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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE NUMBER AVAILABLEEMAIL AVAILABLEPROFESSIONAL PROFILEMotivated and customer service oriented professional with a strong understanding of the importance of accurate claims processing. Adept at shifting priorities and bringing flexibility to dynamic situations. Follows policies, procedures, and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.Bilingual Fluent in English and Spanish.Well organized; completes tasks on time.Strong written, verbal, and interpersonal skills for effective communication and documentation.Microsoft Word, Excel, and PowerPoint; Typing Speed: 44 WPM.Possesses 10+ years of cross-functional relevant experience.CORE QUALIFICATIONSInpatient / Facility Outpatient / Physician Fee Schedules Reimbursement MethodologiesAnatomy & Physiology Medical Office Procedures Practice Management Medical TerminologyMedical Coding Medical Billing Co-Payments EOBs SchedulingIntroduction to ICD-10 CPT HCPCS ICD-9-CMWorkers Compensation Third Party Payers Government Payers Managed Care (HMO, PPO, POS)Insurance Claim Processing Insurance Billing Procedures Insurance VerificationRevenue Cycle Management Payment Posting ICD-9 ICD-10Greenway Prime Suite EHR Electronic Medical Records (EMR) Electronic Health Records (EHR)HIPAA Compliance Deductibles Co-Payments Tricare CMS 1450 (UB-04) CMS 1500Centers for Medicare and MedicaidEDUCATION & CERTIFICATIONUltimate Medical AcademyAssociate of Science Degree Medical Billing and Coding, 2019Kapland CollegeCertificate of Completion: Dental Assistant, 2010CPR Fundamentals & ConceptsFirst Aid and CPR Certified (#PHONE NUMBER AVAILABLERELEVANT EXPERIENCEFull Time Student / Stay At Home Parent San Antonio, TX 01/2013 PresentAdopted 3 children; schedule and attend doctors appointments.Provide sound resolutions to developmental health issues (Neurologist, GI, Pulmonologist).Work closely with Child Protective Services.Schedule and conduct meetings with biological parents.Set meetings and conferences with CPS and case workers and attend court hearings and trials.Prepare nutritious meals and snacks and assist with educational activities and therapy and speech development.Utilize machinery and feeding pumps and acquire assistance from private duty nurses.Maintain records and documentation of the adopted twins behaviors, health, and development.Develop, manage, and maintain a budget effectively.M&M Orthodontics San Antonio, TX 10/2011 12/2012Accounts PayableVerified Insurance, processed insurance claims, and verified correct billing codesConfirmed new contracts and handled all self pay patients in all 5 offices.Made deposits by Teller-Scanner and assured that accounts balanced (checks, cash, credit cards) in all 5 offices.Processed refund requests and corrected discrepancies with accounts.Assisted with end-month closing and approved all invoices and check requests.Processed and entered 200 300 invoices per week and followed up on rush items.Maintained all accounts payable files and created contracts for new patients.M&M Orthodontics San Antonio, TX 08/2010 10/2011Dental AssistantTook patient x-rays and prepared patients with fitting molar band, bite block, head gear, and placing brackets.Instructed patients and parents on proper oral hygiene before and after braces.Accepted incoming calls from patients and made outbound calls to patients, insurance companies, and 3rd parties.Scheduled appointments and set up and verified insurances for clients.Pulled patients files and filed records accordingly.Retrieved and sorted mail and documentation.Performed front office clerical duties and handled referrals for clients.BCFS Health and Human Services San Antonio, TX 09/2006 09/2010Assistant to the Executive Director of Regional ServicesObtained new contracts with Texas Department of Family and Protective Services for Federal ICS in Harlingen and California.Maintained current contracts for Basic Care, Emergency Care, and Foster Care and obtained a new contract with the National School Lunch Program for the ICS in San Antonio an Harlingen, Texas.Processed Employee Payroll for 40 employees.Processed time off requests and forms and entered proper PTO used.Maintained accurate PTO time, sick time, and holiday pay.Processed invoices and paid vendors such as HEB, Wal-Mart, Office Max, Quill.Purchased and ordered all office supplies.Prepared and handled mileage reports and petty cash reimbursements for Director and staff.Coordinated events for clients and donors.Attended The Woman's Auxiliary meetings Hosted tour of the campus and raised donations for client outings, graduations, proms, and Thanksgiving and Christmas events.Accepted donations and contributions for youth clients in the childrens home.Organized and maintained files and records according to licensing standards.Planned and scheduled meetings and appointments.Managed projects and conducted research.Made travel arrangements for Director including flights, hotel, and car rental.Flew to Harlingen, Texas to do employee, client, menu, and training audits.Prepared trainings for staff and new Foster Parents.Law Office of Ron Rangel San Antonio, TX 10/2002 05/2005Legal AssistantAssisted the lawyers and other legal professionals by composing legal papers such as briefs, motions, and subpoenas.Prepared Case Motions and filed them with the court.Requested court dates, prepared billing, and collected payments using Prodoc Software.Sorted and distributed incoming mail, answered phones, and scheduled appointments.Maintained client records; dealt with criminal, family, personal injury, bankruptcy, and traffic violation cases.Visited clients and traveled with attorneys for cases before court trials. |
