Customer Service Medical Records

IA

ISELA AGUILAR

*****.*******@*****.*** 619-***-****

Medical office operations expert with a focus on billing and insurance verification. Proficient in electronic medical records management and patient registration, leading to improved workflow efficiency. Bilingual in English and Spanish, facilitating effective communication with diverse patient populations. Experienced in ICD-9 coding and regulatory compliance, ensuring operational standards are met. Bilingual English and Spanish

Billing and insurance verification

Medical coding and ICD-9

Medical office procedures

Office equipment operation

Microsoft Office proficiency

Telephone management

Document editing and creation

Team collaboration

Accountability and responsibility

Electronic medical records management

Patient registration processes

Interpersonal communication skills

Data protection and confidentiality

Data entry and management

Customer service

Regulatory compliance knowledge

Workflow planning strategies

Critical thinking skills

Office correspondence

Sharp Health Care Chula Vista, USA

Secretary / Outpatient Infusion Center

11/2022 - Current

Address customer service requests and issues on daily basis; communicate with customers and resolved 99% issues with services including referrals, appointments and authorizations

Attain daily tasks including billing, and communication with nurses, physicians and other team members to reach the department goals such as productivity, and financial goals

Establish orders and physician prescriptions by checking unit dose medication for quantity and, verifying transcriptions of medication orders, Overseeing authorization process to prevent 10 adverse drug reactions Verify insurance information for over 150+ patients weekly, arranging referrals and manage diagnostic testing at local lab. Ensure adherence to HIPPA guidelines seeking patients signatures on necessary paperwork Conduct patient's insurance eligibility, accelerated registration process in over 150+ patients weekly. Ensuring protection of confidential information Document daily reports ensuring all physician agreements are signed and physicians are covered by infusion department

Schedule patient appointments, procuring accurate demographic information for correct registration at community hospital; prepared charts on health history, allergies and insurance of more than 400+ patients, ensuring completion of forms

Sharp Health Care San Diego, USA

Human Resources Administrative

Assistant

Executed Human Resources and general administrative collaboration for the Employee Occupational Health Department. Collaborate with Summary

Skills

Experience

08/2019 - 11/2022 physicians, nurses, volunteers, and patients. Report to Licensed Vocational Nurse (LVN)

Trained and hired over 50+ newly hired employees, listing new hire paperwork into central database, validated data entry, achieving employment paperwork 2 weeks before scheduled timeline Attained administrative duties including records management and scheduling staff meetings; undertook procurement, storage and distribution of supplies to assist the office with 20+ employees Utilized health management software for patient management and documentation, identifying new programs to improve patient outcomes; monitored network operations and associated compliance with local and state laws in 5 member team

Handled inbound customer service requests and issues on daily basis; communicated with customers making sure to excel in customer service standards

Protected operations in a 5 member Medical admin team, keeping claims information, confidential; maintained up to date medical documentation, including claimant, physician, employer, and hospital details Performed other general clerical duties, screening and directing phone calls, printing and distributing daily critical reports for nurse practitioner Sharp Health Care Chula Vista, USA

Emergency Department Unit Clerk

01/2013 - 08/2019

Supervised daily operations within the medical office to facilitate service delivery in collaboration with physicians and department team members. Collaborated with patient admission, discharges, and transfers Conducted administrative support for over 25+ Emergency staff workers daily. Nurses and physicians assisting with all the necessary phone calls, paperwork and transportation

Processed credit card payments. Prepared monthly reports. Reviewed finance & billing (review of patient's financial responsibility) upon admission received & processed copay, printing, and filing receipts Listed medical information into Electronic Medical(EMR) directed batch scanning and quality checks. updated over 150+ patients documents utilizing computerized information systems

Performed and solved a variety of issues regarding technology maintenance, office equipment, parking, and access and kept track of all records with 100% accuracy

Managed and documented all the 5150 holds/transfers, trauma transfers, children's and /or / children trauma transfers, paperwork Enrolled over 50+ daily medical records (retrieving diagnostic studies, lab results, and patient information per doctor's orders) Registered over 50+ patient data management daily through transcription, order entry, and documentation

Purdue University Global West Lafayette, Indiana Medical Billing/Coding

03/2025

National Healthcareer Association

Certification

03/2025

University of Phoenix Arizona City, AZ

Bachelor of Science in Healthcare Administration

Education

05/2013

Certified Billing and Coding Specialist (CBCS) certification Spanish:

Professional

www.linkedin.com/in/ ideal-aguilar-588537241

References available upon request.

Certifications

Languages

Websites, Portfolios, Profiles

References

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