Patient Services & Billing Specialist

Johana Arteaga

*********************@*****.***

909-***-**** Ontario CA

Summary:

Solid background in Customer/ Patient Services, with strong intellectual skills in administrative knowledge. Consistently exceeding Customer/ Patient’s 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:

22nd Technologies Inc- for City of Hope Apr 25 – Present

• Greet and receive patients in friendly matter

• Consult chart initial prep of records

• Registration new patient

• Interact with patients, family members and the public and the public courteously and according to COH standards.

• Insurance verification first of month (Medicare & Medical) & eligibility

• New Patient packet prep

• Estimate prep

• General consent & MSQP on treatment patients

• Scheduling consult, telephone, tele-video, & follow ups

• Checking patients in and out

• Authorization for follow ups

• Solarity scanning & Aria scanning

• Rad Tx card check in card prep

• Fall risk- First point of contact

• Phones

• Monitor WQ’s 3077,3465,& 3175

• Clinical prep of all follows up

• Uploading CD images

• Provided Excellent patient services

Here is my daily task that needs to be completed daily.

Radiation Oncology Front Desk

Opening Tasks:

Open Epic, Aria, Email & Teams chat

Print registration forms

Prepare Medicare estimates

Check voicemail

Take out Aria & Solarity folders

Take out blue M-F folders

Double check DAR that all appts have referrals attached

Double check ‘Fall Risk’ flag is added to patient registration in Aria

Daily Tasks:

Check in basket messages

Solarity scanning

Schedule 1 month follow ups for patient completing treatment

Schedule consults/follow ups/tele-visits from WQ 3175

Complete incomplete orders from WQ 3077

Check WQ 3463 to ensure unauthorized orders are being submitted

Call patients from WQ 3465 to ensure patients are completing outgoing orders

Mail orders to patients

Mail appt reminders to patients

Answer phones

Chart prep

Gather new patient medical records

Schedule new patients

Scan consents into Aria throughout the day

Upload imaging discs

Check status on pending authorizations

Closing Tasks:

Complete all document scanning

Put away Aria & Solarity folders

Put away blue M-F folders

Attach referrals to appts on the Dar

Empty the recycle bin

Check voicemail

Lock cabinets

Print labels for check in cards

Kimco Staffing - onsite 3-month assignment Oct24 - Jan25

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 Jan24 - Apr24

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 authorizations

• 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.

• 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 update status, completing assignments 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 Oct 22 - Sept 23

PFC IVS

• Daily task: Check email for daily work assignments, new updates on insurance policies, EPIC updates, and work policies. Contacted insurance carriers to obtain authorization and referral approvals for services and procedures.

• Research medical profiles 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 insurance, 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

References:

Upon request.

Contact this candidate