Customer service representative,medical records

Josefina Miranda

Objective:

Seeking challenging position where I may utilize my abilities, and education. I am looking forward to the opportunity with a professional growth and development. Good judgments, take charge.

Work Experience:

University of Miami - Miami, FL 2/2013-present

● CIV- Central Insurance Verifier & Authorization Specialist

● Verification of insurance benefits as well as coding and billing

● Obtain prior authorizations, referrals, precertification, medical records

● Responsible for patient’s account receivable and payables Baptist Health South . - Miami, FL 2004 – 2/2013

Billing and Coding Dept. & Authorization Specialist

● Verification of insurance benefits as well as coding and billing

● Obtain prior authorizations, referrals, precertification, medical records, scheduling coordinator,etc…

● Specialized in EOB denials and Appeals process, collection

● Responsible for patient’s account receivable and payables

● Maintain patient records current and following all HIPAA requirements Albion – Medical Staffing - Miami, FL 2003- 2005

● Front desk, Customer Service, coordinated appointments,

● Verification of insurance, obtained referrals, scheduling coordinator

● Assisted with coding and the medical records for each patient Aztec Medical Systems – Humana - Miami, FL 2002 - 2002

● Assistant Administrator, handling of all patient appointments, cancellations

● Customer service, assist with walk in patients or via phone, claims entry,

● Assuring all information be obtained from other medical offices, insurance Town & Country Medical Center - Miami, FL 1996 - 2002

● Front desk, customer service, in person and via telephone,

● Obtained referrals and verified insurance coverage, medical records

● Maintained all medical records in order and organized Education:

Everest Institute – Kendall Campus - Miami, Florida 2009 – 2010 Medical insurance Billing & Coding – Program

● Academic Honors

● ICD-9 /ICD 10 CPT, HCPCS, HIPAA & OSHA Certified

● Medical Management System (Medisoft version 14, Claim Gear) Hemet Adult High School - Miami, Florida 06/1990 – 06/1994

● High School Diploma

581 Lanier st.

92543

Hemet CA

SKILLS

● Fluent in English and Spanish (read & write)

● Microsoft Office - Word, Excel, Power Point, Type 35 wpm, Organized, Team Player

● Dependable, reliable, self motivated, minimal supervision required

● ICD-9 /ICD 10 CPT, HCPCS, HIPAA & OSHA

References: Shall be furnished upon request

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