Ana Giraldo
Loganville,GA
Summary
Results driven Medical Biller with over 8 years of hands-on experience in account management, revenue generation and medical billing and some coding. Experienced on claiming refunds, reviewing claims and maintaining billing reports Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Experienced with medical terminology and Spanish-English translation, ensuring accurate and clear communication in healthcare settings. Utilizes cultural competence and active listening to support patient care and provider interactions. Knowledge of ethical standards and confidentiality practices in medical interpretation.
Overview
9
9
years of professional experience
Work History
Spanish Medical Interpreter
AJH Interpretation, LLC
03.2024 - Current
- Provide professional interpretation services for Spanish-speaking patients during office visits, physical therapy sessions, and various medical consultations, ensuring accurate and clear communication between patients and healthcare providers.
- Facilitate understanding of medical terminology, treatment plans, and patient concerns, contributing to improved patient satisfaction and care outcomes.
- Assist in navigating healthcare processes, including appointment scheduling, insurance inquiries, and follow-up procedures, to enhance the patient experience.
- Maintain confidentiality and adhere to ethical standards in medical interpretation, fostering a trusting environment for patients.
- Collaborate with healthcare professionals to ensure culturally competent care and address any language barriers that may affect patient treatment.
Medical Biller
Clinical Laboratory Services
10.2015 - Current
- Applied HIPAA privacy and security regulations while handling patient information.
- Processed refunds requests timely and accurately according to established protocols.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Maintained accounting ledgers by verifying and posting account transactions.
- Submitted electronic claims to various insurance carriers.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Completed and submitted appeals for denied claims.
- Input details into accounts and tracked payments.
- Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted appeals using provider portals and phone communication.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Answered customer questions to maintain high satisfaction levels.
- Collected, posted and managed patient account payments.
- Provided training and support to new staff members regarding billing processes.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Submitted claims to insurance companies.
- Post weekly insurance payments.
Education
Billing -
Georgia Gwinnett College
Lawrenceville, GAHigh School Or GED
Skills
- Insurance claims processing
- Compliance and auditing
- Claims Review
- Billing and Collection Procedures
- Account Reconciliation
- Teamwork and Collaboration
- Multitasking and Organization
- Strong attention to detail
- Fluent spanish
- Empathy and sensitivity
- Patient confidentiality
- HIPAA compliance
- Medical billing
Timeline
Spanish Medical Interpreter
AJH Interpretation, LLC
03.2024 - Current
Medical Biller
Clinical Laboratory Services
10.2015 - Current
Billing -
Georgia Gwinnett College
High School Or GED
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