Jacqueline Ortiz Exantus
Conway
Summary
Personable, dedicated, and hardworking employee with a history of meeting company and customer needs with consistent and organized practices. Team player with a positive attitude who is motivated in maintaining customer satisfaction. Skilled in working under pressure and adapting to new situations. Strong work ethic, multitasking, and time management abilities. Seeking an opportunity to expand current skills while contributing to company growth and success goals.
Overview
18
18
years of professional experience
Work History
Charge Entry Specialist
Laboratory Billing Solutions/Coronis Health
09.2020 - Current
- Assists the Charge Entry Supervisor with the day-to-day operations of the Charge Entry I department, including work assignments, staff productivity, training, and development of the team
- Ensures accurate data entry of the coding and claims submission for services provided by UD physicians, including assigning the correct ICD and CPT codes
- Enter and preview information from requisition to accession with speed and accuracy
- Understand and follow order entry rules and policies for each assigned account
- Retrieve needed information via EPIC and other EMR systems, as well as verifying insurance via Ability, CGS, and Change
- Generate bi-weekly reports for clients indicating what information is needed so claims can be sent to insurance companies/patients
- Supervising that accessions are being processed accordingly by our global team
- Monitor the numbers for each of my clients to make sure accession are being handled in a timely manner
- Frequently reach out to team members to resolve any inquiries presented
- Communicate with clients to resolve issues that may arise.
- Verified insurance eligibility and information to update database.
Admissions Coordinator/Case Manager
The Beaches Treatment Center
05.2019 - 04.2020
- Helped patients with admissions process and adhered to state and federal laws
- Conducted walk-in and scheduled facility tours for prospective students
- Coordinated with admission team to schedule admission and recruitment programs
- Completed document faxing, bookkeeping, and accurate filing
- Assisted patients in completing admission forms and other related paperwork for speedy admissions process
- Answered phone calls to aid, information, and medical personnel access
- Communicated with external organizations, social workers and others regarding patient's benefits and resources
- Referred patients for community support outside of treatment and medical providers
- Collaborated with physicians and other health team members to develop patient plans of care based on on-going patient assessments
- Coordinated and cooperated with local agencies and organizations to expedite treatment
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral, and monitoring of families
- Maintained up-to-date case records with case activity status
- Maintained logs and electronic client records following department and agency policies for effective monitoring
- Assisted individuals with eligibility for available benefits
- Advocated for clients by obtaining information regarding treatment options and clinical status
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
- Transitioned clients to different providers based on progress or needs.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Conducted patient intake interviews to collect medical information and insurance details
- Aided patients in performing activities of daily living
- Monitored patients' well-being and reported changes or unusual behavior or physical illness to medical staff.
Behavioral Health Technician
Beachside Rehab
09.2018 - 05.2019
- Supervise clients in detox, residential, and PHP level of care
- Conduct searches on both client and their belongings, perform a breathalyzer, collect, and label urine, and provide laundry services
- Transport clients to and from the property to the center and daily activities
- Document client's activities, behaviors, self- administering of meds
- Complete patient reports daily and submit them to management for evaluation
- Identify behaviors associated with substance abuse and recognized signs of being under influence of alcohol or drugs
- Educate clients on important life skills, housekeeping, and food preparation
- Follow standard admissions procedures and documentation requirements for client intakes
- Complete daily client rounds and tracked client movements
- Maintain the cleanliness of the center and housing properties.
- Recognized individuals under influence of drugs or alcohol and typical behaviors associated with each.
- Conducted client rounds to check on residents.
Admissions Coordinator
Treatment Management Company
11.2015 - 05.2017
- Assist clients with signing all legal documents upon arriving to detox, PHP and IOP level of care.
- Document personal items, monies, and valuable items.
- Helped patients with admissions process and adhered to state and federal laws.
- Assisted patients in completing admission forms and other related paperwork for speedy admissions process.
- Compiled physical and digital documents, charts, and reports.
- Perform thorough bag searches and assist clients with UAs, and transport clients to their assigned facility.
- Ensured charts are audited and in compliance with DCF requirements.
- Assisted front desk by answering incoming calls, assisting with walk- ins, cleaning the facility, stock items and tending to the clients.
