Summary
Overview
Work History
Education
Timeline
Generic

Sandra Suarez

Fort Smith,AR

Summary

Medical insurance, Payment collection, Insurance verifying, Dependable and Responsible

Overview

9
9
years of professional experience

Work History

Patient Financial Counselor

Mercy Hospital Fort Smith
09.2022 - Current
  • Epic knowledge financial and registration HB & PB.
  • Processed payments using cash and credit cards, maintaining accurate records of transactions.
  • Completed Registration for procedures for multiple outpatient services including The Women's Breast Center, Infusion Center, Ct, MRI, Walk-in X-rays,
  • Translated Spanish Language daily.
  • Pre-registered patients and processed estimates per procedures 100 accounts worked per week.
  • Top collector met monthly goals collected $40k a month up to $60k
  • Total collection in a year(2023) was $476,680
  • Answered incoming calls, and assisted patients with billing concerns updating coordination of benefits
  • Reviewed initial financial assistance applications for approval up to 10 applications per week
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Corrected insurance plans reviewed 200-350 accounts monthly.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Resolved patient billing issues in line with established guidelines.
  • Council patients through their bad debts/collections, negotiated for settlements with discounts or monthly payment plans.
  • Visit inpatient rooms for missing registration documents and signatures per hospital guidelines.
  • Mailed 80 weekly itemized bills for patients SPL-3 making them aware of pre-collections and payment options.

Medical Office/ Accounts Receivable

Texas Medical Summit
02.2015 - 03.2020
  • Manage Administrative work for office, including phone call directing, mailing, faxing, printing and scanning for 120 companies.
  • Organize 120 companies both Hospital and Professional mail Correspondence for In Network/ OON accounts up to 500 letters for correspondence weekly
  • Summit appeals for full reimbursement electronically 500 claims monthly 300 paper claims.,
  • Calling Insurance for status on appeal, verify patient eligibility of coverage 100 accounts reviewed weekly.
  • Data Entry for multiple companies.
  • Created and kept up with Daily/ monthly Excel spreadsheet reports to meet with company goals.

Billing Manager

Mercy Ambulatory Surgery Center of Dallas
11.2017 - 06.2018
  • Audit and Prepared charts for billing 200 charts monthly
  • Assist with front desk/ scheduling
  • Organization of EOBS and other mail correspondence
  • Daily excel spread sheets, and Medisoft software experience.

Payment Customer Service/ Collections

A to Z Call Center (CMI)
07.2016 - 01.2017
  • Heavy Inbound/ Outbound English/ Spanish calls 50 accounts Daily.
  • Provide great customer service to help customers to stay current with their accounts.
  • Processed payments, FDP, and set up payment arrangements.
  • Was top Collector consecutively.

Education

Medical Office/ Billing and Coding

Brookhaven College
Farmers Branch, TX
2014

Timeline

Patient Financial Counselor

Mercy Hospital Fort Smith
09.2022 - Current

Billing Manager

Mercy Ambulatory Surgery Center of Dallas
11.2017 - 06.2018

Payment Customer Service/ Collections

A to Z Call Center (CMI)
07.2016 - 01.2017

Medical Office/ Accounts Receivable

Texas Medical Summit
02.2015 - 03.2020

Medical Office/ Billing and Coding

Brookhaven College

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Sandra Suarez