Arianne Cruz

Experience

• 

  EA Health

  Nov 2013 - May 2015

  Insurance Verification Specialist

  -Verified patient eligibility via phone and online-Processed claims and appeals for both government and commercial insurances-Created training manuals and trained new hires

• 

  Genoptix, Inc.

  Aug 2015 - Sept 2018

  -Reviews prior authorization requirements-Requests additional diagnosis codes from doctors-Registers patient demographics and insurance information -Requested medical records from clients-Requested additional diagnosis codes from doctors-Scanned and indexed patient order information into an electronic database -Performed patient insurance eligibility via phone and online

  • Medical Billing Specialist

    Aug 2017 - Sept 2018

  • Billing Administrator

    Apr 2017 - Aug 2017

  • Insurance Verification Specialist

    Aug 2015 - Apr 2017
• 

  Physical Rehabilitation Network (PRN)

  Sept 2018 - Dec 2021

  Creates bi-weekly reports of payor issues and up-to-date solutions to result in financial collections. Manages a small team and helps them succeed as Patient Account Representatives by providing re-training and leadership reliability. Regularly communicates with upper leadership to determine new ways to improve processes and personnel communication. Effectively followed up on claims and appeals, lowering the overall receivable aging from 32% to 17% in two years where the minimum goal is 19%. Successfully built a trustworthy and reliable relationship with all assigned clinics and regional front office administrators.

  • Revenue Cycle Lead

    Apr 2021 - Dec 2021

  • Patient Account Representative

    Sept 2018 - Apr 2021
• 

  Entangled Publishing

  Apr 2019 - now

  Proofreader

  Proofreads manuscript for spelling, grammar, and consistency, and types up notes about changes into Microsoft Word.

• 

  Luna Pixi Studio

  Sept 2021 - now

  Business Owner

  Design and produce stationery products, digital marketing, social media manager, sales associate, content creator

• 

  Echo Health

  Jan 2022 - Aug 2022

  Account Specialist

  -Billing to all payer sources (Medicare, Medicaid, Managed Care, Private, Third Party, and VA) as well as Medicare Part B billing for Palliative Care.-Collection follow-up for all payer sources-Insurance verification-Process medical documents as necessary to meet Skilled Nursing and Hospice regulations-Timely follow up on patient accounts-Preparation of billing reports

• 

  Kayal Medical Group

  Jan 2024 - Dec 2024

  Medical Biller and Coder

  Entered charges into Google Sheets from variousprovider portals such as EPIC, Citrix, and Athena, thensent the file to the billing company. Assisted theprovider in collecting $50,000 from Promisecareinsurance. Audited patient balances and claims foraccuracy.