Iris Torres Email & Phone Number

Greater Los Angeles Area

West Hills Ca`

• Initial Claims Submission to all Insurance Carriers• Follow-up and collections on underpaid or rejected claims.• Responsible for reviewing and processing correspondence from patients and insurance carriers.• EOB Processing and Payment Posting as well as PT credit payment• Independently evaluate explanation of payments for patient accounts and understand correspondence based on knowledge of policy and personal discretion• Accurately post or record information regarding collection receipts• Processes and files information regarding collection receipts

North Hollywood Ca

• Accurately determine Medicaid eligibility for the Elderly and People with Disabilities to assist with current Medicare coverage if any•Maintain client/worker confidentiality as per State Rules and Regulations and HIPAA Regulations.. .•Responds to requests for information/assistance from clients/staff, by determining material required/performing research/clearing with superiors to provide information required•Responsible for having working knowledge of payer eligibility and benefits verification/billing guidelines.•Has complete understanding and working knowledge of navigating payer websites.•Researches insurance eligibility via website or by calling the insurance company, patient, or hospital in order to resolve eligibility denials/rejections in a timely and accurate manner.•Maintains thorough and detailed knowledge of various insurance contracts and eligibility denials and follow up guidelines.•Maintains good working knowledge of the contract tables and Case Rate plans.•Verify refund denials are true to state, if changes to PT information per insurance coverage refunds to appropriate insurance or correct to updated eligible insurance

North Hollywood Ca

•Verified health insurance policies for all major commercial carriers, as well as government healthcare agencies.•Served as a cost containment resource for Medicaid by ensuring they remain the "payer of last resort" by checking for other primary payer coverage.•Ensured accurate data entry into healthcare verification applications.•Entered pertinent information in a timely manner while paying special attention to detail.•Initial Claims Submission to all Insurance Carriers•Follow-up and collections on underpaid or rejected claims.•Responsible for reviewing and processing correspondence from patients and insurance carriers.•Denial Management and Appeal Filing EOB Processing•Enters corrections and reposts to the correct insurance type.

Sylmar Ca

MFG Pro electronic data entryInventory of product releases and documentationIssuing of proper component control nts to a variety of routes while maintain accurate traceabilityAssist in training other employees in the assembly of product and data entry processes