CS
Open to opportunities

Cristina Sanchez

@cristinasanchez

Detail-oriented medical documentation specialist with 8+ years of experience.

United States

What I'm looking for

I am looking for a role that values precision and compliance in healthcare, with opportunities for growth and innovation.

I am a detail-oriented professional with over 8 years of expertise in medical documentation and billing. My career has been dedicated to managing patient records with precision and ensuring compliance with industry standards. I am proficient in benefits verification, payment processing, and critical thinking, which allows me to facilitate smooth operations and resolve discrepancies effectively.

Currently, as a Senior Medical Document Specialist at Bio-Genetics Laboratory, I manage and ensure the accuracy and completeness of patient medical records. My role involves reviewing, updating, and archiving documents, as well as assisting with audits and training. I coordinate with doctors' offices to obtain required documentation, ensuring compliance with CMS for audit purposes and lab standards, while maintaining strict HIPAA compliance.

Throughout my career, I have developed strong skills in electronic health records and medical terminology, which I leverage to drive innovation and efficiency in healthcare administration. I am committed to providing a problem-solving approach to ensure claims are processed correctly and payments are received in a timely manner.

Experience

Work history, roles, and key accomplishments

BL
Current

Senior Medical Document Specialist

Bio Genetics Laboratory

Jan 2022 - Present (3 years 5 months)

Managed and ensured the accuracy and completeness of patient medical records, including reviewing, updating, and archiving documents while assisting with audits and training. Coordinated with doctors' offices to obtain required documentation, facilitating smooth billing and testing processes, and handled confidential patient information with strict HIPAA compliance.

CA

Billing Specialist, Payment Poster

CareCentrix

Jan 2014 - Present (11 years 5 months)

Resolved discrepancies within billing records and verified the accuracy of billing data, making necessary revisions to correct errors. Generated Excel reports to verify batch payments and operated various equipment for typing, adding, calculating, and billing processes.

HS

Medical Billing and Enrollment Team Lead

Healthplan Services

Jan 2012 - Present (13 years 5 months)

Provided customer service by accepting inbound calls for Humana in a fast-paced call center environment, addressing billing and enrollment inquiries. Reviewed billing and enrollment details, applying necessary changes to plans, and de-escalated customer conflicts to achieve resolutions.

Education

Degrees, certifications, and relevant coursework

SC

Southwest Florida College

Associate of Science, Medical Billing and Coding

Completed an Associate of Science degree focusing on medical billing and coding. Gained expertise in medical terminology, billing codes, and insurance regulations.

Tech stack

Software and tools used professionally

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Cristina Sanchez - Senior Medical Document Specialist - Bio Genetics Laboratory | Himalayas