Priscilla Silvas
Palmdale
Summary
Experienced individual providing high-quality administrative support to various departments. Highly organized and detail-oriented with great multitasking and task prioritization skills. Positive and upbeat with strong relationship-building abilities.
Overview
19
19
years of professional experience
Work History
Utilization Management Representative
Shield HealthCare
07.2024 - 01.2026
- Managed incoming calls
- Submit Authorizations
- Review prescriptions for accuracy
- File medical records electronically
- Mail handling
Orthodontic Scheduler
Smile Dental Group
09.2023 - 03.2024
- Managed incoming and outgoing calls, schedule/confirm appointments
- Collect and post payments
- Data entry
Patient Care Coordinator
Heritage Oral Surgery
06.2022 - 08.2023
- Managed incoming and outgoing calls, schedule/confirm appointments
- Insurance verification, discuss benefits and treatment/costs with patients, posting treatment plans and payments
- Applied administrative knowledge and courtesy to explain procedures and services to patients
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
Lead Patient Account Representative
Universal Health Services, Inc.
08.2006 - 05.2022
- Analyzed accounts for delinquencies and other ongoing issues
- Medical Billing and Collections
- Review Explanation of Benefits for accurate payment
- Submit Provider Enrollment Annually for multiple facilities within the organization
- Maintained current knowledge of evolving changes in marketplace
- Implemented customized account plans to meet individual client needs
- Contributed to team objectives in fast-paced environment
Education
Certificate of Achievement - Medical Billing/Front Office Operations
Omicron Training Center
Las Vegas, NV10.2001
High School Diploma - General Education
Sierra Nevada High School
Reno, NV04.2000
Skills
- Excellent Communication Skills
- Time Management
- Medical Billing
- Proficient in Microsoft Word\Excel
- ICD-10 knowledge/CPT Codes/CCI edits
- Medical Terminology
- Collections
- Appeals
- Eligibility and Authorization Verification
- Extensive knowledge of insurance plans primarily Nevada Medicaid, Medi-Cal, Worker's Compensation, Tricare and VA
References
- Mary Mitchell, Patient Account Representative, Universal Health Services, Inc.
- Elisa Talamantes, Patient Account Representative, Universal Health Services, Inc.
Timeline
Utilization Management Representative
Shield HealthCare
07.2024 - 01.2026
Orthodontic Scheduler
Smile Dental Group
09.2023 - 03.2024
Patient Care Coordinator
Heritage Oral Surgery
06.2022 - 08.2023
Lead Patient Account Representative
Universal Health Services, Inc.
08.2006 - 05.2022
Certificate of Achievement - Medical Billing/Front Office Operations
Omicron Training Center
High School Diploma - General Education
Sierra Nevada High School