Joanna Diaz
Reedley
Summary
Dedicated Professional with 10+ years of experience in the medical field and strong foundation in managing patient financial services, ensuring accurate billing and collection processes, and maintaining compliance with healthcare regulations. Known for effective team collaboration, adaptability to changing needs, and achieving optimal results. Expertise includes patient account management, insurance verification, and resolving billing discrepancies with focus on customer service and financial accuracy. Reliable and resourceful, consistently contributing to team goals and organizational success.
Overview
16
16
years of professional experience
Work History
Patient Financial Services Representative
Adventist Health System
02.2020 - Current
- Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing and follow up process.
- Insurance verification
- Insurance follow up calls
- Streamlined billing processes for increased efficiency and accuracy in payment collections.
- Commercial claims follow up
- Validation of claims in ssi
- Patient Follow Up calls as needed.
- Insurance appeals and submission of medical records
Front Office Receptionist
Optimal Rehab Physical Therapy
04.2019 - 02.2020
- Reduced wait times for callers, promptly answering phone lines and directing calls as needed.
- Maintained clean reception area to promote positive, professional environment for clients.
- Maintained a high level of professionalism while handling sensitive customer information, ensuring privacy and confidentiality.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Assisted with billing claims and insurance follow up
- Obtained prior authorization from Commercial and Workers Comp payers.
Patient Care Associate
Vibra Healthcare
09.2018 - 04.2019
- Perform daily billing for government and third party payers, follow up on unpaid claims, communicate with departments for coding updates to insure insurance payments, verification of authorization for inpatient stay, submit appeals for underpaid claims, make collection phone calls, verification of payments and denials in DDE for Medicare, work aging reports to insure monthly goals are met.
Patient Financial Services-Lead
Cerner
04.2018 - 08.2018
- Assisted staff with insurance questions, verified insurance eligibility for various payers, daily computer input for RHC facilities, reviewed claims prior to submission, answered patient phone calls and assisted patients with payments, trained new hires on Revenue Cycle system, assigned weekly aging reports to staff, made insurance phone calls on aging accounts, submitted workers comp claims with medical records to insure timely payments, managed AR accounts.
Patient Financial Services-Lead
Adventist Health
02.2015 - 03.2018
- Assisted staff with insurance questions, verified insurance eligibility for various payers, daily computer input for RHC facilities, reviewed claims prior to submission, answered patient phone calls and assisted patients with payments, trained new hires on Revenue Cycle system, assigned weekly aging reports to staff, made insurance phone calls on aging accounts, submitted workers comp claims with medical records to insure timely payments, managed AR accounts.
Customer Service Representative/Billing
Cal Family Health Inc
11.2012 - 02.2015
- Answered daily patient phone calls, scheduled appointments, registered patients, filled out PM160 forms for pediatric CHDP visits, verified insurance eligibility, collected copays, scheduled follow up appointments, charge entry, posting of insurance payments, mailed monthly statements, submitted claims electronically, balanced daily deposits, filed charts.
Customer Service Representative
Reedley Medical Supply
03.2009 - 09.2010
- Responsibilities included answering telephone calls, insurance verification, prior authorization on DME equipment, scheduled appointments, measured patients for medical equipment, utilized cash register, posted payments, pulled and filed charts.
Education
Certificate - Medical Office Procedures
Visalia Adult School
03.2004
Certificate - Health Insurance Specialist
Institute of Technology
09.2002
High School Diploma - undefined
Reedley High School
06.1999
Skills
- Bilingual- English/Spanish
- Microsoft Word and Excel experience
- Type 45wpm,
- Medical Terminology Certificate
- SSI
- Medical billing
- Office Ally
- Data entry skills
- Cerner
- Verbal and written communication
- Teamwork orientation
- Claims processing
Timeline
Patient Financial Services Representative
Adventist Health System
02.2020 - Current
Front Office Receptionist
Optimal Rehab Physical Therapy
04.2019 - 02.2020
Patient Care Associate
Vibra Healthcare
09.2018 - 04.2019
Patient Financial Services-Lead
Cerner
04.2018 - 08.2018
Patient Financial Services-Lead
Adventist Health
02.2015 - 03.2018
Customer Service Representative/Billing
Cal Family Health Inc
11.2012 - 02.2015
Customer Service Representative
Reedley Medical Supply
03.2009 - 09.2010
Certificate - Health Insurance Specialist
Institute of Technology
High School Diploma - undefined
Reedley High School
Certificate - Medical Office Procedures
Visalia Adult School
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