E-mail [email protected]
LISETTE PINO
Objective A strong academic background, excellent communication skills, energetic, and competent of clerical field with over ten years of experience to ensure the company’s success. Based on my experience, I would like to have a responsible and challenging position where I can grow within the company.
Summary of qualifications
Professional
experience
Exceptional knowledge of handling accounts / Admirable verbal and written communication / Strong details focus / Excellent customer service / Highly trustworthy, discreet and ethical / Great team player.
MedAssist a FirstSource Company 04/09/18-Present
Account Resolution Specialist
Examine unpaid and rejected claims to determine reasons for rejection and non-payment. Review and investigate claims for payment due. Submit corrected and secondary claims and appeal using approved forms. Contact payers to follow up on claims status and inquire into reasons for rejections. Post daily collector spreadsheet in the system.
UHealth Connect 07/06/2015-04/06/2018
University Of Miami
Miller School of Medicine
Patient Access Representative
Interviewing patients to accurately obtain all their demographic and financial information required for the hospital registration in order to evaluate theirs needs; providing them the appropriate doctor. Scheduling and rescheduling specialists’ appointments for patients, and arranging empathetic care by focusing on their health needs. Creating patient accounts for billing purposes. Verifying insurance eligibility and obtaining insurance notification. Managing patient referrals for specialists.
MCCI, Humana 06/2006-06/2015
Referrals
Processing patient referrals to specialists and hospitals based on standard procedures and policies of the healthcare services, scheduling patient appointments with specialists. Performing screening on all pre-authorization requests, and verifying patient insurances for specialists and procedures appointments.
Education Answering telephone calls. Scheduling and confirming appointments for patients, analyzing insurance for eligibility and benefit. Performing clerical and administrative tasks in efficient manner; explaining the practice procedures to new patients. Accurately applying payments to patients accounts; posting and reconciling insurance and patient payments. Collecting co pays, and balancing at the end of the shift
Miami Dade College
*Associate in Arts (currently enrolled) 2015-2018
AAPC 03-2018
*Certified Professional Coder(CPC)
RUBEN MARTINEZ COLLEGE, CUBA
*Accounting-Finance Associated 1998-2001
Technology College
*Computer course 1997-1998
*Microsoft/Outlook/Microsoft Excel
Languages English / Spanish
References are available on request