Issa J. Mateo
Holyoke
Summary
To secure a position in the medical environment where my experience and skills can be utilized.
Overview
22
22
years of professional experience
Work History
Site Coordinator
BHN/Mt. Tom Center
Holyoke
07.2008 - Current
- Generates authorization, failed revenue, and eligibility reports on a day-to-day basis to proactively manage the front-end revenue cycle.
- Implements, monitors, and maintains prior authorization, and ensures authorizations are obtained in accordance with the insurance timely filing deadlines, and entered correctly into the EHR system.
- Coordinate and maintain the integrity of all client data entered into the billing system.
- Enters all changes to client data, including demographic and insurance information, into Carelogic with a high degree of accuracy, correcting any errors.
- Act as a liaison with clinical staff regarding billing questions.
- General duties (faxing, photocopying, mailing, scanning documents, etc.)
- Answered, screened, and directed inbound phone calls.
P/T Clinical Support Staff
River Valley Counseling Center
Chicopee
12.2019 - 04.2024
- Answered all incoming calls.
- Provided assistance to the medical providers and clinicians.
- Scheduled outpatient and med management appointments.
- Collected copayments and outstanding patient balances at check-in, managing all cash and credit card transactions.
- Maintained a meticulous daily cash log, ensuring precision, and balancing the register at the end of each shift.
- Obtained and entered MassHealth Transportation (PT-1 Form) request for clients.
- Handle all administrative support functions, including copies, filing, scanning, etc.
Claims Support
MSPCC
Holyoke
12.2005 - 05.2007
- File Medical/client records.
- Receptionist, switchboard operator, and professional support. (Faxing, photocopy, mail, etc.)
- Verify, keeping track and manage insurance eligibility.
- Prepare and run various reports. (Also check for errors)
- Print, distribute, and render encounter forms on a timely basis.
- Enter and maintain clinician schedules, stamp with appropriate stamp. (Quarterly, CAFAS, TOPS, limited units available, auth expiration, etc.)
- Maintain all client’s information.
- Responsible for complete, timely and accurate claims in data entry.
- Schedule/reschedule clients enter the system.
- Send out reminder letters and make reminder calls to clients the day prior to each appointment.
- Enter new client information and discharge client from the computer system.
Follow-up/Payment Poster
More Medical Billing, INC.
North Haledon
04.2003 - 07.2005
- Submitting HCFA 1500 forms to Medicare, Medicaid, and private insurance companies.
- Aging reports.
- Receiving incoming and outgoing calls from patients and doctors.
- Analyze patient accounts.
- Post payments from Medicare, Medicaid, private insurance companies, and cash payments from patients.
- Patient registration.
Education
Certified Nursing Assistant -
HCC
Holyoke11.2005
Medial Administrative Assistant/Secretary -
Plaza School of Technology
Paramus, NJ04.2003
Diploma -
Eastside High School
Paterson, NJ06.1997
Skills
- Electronic health record systems
- Revenue cycle management
- Client data accuracy
- Authorization processing
- Customer relationship management
- Claims verification
- Team collaboration
- Fast-paced environment
- Ability to learn quickly
- Detail-oriented
- Organized
- Self-motivated
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
P/T Clinical Support Staff
River Valley Counseling Center
12.2019 - 04.2024
Site Coordinator
BHN/Mt. Tom Center
07.2008 - Current
Claims Support
MSPCC
12.2005 - 05.2007
Follow-up/Payment Poster
More Medical Billing, INC.
04.2003 - 07.2005
Certified Nursing Assistant -
HCC
Medial Administrative Assistant/Secretary -
Plaza School of Technology
Diploma -
Eastside High School