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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Emma WaySan Antonio, Texas Street Address
Phone Number: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEOBJECTIVEWork for a private or public institution where I could apply my knowledge and at the same time acquire new experiences in the working area. Grow professionally in the field to perform with leadership and perseverance, setting short- and long-term goals for the growth of the institution.EXPERIENCEMay 2024 - PresentGetix HealthPosition: Patient Eligibility AdvocateAnalyze, distribute, and follow-up on special requests and adjustments with hospital personnel.Keeping the patient informed of the account progress.Screen patients and/or patient representatives to determine potential eligibility for Third Party resources.Ensure accounts are processed in accordance to Eligibility Program standards, and all applicable federal and state regulations guidelines.Educate patients and patient representatives of the eligibility requirements, application process, and verification requirements for applicable programs.2017 2023CDS in Texas/LifePanPosition: Provider assistantAssist an elderly in their household tasks and assistance with their medications.Conducted administrative tasks such as scheduling appointments and managing medical records.Collaborated with healthcare teams to ensure quality patient care was provided in a timely manner.Answered phone calls, emails, and other communication with her doctors.Maintained strict patient person privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.2012 2015Careme Group Corporation in San Juan, P.R.Position: Exam administratorAdministration of academy achievement test in public schools.Report writing.2004 March 2010Metropolitan Hospital, Mental Health (Population: 18-62 old) Cabo Rojo, P.R.Position: Admissions/Medical use officerInitial assessment of patients (Total and Partial hospitalization).Prepares paper records.Customers bill processing.Interviewed patients to complete case histories and intake forms.Managed medical records using an electronic health record system.Patient registration.Updated systematized demographic information and processing and CPT codes.Accurately entered billing codes into the computer system forreimbursement purposes.Check covering medical plans including Medicaid, Medicare and Advantage.Audit incomplete records and send doctors and psychologist to complete them. (Audit of medical records).Appeal of denied cases.Claim review in which denial follow up was worked.Seek resolution to problematic accounts and payment discrepancies.Assist with collecting and recording co-pays (cash and/or charge) including balancing the day in the computer.Crisis intervention and telephone intervention.Verification of the medical plan to obtain authorizations.Followed HIPAA guidelines to ensure confidentiality of patientinformation.2003 2004Centro de Fortalecimiento Familiar ESCAPESan Germn, P.R.Position: Assistant Coordinator NANAS projectCoordination of services to participants.Drafting of monthly, quarterly, annual, closure reports and statistical reports.Managed medical records.Coordination and participation of monthly meetings of volunteers, Interagency Committee, Initial training, among others.Updated contact lists with relevant information about clients or partners.Developed strong interaction and communication skills as result of participating in staff meetings and collaborating with families and guardians regarding special events.EDUCATION2018Alamo College San Antonio, TxMedical Billing Course2015Interamerican University of Puerto Rico, San German CampusMaster In International Business Administration (Process)1998 2002Interamerican University of Puerto RicoSan Germn, CampusBachelor of Arts: PsychologyASSOCIATIONS2023AHIMA2004 2009Association of Students of Psychology (AEPSI) andAssociation of Students of SociologyInteramerican University of Puerto Rico, San Germn CampusSKILLS AND ABILITIESEfficient management of Programs: Microsoft Office, typing speed, SPSS, Evolution Systems, Artiva, Infomedika, Inmediata, ProQuest Systems, HC -System, Word Processing and Internet. Maintains confidentiality, creativity, leadership, organization, auditing, data entry, file manager, detail oriented, problem solving and teamwork. Excellent clerical skills, knowledge of medical terminology, excellent skills in clinical documentation, quick learning, oriented to work in public, knowledge of the English and Spanish language. Patient history documentation, electronic medical records management, medicaid and medicare knowledge, data entry, knowledge of HIPPA Law.ReferencesAvailable if solicited. |
