Customer Service Data Entry
Resume:
Zenaida Delgado
Jacksonville Florida 32256
***************@*********.***
Fluent in Spanish
Skills Tonic Health, Citrix Receiver, Experian, Next Bar,GE Centricity, Epic Care, HBO Star, PHS, Orbit, Care Manager, Health Quest,TPA, MS400, HMS Medhost, Standard register, Microsoft Word, Microsoft Excel,Direct Data Entry (DDE), QuickBooks and research on the internet.
In depth knowledge of medical terminology, ICD 10 and Current Procedural Terminology Codes.
Customer service, collections, adjustment, appeals and posted, central scheduling medical records, verification of benefits, pre-registration, registration of new patients, ER Patient, admission and outpatient. Complies with applicable governmental regulations such as HIPP (Health Information Portability and Accountability ACT 1996) AND EMTALA (Emergency Medical Treatment Active Labor Act.) Billing: Knowledgeable of hospital billing including Medicare, Medicaid, No-Fault, Work Compensation, HMO’s and Commercial Insurance. Experience
Mayo Clinic/Finance
Jacksonville Florida
December 2021-Present
Assisting in person patient’s with their financial clearance prior to, durning or their treatment period. Including co-pay, deductible, coding review, requests, co- insurance, third party eligibility and charity care application. Responsible for establishing payment plan and requesting estimates. Check in/out and scheduling patient appointment. Working w/q to review Pre-Service and Post Service Account for insurance verification, coordinator of benefits, contract patient cost sharing. Nicklaus Children’s Pediatric Specialist / Outpatient Registrar Palm Beach Gardens, Florida
January 2020 - December 2021
Greets patient and families in person or the telephone displaying excellent customer skills and responds to questions and/or problems. Keeps open lines of communication with patients and families. Check in/Check out, schedule or reschedule appointments Verify Insurance, collecting co-pay, self pay, deductibles Scans all documents in appropriate folder in Peds System Confirm appointment two days prior to visits
Staffing coverage at another site
C.L. Brumback Primary Care Clinics / Referral Clerk West Palm Beach, Florida
June 2014- November 2019
Schedule Appointments - specialist office, outreach program, diagnostic centers Monitored orders/procedures for primary care physician Customer Service (internal and External)
Obtained Authorizations number for Specialist Office Lakeside Medical Center / Insurance Verification
Bella Glad, Florida
May 2013-June 2014 (transfer to C.L. Brumback Clinic) Charge Posting - Room and Board and Vaccines
Inpatient/Outpatient Prior/Er Authorization Numbers ER/Outpatient Registration
Admission Registering (New Patient or Updated Information) Collection (Copay Deductible Self Pay)
Insurance Verification
PBX Operator for Hospital
Florida Electrophysiology Associates / Office Manager Atlantis, Florida
February 2010 - May 2012
Created a daily error report for coding and insurance issues to ensure clean claim are sent and payments will not be delayed. The reduced our AR Days, reduced our denials and improved our timeless of collections. Planned and prepared schedules for employees and Physicians determining Optimal productivity based on hospital versus clinic time. There are nine employee Directly reporting to me.
Review and approved supply requisitions, liaison with hospital, vendors, managed care company and other agencies.
Implemented daily reconciliation of copayment and deductibles and ensured all Postings are correct and completed.
Recruit, orient and train for all office staff functions. Provide on the job and other Training opportunities. Supervise staff and provide constructive improvement feedback and perform annual staff evaluations. Significantly reduced turnover And increased morale.
Integral to the evaluation of adding Blue Cross to our managed contracts and performing due diligence in locating and negotiating our move to new location. Fortis Institute / Medical Coding and Billing
Palm Springs, Florida
January 2009 -May 2011 (Per Diem)
Provide quality academic instruction for students on Medical Billing and Coding and other clinic functions.
Ensure that each student in the classroom has enjoyable, productive, challenging and meaningful experience in class. Maintained very high successful graduation rates.
Develops and present lesson plans including project requirement and evaluation results. Prepare program reports to students and Directors Cleveland Clinic / Office Coordinator/Registration 525 Okeechobee Blvd 14 Floor
West Palm Beach Florida 33401
September 2008 to May 2010
Main and monitor the flow of front end registration procedures in a very busy 10 physician multi care specialty. Solve patient issues professionally, timely and provide excellent patient care. Worked independently while carrying out job responsibilities with minimal supervision. Verifies and updated patient demographics, insurance verification and identifies patient referral or authorization requirements. Interact with patients, physicians and office members in a highly professional manner. Bethesda Memorial Hospital / Supervisor of ER Registration 2815 South Seacrest Blvd
Boynton Beach Florida 33435
June 2005 to September 2008
Increased overall cash collection by 50% within one year by establishing targets and reorganizing staff processes. Supervised 19 Registration staff members in 24-hours Emergency Room, Hired, trained, motivated, scheduled and performed employee performance evaluations. Transformed department to a highly effective customer focused with results oriented outcome. Facilitated communication between registration and ED Nursing and Physicians building better working relationships. Back up for registration when needed, follows on authorization and insurance verification for admissions.
Holy Cross Hospital / Supervisor of Registration
4725 North Federal Highway
Fort Lauderdale Florida 33308
July 2000 to June 2005
Responsible for the operation and fiscal management of multi areas including admitting, bed placement, ambulatory registration, emergency room registration, cashier, quality control, financial counselors and obstetrics patient’s. Implemented cross training in all registration areas, which enabled the department to withstand increased volume without increasing FTE’s. Developed a training program for all staff with annual certification leading to a 25% decrease in registration errors. Reduced ER check in time by 50% after reorganizing the process. Responsibilities within Patient Financial Services include: All Financial Processes associated with the admission function. Liaison to Medical Records and Finance to ensure compliance and revenue maximization. Integral leadership role of the Revenue Integrity Group. Oversees Cashier and performs daily recap all transactions for accounting.
Florida Medical Center / Supervisor of Registration 5000 West Okland Park Blvd
Lauderdale Lakes Florida 33313
1999 - July 2000 Supervisor
May 1989 - 1998 Registrar
Responsibilities included the over all operations of Emergency Room, Outpatient, Admitting, Insurance Verification, Pre-Registration while establishing a high performing daily function from the front end registration process to the final outcome of the collection of all monies. Billing knowledgeable of hospital billing including medicare, medicaid, no-fault, work compensation, Hmo’s and commercial insurance. Registrar - Registration patient’s in Emergency Room and cross train to work in admitting and outpatient with insurance verification and obtain authorization numbers for admission.
Certifications
Certified Healthcare Access Associate - Naham 2014 Member of AAPC 2014
Certified Medicaid for Florida Department of Children and Families 2014 Certified In Person Assistance Personnel 2015 Marketplace Charities
Make A Wish / Wish Granter
2009 - Present
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