Revenue Cycle Medical Records

Jacqueline Canales

Personal Info

Address: ***** *. ******** **, ******* 77073

Phone: 310-***-****

email: ***************@*****.***

Work Experience

October 2021 - February 2025 Emergency Hospital Systems, LLC - Spring, TX Revenue Cycle Manager

As the manager of the Revenue Cycle department for a network of multiple hospitals my duties included, but were not limited to, patient service calls, fulfilling medical records request, dictating appropriate responsibilities and approving timecards for co-workers, handling communications between the organization and a large variety of both Gov- ernmental and Private insurance companies as well as law firms specializing in patient healthcare cases. I was also responsible for daily revenue monitoring and the posting of daily revenue collected for services rendered at all facilities. I posses an excellent under- standing and fulfillment of daily organizational tasks for all stages of the Revenue Cycle, from the initial filing of outgoing claims to the final stages of collection of payment for services rendered.

March 2019 - September 2019 Crest SSD - Houston, TX Case Manager

Duties Included: Assisting Disabled clients apply for Social Security Disability Benefits, Fee Petitions, Appeals, Completing SSA forms, Communicating with SSA and DDS offices to gather claim status and provide medical updates, Inbound and Outbound calls to clients, Submitting Medical Source Statements to the SSA office, communications be- tween clients, and faxing treatment updates to the SSA & DDS offices. Meddata - Spring, TX

July 2015 - February 2019 Advocate

Offsite: Corporate office Duties Included: Screened uninsured patients, fill out Medicaid, Aged and Disabled, SSI applications for patients that qualified for Government programs, clean up reports, follow up with accounts, insurance verification, Outbound and inbound calls, scheduled appointments, inputting data.

Onsite: Memorial Herman Memorial city Hospital ER department screened uninsured patient in their rooms, completed financial applications if the patient was not eligible for any government programs. Completed Medicaid, SSI applications for patients that qualified for Government programs, Inbound and Outbound calls, scheduled appoint- ments. Collected proper documents from patients, inputting data in the hospital system and Mpower.

February 2009 - July 2015 Orkin - Houston, TX

Administrative Specialist

Duties included: Accounts Receivable, Accounts Payable, Payment processing, inputting data in computer system, filing and pulling charts, answering phones, scheduling ap- pointments, inventory, payroll, timecards, Invoices, Deposits. February 2008 - February 2009 Bank of America - Houston, TX Teller

Duties included: Cash handling, referrals, Night drop, processing transactions. March 2005- June 2006 Gardena Professional Pharmacy - Gardena, CA Pharmacy Clerk

Duties included: customer service, filing, answering phones, cash handling, filing pre- scriptions, counting and pouring medications, stocking medications, pulling and return- ing medicine, and giving medications to patients.

January 2005- March 2005 Dr. Baez - Gardena, CA

Receptionist

Duties included: updating patient charts, verifying eligibility of health insurance, pulling charts, answering phones.

August 2004- September 2004 Los Angeles Air Force Base - El Segundo, CA Pharmacy Technician Externship

Duties included: filling prescriptions, counting and pouring medications, stocking med- ications, pulling and returning medicine, and giving medications to patients. March 2004- August 2004 Page Kit Wireless - Hawthorne, CA Cell Phone Sales Representative

Duties included: Customer service, cash handling, provided product knowledge to cus- tomer prior to purchase and other general duties, activating cell phones. Education and Certifications

May 2023 Certified Outpatient Revenue Cycle Manager American Institute of Healthcare Compliance (AIHC) https://aihc-assn.org

May 2023 Certified Outpatient Clinical Appeals Specialist American Institute of Healthcare Compliance (AIHC) https://aihc-assn.org

January 2010- January 2012 Business Office Management Degree Remington College Houston, TX

September 2003 - July 2004 Pharmacy Technician Diploma Bryman College Torrence, CA

September 1999 - June 2003 High School Diploma

Lawndale High School Lawndale, CA

Languages

English: Fluent

Spanish: Fluent

Skills

Excellent Knowledge of:

• Revenue Cycle Management

• General Phone Systems

• Scheduling

• Invoicing

• Accounts Receivable & Accounts Payable

• Quickbooks

• Insurance Verifcation and Eligiblity Reports

• Revenue Management

• Microsoft Office Programs (Excel, Word, Powerpoint, etc)

• Claims Filing

• Data Analysis and Input to localized management systems

• Payment Processing

• Communications between patients, insurance companies, and hospitals Interests and Activities

Reading, outdoor walks, cooking, spending time with family. References

• Paola Marquez 310-***-****

• Jose Escobar 631-***-****

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