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PHONE NUMBER AVAILABLEEMAIL AVAILABLEOBJECTIVETo secure a position with a stable and profitableorganization, where I can be a member of a team and utilize my business experience to the fullest.SKILLSMedicaid and Medicare Process.Payment Processed.Patients Assisments.Case Managment.Medical Office Adm.Bilingual (Spanish)Financial ReportingChronic Disease ManagementPayment Collection .EMR/EHRPatient SchedulingDME Billing, Coding and Case Managment.Member of AAPC.Audit ProcedureCoding ExperienceE/MFQHCEpic, Eprimis,Athenas, Intergy, DME, Etc.Case managmentCandidate's Name
Harrisburg,PAEXPERIENCERandstand 02/2023 - 12/2023Case ManagerCase Management of point of contact between the applicant and the program participating in the homeowner assistance program.evaluate and verify the application ensuring that all required documents are correct and complete notify applicant if they need to send additional documents or if their application is complete maintain communication with applicant if more information is needed update application etc.Visual Language Solutiions September 2012 -PresentMedical InterpretationProfessional medical interpretation and translation services attending medical appointments with Spanish-speaking patients and translating from English to Spanish professionally and in medical termsTMHCC 09/12/2022Stoploss Claim AuditorAudit high dolllar claims from catastrophics policies to ensure paymets made correctly and avoid loss.Hamilton Health Center May 2017 - April 2022Billing Specialist IIPerformed billing and coding procedure for outpatient services. Managed collection claims for unpaid bills against estates of debtors. Research CPT and ICD 10 coding discrepancies for compliance and Evaluate patients financial accounts and resubmit to insurances etc. Robert Half Aug 2016 - Feb 2017Revenue Cycle SpecialistReached out insurance companies to verify coverage. Fix patients accounts and resubmit to insurances.Produced accounting reports and provided targeted recommendations for improving revenue standing.Amerihealth Caritas Feb 2013 - Dec 2015Bilingual (Spanish) Care ConnectorManaged over 75 inbound calls from members to provide information about ending of their medical assistance benefits .Created and maintained accurate and confidential patient files according to regulatory mandates.EDUCATIONCentro de Estudios Multidisciplinario Passing Year - 2005 Medical Office Adm with Billing and CodingGrades : 4.00Voc Miguel Such Passing Year - 1988High SchoolGrades : 3.85Passing Year -