June Arnaiz

 June Rae Arnaiz 138 North Hickory Ave Bartlett, Il 60103 -- Experience Financial Service Senior Specialist Amita HealthMarch 2016-current Credentialing administration Work directly with insurance companies, providers, administrative staff and patient to get claims processed and paid in an accurate and timely manner Audit claims and resolve issues Review and appeal unpaid and denied claims Collections on unpaid accounts Identify trends/recurring issues and present to revenue cycle manager Communicate consistently and professionally with various functional areas of the company Adhere to HIPAA guidelines, to other relevant state and federal regulations, and to company policies regarding to compliance, integrity, patient privacy and ethical billing practices. Perform other tasks or special projects as assigned Accounts Receivables Analyst HFRI September 2015-March 2016 Prioritizing accounts and workflow to meet management goals. Communicating work in progress and final collection disposition to the appropriate A/R and Credit Staff. Responsible for processing credit reports for verification of references, and establishing validity of information provided. Communicating with insurance to follow up on adjudicating claims for payment Closing accounts that are not payable Pharmacy Technician CVS Caremark Specialty Pharmacy                    May 2014- September 2015 Running insurance claims and conveying deductibles Solving insurance OOP issues with patients Resubmit denied authorization request by appealing and determine reason for denial Verify insurance coverage to ensure proper coordination Communicate with doctors, nurses, receptionists, providers and patients on a daily basis Educate patients regarding insurance benefits Called Doctor's offices regarding prior authorization(s) Communicated directly with insurance companies for resolution purposes Contact Medicare and Medicaid Account manager(s) to request for override(s) Provide copay assistance to patients who cannot afford their copay Efficiently managed telephone inquiries related to billing, insurance, and general info Take IBC and make OBC from and to patients regarding their order (medications) Adjudicate patient’s order(s) to make sure that insurance pays the claim Following up on orders to ensure patient’s got their order(s) Cashier CVS/Pharmacy, Mount Prospect IL                        August 2013-April 2014 Assist customers with returns and front checkouts. Assist customers with store questions and concerns Answer telephone inquiries from customers regarding store questions. Teacher Assistant Safari Childcare Inc, Palatine IL                        April 2013-August 2013 Assist Lead teachers in daily activities Talk  to parents about their child’s performance as well as improvements Assist with all other school activities Education Silliman University March 2012 – (undergrad) BEED in Special Education Saint Louis School Don Bosco March 2005 High School Diploma Skills Microsoft Word, Microsoft Excel, Microsoft PPT Ability to work with several operating systems Ability to multitask Dedicated and careful—high level of accuracy and attention to detail Excellent verbal and written communication skills Experience with EPIC, Image now, Availity, Meditech, Imanage, Chase Lockbox, Nebo