Heidy Hidalgo

Front office duties:

• Managed multi-line phone system for scheduling patient appointments and verifying insurance eligibility.
• Obtained the necessary authorizations prior to rendering services.

Billing:

• Reviewed patient accounts and medical records for accurate coding using ICD-10 and CPT codes.
• Submitted insurance claims while resolving denials and discrepancies effectively.

Referrals and Authorizations:

• Processed authorizations for follow-up visits, biopsies, and procedures promptly.
• Managed medication approvals through CoverMyMeds.
• Collaborated with specialty pharmacies to track statuses and resolve claim denials.
• Cross-trained in back office as needed.

• Phone answering, keeping records on file, data entry, supervising and coordinating children's activities and tutoring, organizing weekly activities, maintaining a clean environment, opening and closing the building, and maintaining a safe environment.

• Answered phones, appointment reminder calls, registered patients, and scheduled appointments.
• Answered authorizations based on the patient's coverage, knowledge of ICD-9 codes, and CPT codes; made appointments with specialists, county referrals through RPS, as well as HMOs and Medical.
• Filed, scanned, faxed, and released medical records; reviewed patients' medical records for completeness prior to the visit.
• Obtained patient medical histories, recorded vital signs, performed EKGs, explained treatment procedures to patients, assisted doctors during examinations, and roomed patients.
• Blood was drawn, vaccinations were prepared and administered, specimens were prepared for outside lab services, lab supplies were cleaned and stocked, and supplies were ordered.