Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tiffany Rosales

Palmdale

Summary

Experienced Medical Biller and Receptionist with a strong background in patient care and operational efficiency at Valencia Medical Care. Demonstrated proficiency in HIPAA compliance and medical records management, leading to improved patient experiences through effective organization and communication. Expertise in medical billing and enhancing patient interactions, resulting in elevated service quality.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Receptionist /Office Medical Biller

Valencia Medical Care
Valencia
08.2021 - Current
  • Managed incoming calls and routed them to relevant departments.
  • Managed all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
  • Processed payments and updated accounts to reflect balance changes.
  • Processed medical claims for various insurance providers efficiently.
  • Verified patient information to ensure accurate billing submissions.
  • Maintained detailed records of patient accounts and transactions.
  • Communicated with patients regarding billing inquiries and payment options.
  • Obtained patients medical history, medication information, symptoms, and allergies.
  • Performed medical records management, including filing, organizing, and scanning documents.
  • Responded to correspondence from insurance companies to verify patients' coverage.
  • Process referrals from primary care providers for specialty and ancillary care in a timely manner,prioitizing the referrals according to defined levels of urgency ,scheduling member appointmentsas necessary,and communicating referral information to patients
    Protect the privacy of patients by strictly following HIPAA regulations, Assist with front desk administration duties,which included patient regitration,patientscheduling,verifying patient benefits,collecting debts,answer multiple phone lines
  • Developed and maintained positive relationships between doctors and other healthcare facilities to facilitate effective communication and collaboration.
  • Responisble for reading and transcribing patient charts, turning in correct codes, and submitting the billing as an insurance claim, work comp claims create health insurance claim form (paper)

Office Administrator

Ottos Auto Glass
Palmdale
09.2020 - 06.2021
  • Answering phones, scheduling appointments, billing, file preparation, filing, and administration duties.

  • Managed office communications and coordinated appointments for customer consultations.
  • Processed customer orders and maintained accurate records in the company database.
  • Assisted in inventory management, ensuring supplies were stocked and organized.
  • Supported team members by preparing necessary paperwork for client interactions.
  • Collaborated with vendors to order materials and negotiate service contracts effectively.
  • Answered incoming calls in a professional manner, directed callers to appropriate personnel or department, or took messages as needed.

Lead infant techer

Adat Ari El Day School
Valley Village
03.2014 - 06.2020
  • Greet parents, file and fill in daily charts, prepare daily activities, have one-on-one interaction, clean, change diapers, bottle-feed, monitor room arrangements, and promote infant and toddler security and attachment through immediate and caring responses.

  • Oversaw classroom management and maintained a positive learning environment.
  • Developed engaging lesson plans tailored for diverse learning needs.
  • Collaborated with parents to support child development and address concerns.
  • Implemented age-appropriate activities promoting social and emotional growth.
  • Fostered a nurturing atmosphere encouraging exploration and creativity in infants.
  • Coordinated with colleagues to enhance curriculum and share resources effectively.
  • Followed safe feeding guidelines and parental requests for breastmilk, formula and solids.

Nanny

Samantha & Blake Oliver
Encino
06.2019 - 01.2020
  • Newborn care, attention to detail, diaper changing, prepping meals, bottle prepping, doing laundry, bathing, outdoor and indoor play, going on walks, park visits, reading stories, bedtime, date night, activities (holiday), experience with children (special needs, cochlear implants, g-tube).

  • Supervised daily activities to ensure safety and well-being of children.
  • Prepared nutritious meals and snacks tailored to children's dietary needs.
  • Organized engaging educational activities to promote children's learning and development.
  • Managed schedules for playdates, appointments, and extracurricular activities.
  • Communicated regularly with parents regarding children's progress and any concerns.
  • Performed light housekeeping duties related to childcare such as laundry or meal preparation.
  • Created an atmosphere of trust between myself and both the family and the kids I cared for.
  • Assisted children with daily activities, such as dressing, bathing, and feeding.
  • Tended to children's general needs while providing supervision for safety in day-to-day activities.
  • Followed routines to foster stability and structure in children's lives during parental absences.
  • Monitored indoor and outdoor playtime by guiding activities while watching for dangers.
  • Created nurturing, safe environments to promote emotional, social, and intellectual growth.
  • Provided a safe environment for the children through supervision and guidance of their activities.

medical biller student externship

Essential Orthotics and Prosthetics
Palmdale
05.2013 - 01.2014
  • Filing, answering phones, scheduling appointments, file preparation billing, insurance verification, EOBs, administrative duties, and checking in patients.
  • Processed medical claims for orthotic and prosthetic services efficiently.
  • Verified patient insurance information for accurate billing submissions.
  • Communicated with healthcare providers to resolve billing discrepancies.
  • Generated invoices and statements for patients and third-party payers.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.

Instructional Assistant

Montebello Unified School District
Montebello
04.2007 - 10.2012
  • Prepare lesson plans, small group activities, one-on-one interaction, clean and prepare meals. Supervise indoor and outdoor play. Engage in interaction with the children and parents.
  • Conducted small group instruction tailored to individual student needs.
  • Collaborated with staff to develop engaging learning experiences for students.
  • Organized and maintained classroom supplies and resources efficiently.
  • Provided individual and small group instruction to students with disabilities in the areas of reading, math, and writing.
  • Supported classroom teachers by supervising students during lunch and recess periods or field trips.
  • Developed positive relationships with students, parents, colleagues, administrators, and community partners.
  • Cleaned and organized classrooms, materials, and supplies.

Education

Diploma Completed - Medical Administrative Assista

Everest College
Ontario, CA
08-2013

Associate of Science - Child Development

Rio Hondo College
Whittier, CA
06-2003

High School Diploma -

Chino Hgh School
Chino Ca
06-2000

Skills

  • Medical billing
  • Insurance verification
  • Patient scheduling
  • HIPAA compliance
  • OSHA certified
  • Claims processing
  • Customer service
  • Insurance coding (ICD-10, HCPCS, and CPT)
  • Referrals and authorizations
  • Work Comp
  • PI lien cases
  • Medical records management
  • Medical terminology
  • Time management

Certification

  • HIPAA certified
  • OSHA certified
  • CPR certified
  • BLS Certified
  • Fire Safety

Timeline

Receptionist /Office Medical Biller

Valencia Medical Care
08.2021 - Current

Office Administrator

Ottos Auto Glass
09.2020 - 06.2021

Nanny

Samantha & Blake Oliver
06.2019 - 01.2020

Lead infant techer

Adat Ari El Day School
03.2014 - 06.2020

medical biller student externship

Essential Orthotics and Prosthetics
05.2013 - 01.2014

Instructional Assistant

Montebello Unified School District
04.2007 - 10.2012

Diploma Completed - Medical Administrative Assista

Everest College

Associate of Science - Child Development

Rio Hondo College

High School Diploma -

Chino Hgh School

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