- Scheduled appointments for patient consultations, tests, and procedures.
- Confirmed all insurance benefits met standards of admissions as dictated by policy.
- Conducted patient intake interviews to collect medical information and insurance details.
Customer Service Representative/ROI Agent
Bactes Imaging Solutions
07.2013 - 08.2015
- Answered inbound calls and emails to facilitate customer service
- Validate requests and authorization for release of medical information, perform quality checks on all work to assure accuracy of release, document routing, and proper invoicing
- Responsible for all mail going in and out of the office
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor
- Pulled patient records and transferred information to appropriate parties
- Released information to persons or agencies according to regulations
- Transmitted information or documents to customers through email, mailings, or facsimile machine
- Reviewed requester information in compliance with HIPAA guidelines to obtain patient data from electronic, off-site, or physical records
- Operated photocopiers and scanners, facsimile machines, and personal computers.
Customer Service Representative/Scanning Specialist
Rapid Staffing Inc
05.2011 - 12.2011
- Scan paper legal documents into the computer software
- Answered customers' questions about products, prices, and availability
- Communicated with customers to assist with order placement and offer updates on status and shipping
- Informed customers of shipping dates and tracking and order information
- Communicated with current customers regarding backorder availability, future inventory, and special orders
- Automated document flow, accurately maintaining order tracking in database
- Protected clients' rights by maintaining confidentiality of personal and financial information
- Reviewed customer requests resolved questions and defined specifications before completing orders
- Investigated and analyzed client complaints to identify and resolve issues.
Customer Service Re/ Customer Accountant Executive
Aegis Communications Group
01.2008 - 04.2010
- Handle incoming calls inquiring about Medicare A, B, and D insurance plans.
- Informing members of their benefits and coverage, discussing claims, use of excel, and inbound and outbound calls.
- Documented customer interactions and transactions for accurate, up-to-date records.
- My next assignment includes discussing and explaining bill statements, troubleshooting with the customer; take payments, multi-tasking, and data entry for Comcast Cable.
Reorder Representative
Liberty Medical Supplies
03.2006 - 05.2007
- Answered customers' questions about products, prices, and availability
- Communicated with customers to assist with order placement and offer updates on status and shipping
- Informed customers of shipping dates and tracking and order information
- Maintained pleasant and cordial attitude, remaining calm when issues arose
- Engaged customers and provided high level of service by carefully explaining details about documents
- Researched insurance plans to find good options for clients' needs
- Delivered individualized support and broad knowledge of company products to bring targeted services to individuals with varying needs
- Updated patient and insurance data and input changes into company computer system
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles
- Entered data in EMR database to record payer, authorization requirements and coverage limitations
- Instructed clients on amounts covered under benefits plans in easy-to- understand terminology
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Education
High School Diploma -
Indian River State College
03.2006
Skills
- Microsoft Applications
- Multi-line Phone Systems
- Medical Terminology
- Insurance Verification
- Epic Systems
- Documentation review
- Patient Health Information Access
- Records Scanning
- Workers' Compensation Forms
- Patient Medical Records Maintenance
- Electronic Health Record Applications
- Order Entry
- HIPAA Regulations
- Patient Admission
- Customer Service Expertise
- Data Entry Skills
- Medical Release of Information ROI Processes
- EMR Systems
- ICD-10 Coding
- CPT codes
- Documentation and Reporting
- Discharge Documentation
- Case Management
- Intake Assessment
- Direct Patient Care
Timeline
Charge Entry Specialist
Laboratory Billing Solutions/Coronis Health
09.2020 - Current
Admissions Coordinator/Case Manager
The Beaches Treatment Center
05.2019 - 04.2020
Behavioral Health Technician
Beachside Rehab
09.2018 - 05.2019
Admissions Coordinator
Treatment Management Company
11.2015 - 05.2017
Customer Service Representative/ROI Agent
Bactes Imaging Solutions
07.2013 - 08.2015
Customer Service Representative/Scanning Specialist
Rapid Staffing Inc
05.2011 - 12.2011
Customer Service Re/ Customer Accountant Executive
Aegis Communications Group
01.2008 - 04.2010
Reorder Representative
Liberty Medical Supplies
03.2006 - 05.2007
High School Diploma -
Indian River State College
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