Deici Morales Pena
Sanford
Summary
Patient account representative with extensive experience in medical billing and coding at UNC Chapel Hill. Demonstrated success in resolving billing inquiries and improving patient comprehension of financial obligations. Bilingual communicator proficient in insurance claims processing and compliance, ensuring accuracy and efficiency in all transactions.
Overview
15
15
years of professional experience
Work History
Patient Account Representative
UNC Chapel Hill
Chapel Hill
06.2025 - Current
- Managed patient billing inquiries and resolved account discrepancies, enhancing patient satisfaction.
- Reviewed insurance claims for accuracy and compliance with regulations.
- Processed patient payments using electronic health record systems.
- Educated patients on financial responsibilities and payment options, facilitating informed decision-making.
- Maintained detailed records of patient interactions and account status updates.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Submitted electronic bills adhering to facility and legal compliance standards.
- Reconciled payments against outstanding invoices, ensuring accurate posting of credits and debits for financial integrity.
Accounts receivable Administrative assistant
VC AND ASSOCIATES INC
Sanford
01.2012 - 05.2024
- Secured timely approvals for patient care services and procedures.
- Answer questions related to billing and insurance
- Explained patients' financial responsibilities, enhancing understanding and transparency of billing processes.
- Verify insurance information for new patients and referrals
- Inform relevant clinical staff about denials
- Ensured compliance with HIPAA regulations to protect patient privacy.
- Review patients' records for timeliness, completeness, and accuracy.
- Use classification systems to assign clinical codes for patients' diagnoses, procedures, medical services, and related information.
- Maintained and retrieved records for insurance reimbursement and data analysis, supporting accurate financial reporting.
- Organize patient files
application for tenant
Sanford Estates Apartments
01.2011 - 01.2012
- Verified tenant backgrounds to ensure suitability and compliance
- Ensured timely collection of rent to maintain cash flow
- Created maintenance work orders to address tenant requests and maintain property standards
- Answered multi-line phone system to facilitate effective communication with tenants and staff
Education
Lee Senior High
Sanford, NCSkills
- Claims processing
- Billing and coding
- CPT code expertise
- Payment processing
- EHR management
- HIPAA compliance
- Compliance standards
- Verification processes
- Accounts reconciliation
- Office organization
- Bilingual (English/Spanish)
- Customer interaction
- Terminology proficiency
References
- Allison Taylor, 919-599-7117
- Michelle Willis, 919-478-4464
Languages
Spanish
Professional
English
Professional
Timeline
Patient Account Representative
UNC Chapel Hill
06.2025 - Current
Accounts receivable Administrative assistant
VC AND ASSOCIATES INC
01.2012 - 05.2024
application for tenant
Sanford Estates Apartments
01.2011 - 01.2012
Lee Senior High