Customer Service Insurance

DIANNA CHACON

*** *. **** *** San Diego* CA.* ***13 * Hm 619-***-**** Cell 619-***-***** *****.******@***.***

I desire a professional position where I can utilize my skills in medical billing to contribute to the success of a team-orientated reputable company offering long term employment.

PROFESSIONAL QUALIFICATIONS

• detail-oriented

• 20+ yrs Healthcare Industry

• Strong team player

• Effective communication skills

• High work ethic

• Analytical problem solving

• Self starter requiring minimal supervision

• Committed to learning new skills

PROFESSIONAL SKILLS

• Bilingual Spanish/English

• Customer service

• Phone/written skills

• Medical Billing software knowledge

• Online status/insurance verification checking on claims

• A/R experience

• Vital works

• AS400

• MESTAMED

• IDX, STOLAS

• 10 key by touch

PROFESSIONAL EXPERIENCE:

DexCom Inc Feb 2010-Jun 2011

Reimbursement Specialist

• In/outbound calls

• Insurance companies including third parties

• Written correspondence including appeals on denials, patient accounts

• Quality Control on claims for errors

• Billing DME to commercial, private and third party payers

• Collections on patient accounts, insurance companies

• Adjustments and some refunds to patient accounts and insurance companies

• Working A/R

San Diego Physicians Managed Care Services Oct 2009-Feb 2010

Client Service Representative

• In bound calls from providers, insurance companies and patients

• Authorizations

• Claims follow up

• Eligibility

• Appeals

• Patient correspondence

Zotec Partners Feb 2008-Dec 2008

Reimbursement Representative

• In/outbound patient/insurance company calls

• Billing to Insurance including Secondary, Tertiary, some Medi/Medi rebilling

• HMO, PPO, Government, Manage Care and Self pay accounts

• Work Comp

• Collections

• Review/respond to patient correspondence

• Performed adjustments on accounts and processed denials

• Data Entry

• Insurance follow up on payment

Healthcare Management Partners AKA ZOTEC Feb 2006 thru Oct 2007

Patient Service Coordinator

• Customer service incoming/outgoing calls

• Insurance billing and follow up for payment

• Work comp billing/follow up/data entry

• HMO, PPO and Self pay accounts

• Processing denials via written correspondence

• Training new employees

San Diego Metropolitan Credit Union Sept 2005- Feb 2006

Collector

• Collections on auto, home loans, and self pay accounts

• Skip Tracing

• Customer correspondence

• Incoming/Outgoing customer calls

• Data Entry

Healthsouth/Us Healthworks Medical Group Aug 2000-April 2005

Patient Account Representative

• Employer Services/drug screens/breath/alcohol/physical accounts

• Worked Self pay accounts/work comp

• Collection and insurance follow up on insurance

• Correcting and rebilling claims/data entry

• Worked from an aging report to bring accounts receivable down

• Responded to all patient and insurance correspondence

• Training of new employees

G.C. Services Collection Agencies 1998-2000

Collector

• A/R/Self Pay Accounts/HMO/PPO/Work Comp/Third party/Tertiary

• Billing variety of insurances/follow up for payment/processed denials

• Responded to all correspondence/Skip Tracing/Credit Bureaus

• New employee training

Pacific Coast Collections Agencies 1993-1998

Collector Accounts Recievable Representative

• Worked A/R for clients Palomar Pomerado Hospital/Paradise Valley Hospital/

Hartsons Ambulance/Apria Healthcare

• Worked from a Que and an A/R

• Collect unpaid balances on HMO/PPO/Work Comp/Third party/Tertiary/Self Pay

• Follow up for payment/processed denials

• Pre certified insurance coverage

• Skip tracing and working credit bureaus

• New employee training

REFERENCES UPON REQUEST

Salary History

Dexcom 18.54/hr

San Diego Physicians Managed Care Services 16.50/hr

ZOTEC Health Partners 17.50/hr

Health Care Management / ZOTEC 16.75/hr

San Diego Metropolitan credit Union 15.50/hr

HealthSouth /US Healthworks Medical Group 14.00/hr

G.C.Services Collection Agencies. 13.50/hr

Pacific Coast Collections/Alliance One 12.50/hr

Contact this candidate