Kristal Pinachos

kristal_729@outlook.com

2404816863

US

High School

MedTech Institute

Medical Billing and Coding

2015

Graduated

Maryland Oncology Hematology

Health Information Analyst

18/10/2022

Preparing patients charts ahead of time, with a minimum lead time of three days. Reviewing providers treatment plans in the patients charts and determining the necessary documents for the patient's upcoming appointment. Disclosing information/Releasing of health information to other providers or entities in accordance with HIPAA guidelines. Obtaining records from physicians offices or online portals. Managing phone inquiries relating to requests for health information. Reviewing all electronic faxes and meticulously attaching records to charts. Providing coverage for fellow medical records analyst.

Physical Therapy and Sports Medicine Center

Prior Authorization Specialist/Front Desk Coord.

13/06/2017

31/05/2021

Obtain prior authorizations from insurance companies for procedures or treatments. Verify patients insurance coverage, ensuring accuracy and completeness of information. Collect co-payments and payments for services rendered, accurately recording transactions and providing receipts as needed. Process and submit insurance claims accurately and timely to ensure prompt reimbursement. Coordinate with insurance companies to resolve any billing discrepancies or inquiries. Assign accurate ICD-9/10 codes to patient diagnoses and procedures for billing and insurance purposes, adhering to coding guidelines and regulations. Manage the entire insurance claims process, from submission to follow-up and resolution, to maximize reimbursement and minimize delays. Verify patients' insurance coverage, ensuring accuracy and completeness of information to facilitate smooth billing processes. Post payments to patient accounts for accurate financial records. Collect co-payments and payments for services rendered, accurately recording transactions and providing receipts as needed. Professionally and promptly answer incoming calls, directing them to the appropriate department or personnel as needed. Welcome patients upon arrival, verify their information, and efficiently facilitate the check-in process. Type and prepare correspondences for patients, medical records, and other administrative purposes. Ensure seamless check-out by collecting necessary paperwork and providing any relevant instructions or follow-up appointments. Confirm upcoming appointments with patients via phone, email, or SMS, ensuring appointment schedules are accurate and up-to-date. Fax out necessary documents to other healthcare providers or insurance companies, maintaining confidentiality and accuracy. Type and prepare correspondences for patients, medical records, and other administrative purposes with attention to detail and professionalism.