checking emails for updates, calling Beneficiary to updated on status, completing assignment that were assigned to me for data entry, & PFC (over 200 members daily), making sure beneficiaries’ insurance was up to date, updating info if it was changed, termed or self-pay options.
• Maintain documentation and records proficiently to ensure correctness and promptness of deliverables.
• Handled and resolved inquiries regarding billing problems and disputes and kept spreadsheets for recon- ciliation purposes.
• Ensure success I needed to be focused and stay up to date with my work duties such as proficient time- management skills and can multitask with interruptions in a dynamic environment. Stanford Health Care, Stanford, CA (remote) October 2022 - September 2023 PFC IVS
• Daily task: Check email for daily work assignment, new updates on insurance policies, EPIC updates, and work polices. Contacted insurance carriers to obtain authorization and referral approvals for services and procedures.
• Research medical profile to gather information and substantiate medical codes for procedures required by insurance carriers.
• Daily quota of 130 insurances verified per day met on daily basis.
• Execute the sap invoice run and process all invoices for mail or email distribution.
• Valence troubleshooting and correcting invoicing issues.
• Payment processing claim submission.
• Created claims and billed payers for reimbursement of their services.
• Analyzed all billing procedures and identified opportunities for improvement.
• Insured clients’ billing accounts are set up correctly and according to their requirements.
• Reviewed invoices and dynamic records to ensure billing accuracy.
• Prepared issued and sent out invoices.
• Obtained information from patients to verify insurance coverage and financial status for upcoming appts.
• Utilized a variety of systems to analyze insurance and demographic information responses to request for account information.
• Systems used: EPIC, SAP, Availity, Noridian, Cisco finesse, Jabber, Snipping tool, One source, BSBC, Cobra, Workers comp. Loma Linda University Health - Loma Linda, CA December 2018 - June 2022 Patient Registration Representative
• Reviewed invoices and dynamic records to ensure billing accuracy.
• Prepared issued and sent invoices.
• Responsible for answering incoming calls for the Access Center to provide a variety of services such as:
• Coordinated the scheduling, pre-registration, and insurance eligibility for both hospital and physician practice services.
• Assisted callers by explaining insurance eligibility status and plan benefits, assigns appropriate referral and authorization based on insurance requirements, and provides all relevant instructions for scheduled appointments.
• Relayed requests and symptoms to clinical staff via appropriate communication tools to ensure the caller gets the care they need.
• Provided general caller transfers and registration for a variety of classes, programs and events, physician to physician communication, public information for LLUH marketing lead initiatives, physician referral services and point of service collections.
• Maintain customer records by updating account information, follow up on outstanding invoices, and perform various administrative duties as assigned.
• Conducted data entry, Payroll, downloads, and Printed Invoices.
• Experienced with various insurance: (managed care, Medi-Cal, Medicare, commercial insurances, and California Children's Services) computer, printer, and software programs Outlook, Epic, Jabber.
• Experienced in: Family Medicine, Geriatricians, Sports Medicine, Adult Cardiology, Cardiothoracic Surgery, Vascular Surgery, Neurology, Workers’ comp, Patient relations, Marketing & Referrals.
Contact this candidate