Leticia Almodovar
Bethlehem
Summary
Driven professional with a proven track record at Neighborhood Health Centers of The Lehigh Valley - NHCLV, enhancing patient satisfaction and clinic productivity through expert customer service and efficient insurance verification. Skilled in medical billing and bilingual communication, demonstrating exceptional problem-solving abilities and a caring approach to patient interactions. Organized Patient Service Representative with 18 years of experience in healthcare. Adept at patient advocacy and education with commitment to efficiency. Skilled at coordinating busy offices and maintaining professionalism in stressful situations.
Overview
20
20
years of professional experience
Work History
Patient Service Representative
Neighborhood Health Centers Of The Lehigh Valley - Nhclv
Bethlehem, PA
03.2023 - Current
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Preparing future coming-up appointments and verify insurance eligibility and coverage for patients.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Managed patient registration process, confirming data accuracy and completeness.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Handled customer service inquiries in person, via telephone and through email.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Entered patient demographic and insurance data into electronic medical record system.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered. (1005 reports)
- Daily financial reports.
- Call other Facilities to obtain and confirm address or phone/fax for referrals and for patients.
- Reduced no-show rates through consistent appointment reminder calls, leading to improved clinic productivity.
- Verified patient insurance eligibility and coverage and entered patient information into system for registration.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Coordinate with corresponding department for Office Supplies and Materials.
- Coordinate with corresponding Department for Technical Issues in office and other situations.
Medical Billing Specialist
Eye Medical Center
Las Piedras, PR
08.2018 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
- Verified insurance of patients to determine eligibility.
- Delivered timely and accurate billing submissions.
- Utilized various software programs to process billing.
- Coordinated Process of Credentials and Re-Credentials for Provider.
- Medical Billing and Reconciliation.
- Provide Monthly Report on Profits of Clinic.
Administrative Assistant
Duna Medical Center
Humacao, PR
09.2004 - 09.2017
- Medical Billing and Reconciliations.
- Coordinated Process of Credentials and Re-credentials for Providers.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Scheduled office meetings and client appointments for staff teams.
- Medical Annual Gaps
- Patient registration, including Check-ins and Check-out process.
- Preparing coming up appointments, including Eligibilities.
- Coordinated Process for Referrals or Authorizations mostly for Imaging Procedures.
- Phone Manage, receiving and transferring calls to appropriate department.
Education
Associate On Computerized Systems -
Humacao Community College
Humacao, PR07.2006
High School Diploma -
Petra Mercado Bougart
Humacao, PR05.1990
Skills
- Customer Service
- HIPAA Compliance
- Insurance Verification
- Office Administration
- Medical Billing
- Bilingual (English and Spanish)
- Problem-Solving
- Flexible Schedule
- Multitasking and Organization
- Team Leadership
- Caring and Empathetic
- Administrative and Office Support
COMPUTER PROGRAMS
Knowledge on Computer Programas such as Exel, Word, E-Health and Athena. Knowledge on billing computer programs such as Envolve, Imediata Secure Claim and Aflac
Timeline
Patient Service Representative
Neighborhood Health Centers Of The Lehigh Valley - Nhclv
03.2023 - Current
Medical Billing Specialist
Eye Medical Center
08.2018 - Current
Administrative Assistant
Duna Medical Center
09.2004 - 09.2017
Associate On Computerized Systems -
Humacao Community College
High School Diploma -
Petra Mercado Bougart