Liliana Cuadra
Winston-Salem
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Supervisor
La Palmera
Winston-Salem
02.2021 - Current
- Managed inventory and supply levels to ensure sufficient stock for peak hours.
- Adhered to company policies regarding product ordering, storage, handling and pricing.
- Ensured that shelves were properly stocked with merchandise according to established guidelines.
- Maintained accurate records of all deliveries, sales and orders.
- Provided exceptional customer service by responding to inquiries and resolving complaints in a timely manner.
- Communicated regularly with vendors regarding orders placed and delivery dates.
- Maximized profit by coordinating efficient team workflows, minimizing waste and controlling shrinkage.
Physician Denial Specialist
Northside Hospital Atlanta
Brookhaven
01.2020 - 01.2021
- Experience billing for Family Medicine, Internal Medicine and Urgent Care.
- Work with management, provider representative and other departments to resolve denial issues.
- Work with management, provider representative and other departments to resolve denial issues.
- Ensure the accuracy of insurance claims. Verify correct ICD-10 and CPT codes for a variety of specialties.
- Retrieve Electronic Remittance Advice (ERAs) and EOBs.
- Research and resolve incorrect payments, EOB rejections and other issues with outstanding accounts.
- Follow up on Insurance aging and resubmit insurance claims if necessary.
Patient Account Representative
Northside Hospital Atlanta
Brookhaven
04.2019 - 12.2020
- Responded promptly to customer inquiries via telephone or email in a professional manner.
- Maintained confidentiality of patient information in compliance with HIPAA regulations.
- Submitted appeals on behalf of patients when appropriate based on findings from research conducted into denied claims.
- Maintained detailed notes on all patient interactions for future reference purposes.
- Verified accuracy of medical coding for services rendered by healthcare providers.
- Processed payments from patients and maintained accurate records of all transactions.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
Patient Financial Coordinator
PaymentsMD
Sandy Springs
11.2013 - 06.2018
- Resolved customer service inquiries related to account balances, payments, and collections activities.
- Responded to 75-100 inbound calls per day in a high call volume environment.
- Trained new employees to incorporate an efficient screening process.
- Provide quotes to anesthesia self-pay patients according to the fee schedule.
- Review and reconcile unapplied payments.
Education
High School Diploma -
Parkland Magnet High School
Winston-Salem, NC06-2009
Skills
- Team leadership
- Customer service
- Inventory management
- Conflict resolution
- Employee training
- Quality assurance
- Time management
Timeline
Supervisor
La Palmera
02.2021 - Current
Physician Denial Specialist
Northside Hospital Atlanta
01.2020 - 01.2021
Patient Account Representative
Northside Hospital Atlanta
04.2019 - 12.2020
Patient Financial Coordinator
PaymentsMD
11.2013 - 06.2018
High School Diploma -
Parkland Magnet High School