Summary
Overview
Work History
Education
Skills
Timeline
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Veronica Montano

Carlsbad,CA

Summary

Experienced in patient support and medication management with strong problem-solving, communication, and teamwork skills. Committed to achieving positive outcomes and advancing organizational goals while building rapport with patients to enhance their quality of life. Detail-oriented and accommodating team player dedicated to expanding knowledge and responsibilities within the healthcare field.

Overview

25
25
years of professional experience

Work History

Caregiver

In Home Support Services (IHSS)
02.2021 - Current
  • Provided individualized support and implemented accommodations/modifications for children with special needs, adhering to therapist and educational specialist recommendations.
  • Designed and implemented age-appropriate curriculum and activities, fostering cognitive, social, and physical development.
  • Maintained a safe and hygienic environment by consistently sanitizing 20 toys, equipment, and play areas.
  • Promoted healthy eating habits by planning and preparing 3 nutritious meals a day and 2-3 snacks daily tailored to dietary guidelines.
  • Assisted children with personal hygiene, including diapering/toileting 5-6 times a day or whenever needed and consistent handwashing practices.

Physician Billing Representative

Smartcare MD
06.2016 - 11.2020
  • Processed an average of 80-100 medical claims and invoices daily/weekly for a high-volume healthcare facility, consistently ensuring accuracy and compliance with billing guidelines.
  • Verified about 40-50 patient insurance eligibility daily and meticulously obtained pre-authorizations for medical procedures, minimizing claim rejections.
  • Identified and corrected coding errors on claims, resulting in maximized reimbursement by 80% from insurance companies.
  • Resolved complex claim denials and discrepancies with insurance companies, reducing outstanding balances and expediting payments by 85%.
  • Managed accounts receivable, including tracking outstanding payments, negotiating patient payment arrangements, and initiating collection process. Which reduced AR days by 80%.

Physician Billing/Collection Representative

Tri-City Emergency Medical Group
08.2013 - 05.2016
  • Processed medical claims and invoices for a high-volume healthcare facility, ensuring accuracy and adherence to billing guidelines.
  • Verified patient insurance coverage and obtained necessary authorizations for medical procedures.
  • Reviewed and corrected coding errors on claims to maximize reimbursement from insurance companies.
  • Followed up with insurance companies regarding claim denials or discrepancies, resolving issues in a timely manner.
  • Collaborated directly with healthcare providers to secure missing documentation and clarify medical procedures, ensuring accurate and compliant billing.

Cared for Sick Mother

Bertha Vasquez
02.2010 - 08.2013
  • Provided comprehensive personal care, including assistance with bathing, dressing, grooming, and precise medication administration.
  • Monitored vital signs and proactively reported changes or concerns to healthcare professionals, ensuring timely medical intervention.
  • Offered compassionate companionship and emotional support, significantly improving well-being.
  • Coordinated medical appointments and managed transportation for the client.
  • Implemented proactive fall prevention strategies by conducting thorough environmental hazard assessments and modifications.

Customer Service Representative

North County Insurance
02.2000 - 02.2010
  • Provided exceptional customer service by promptly addressing inquiries, resolving issues, and ensuring customer satisfaction.
  • Handled billing inquiries including payment processing, refunds, adjustments, and account updates accurately and efficiently.
  • Assisted in training new hires by sharing best practices, providing guidance, and offering support during their onboarding process.

Education

Medical Administrative Assistant -

Maric College
Vista, CA
1999

Skills

  • Computer Skills
  • Multi-line Phone Systems
  • 10 Key Typing
  • Customer Service Experience
  • Speak & Write Spanish Fluently
  • Medical Billing

Timeline

Caregiver

In Home Support Services (IHSS)
02.2021 - Current

Physician Billing Representative

Smartcare MD
06.2016 - 11.2020

Physician Billing/Collection Representative

Tri-City Emergency Medical Group
08.2013 - 05.2016

Cared for Sick Mother

Bertha Vasquez
02.2010 - 08.2013

Customer Service Representative

North County Insurance
02.2000 - 02.2010

Medical Administrative Assistant -

Maric College

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Veronica Montano