Selina Guadalupe Acosta Soto
Aurora
Summary
Accomplished Billing Specialist with expertise in medical billing and collections at Stride Community Health Center. Proficient in Epic and data entry accuracy, ensuring efficient billing processes. Bilingual communicator with a proven track record in problem-solving and customer relationship management, enhancing patient satisfaction and operational efficiency.
Overview
9
9
years of professional experience
Work History
Billing Specialist
Stride Community Health Center
Denver
05.2023 - 07.2026
- Collected patient payments via phone and applied credits to accounts, enhancing cash flow management.
- Verified insurance rejections by confirming eligibility and obtaining EOBs, facilitating timely resolution of claims.
- Managed claim edits and follow-ups to facilitate efficient billing processes.
- Posted denials and payments electronically and manually, ensuring accuracy in billing records.
- Adjusted accounts by processing refunds and correcting payment discrepancies.
Intake Receptionist
Denver Health
Denver
09.2021 - 05.2023
- Checked patients in and out, ensuring a smooth appointment process
- Answered phone calls promptly and directed inquiries to appropriate staff, facilitating effective communication
- Scheduled appointments using electronic health record systems accurately.
- Arranged follow-up appointments to enhance patient care continuity
- Verified patient insurance rejections during check-in process.
- Maintained confidentiality of patient information in accordance with HIPAA regulations.
Customer Service Representative
Ross
Denver
06.2019 - 01.2022
- Guided customers in finding items, processing transactions, and fitting clothing to enhance shopping experience.
- Oversaw returns and exchanges to uphold company policies and improve customer satisfaction.
- Managed cash handling as area supervisor for front end operations.
- Supervised front end and warehouse areas to maintain safety and security of merchandise.
Pharmacy Technician
Walgreens Pharmacy
Denver
08.2019 - 09.2021
- Processed prescription fills for patients, including schedules I through V.
- Entered medication prescriptions to ensure timely fulfillment for patient needs.
- Contacted insurance providers to resolve rejections and clarify benefits information for patients' understanding.
- Assisted customers at checkout and in locating items to enhance shopping experience.
Customer Service Representative
Metro by T-Mobile
Denver
02.2019 - 05.2019
- Sold phones, ensuring customer satisfaction through personalized service.
- Verified functionality of merchandise before sale, enhancing customer experience.
- Managed cash handling and completed deposits, maintaining financial accuracy.
Customer Service Representative
Fred Loya insurance
Denver
06.2018 - 12.2018
- Delivered personalized insurance recommendations aligned with individual client requirements, enhancing their overall experience.
- Sold auto insurance customized to client needs, ensuring optimal coverage and satisfaction.
- Submitted claims to other insurance companies while maintaining a strong focus on customer service quality.
- Conducted thorough policy reviews to ensure compliance and coverage adequacy.
Teacher Assistant
Sagebrush Elementary School
Denver
10.2017 - 06.2018
- Coordinated communication between director and teachers to ensure smooth daily operations
- Provided care for children by assisting with homework, leading arts and crafts activities, and organizing field trips
- Communicated with parents about student progress to support academic development
Education
MA - Pre-requisite classes
CCD
Denver, CO05-2021
Pharmacy Technician Certified -
Emily Griffith Technical College
Denver, CO05-2019
High school diploma -
Smoky Hill High School
Aurora, CO05-2018
Skills
- Billing and collections
- Claims resolution
- Billing insurances
- Use Epic
- Accurate data entry
- Data entry efficiency
- Data input
- Knowledge of medical terminology
- Pharmacy terminology knowledge
- Medication input knowledge
- HIPAA compliance
- Client account management
- Interdepartmental communication
- Software and spreadsheet use
- Bilingual communication
- Multilingual documentation
Professional References
- Jorge Alcala, 720-579-3887
- Alexa Gamboa, (385) 338-7122
Awards Certifications Licenses
- Faculty award for citizenship
- 3.0 GPA or higher award
- Pharmacy technician certification
- BMS certified
Activities
- Latino World Alliance Club, President of the club, Leadership skills throughout Elementary schools in our community
- Pro-Start, Healthy cooking, Community service, Competitions throughout the state
- Breakthrough Kent Denver, Volunteer, Mentor to kids in middle school who are of low income who need resources throughout High School
Timeline
Billing Specialist
Stride Community Health Center
05.2023 - 07.2026
Intake Receptionist
Denver Health
09.2021 - 05.2023
Pharmacy Technician
Walgreens Pharmacy
08.2019 - 09.2021
Customer Service Representative
Ross
06.2019 - 01.2022
Customer Service Representative
Metro by T-Mobile
02.2019 - 05.2019
Customer Service Representative
Fred Loya insurance
06.2018 - 12.2018
Teacher Assistant
Sagebrush Elementary School
10.2017 - 06.2018
MA - Pre-requisite classes
CCD
Pharmacy Technician Certified -
Emily Griffith Technical College
High school diploma -
Smoky Hill High School