Maria Lopez

• Prioritized tasks effectively to ensure timely completion of all assigned projects without sacrificing attention to detail.
• Completed data entry tasks with accuracy and efficiency.
• Sorted documents and maintained organized filing process.
• Communicated with supervisors and colleagues to process data quickly and resolve discrepancies.
• Provided clerical support to company employees by copying, faxing, and filing documents.
• Organized, sorted, and checked input data against original documents.
• Scanned documents and saved in database to keep records of essential organizational information.
• Collated and organized data entry documents into filing systems for easy access.
• Updated and maintained customer information, documents and records.
• Managed documents by organizing forms, making photocopies, filing records, preparing correspondence, and creating reports.
• Preserved customer confidence and protected operations by keeping information confidential.
• Maintained strict confidentiality of sensitive client information, ensuring compliance with industry regulations and company policies.
• Followed established procedures to enter and process data correctly.
• Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
• Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
• Handled sensitive information with discretion while maintaining strict confidentiality standards.
• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Confirmed appointments, communicated with clients, and updated client records.
• Corresponded with clients through email, telephone, or postal mail.

• Assisted patients by determining financial assistance available and setting up payment plans.
• Efficiently collected payments and communicated with clients.
• Maintained current accounts through aged revenue reporting.
• Communicated with insurance providers to ensure any denied claims were resolved and resubmitted.
• Prepared accounts that had past due balances of more than 90 days and transferred those cases to a collection agency.
• Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
• Submitted electronic and paper claims to insurance companies.
• Answer phone inquiries about company or redirect to proper department.
• Executed billing tasks and recorded information in company databases.
• Update patient information and Medical records.

Working on A/R report to target aged balances in order to meet and maintain performance goals as set by AR Management. Verifying patients eligibility status. Submitting authorizations/TAR for Routine Hospice , Room/Board and GIP to different private insurances with appropriate documentation. Prepares billing adjustment and checks requests to recommend or requests write-offs and refunds whether due to age of accounts, fee reductions or negligible amounts and presents to Reimbursement Specialist supervisor. Submit CIFs/AppealsRAD as underpaid or denied. Submits Medi-Cal claims in a timely manner via mail or electronically. Contact insurance companies to check on status of claims. Resubmit correct claims and re bill for payment. Perform general office duties, such as faxing, answering telephones, data entry and handling correspondence. Operate computer programmed with Netsmart software to record, store, and analyze information.

Prepares and submits claims to all private and third-party insurance carriers either electronically or by hard copy billing. Secures needed medical documentation required or requested by all private and third party insurances. Follow up with all private and third-party insurance carriers on unpaid claims till claims are paid or only self-pay balance remains. Processes rejections by either making accounts private and generating a letter of rejection to a patient or correcting any billing error and resubmitting claims to all private and third-party insurance carriers. Work with physician or medical record staff to ensure that correct diagnosis and procedures are reported to all private insurance and third-party insurance carriers. Efficiency perform eligibility and claim verification performed both manually and electronically. Prepare and attach all required claims documentation including referrals, treatment plans, or other required correspondence to reduce incidence of denials. Maintain confidentiality of all information. Processed payment via telephone and in person with a focus on Accuracy and efficiency. Post payment on patient accounts electronically. Submitted Authorizations to Insurance carriers. Process credit memos. Executed billing tasks and recorded information in company databases.

Registered new patients into the Brightree/Electronic Medical Records health system and updated accounts as needed. Scanned prescription and laboratory results as well as creating sales orders into Brightree. Submit Authorizations to different Health care Insurance's eligibility and claim verification performed both manually and electronically. Welcome visitors by greeting them warmly. Scheduled appointments. Answer multiple phone lines, answer inquiries about company, and taking and relay messages. Cash out people when necessary. Filling, and sending faxes. Ensure office is tidy. Stock merchandise. Gather personal and Insurance information. Data entry. Take phone orders from patient's, hospital's and hospice.