Sierra Freire

Managed and followed up on billed and denied claims using the CPSI client system. Reviewed claim statuses, submitted appeals, reconsiderations, and medical records, and coordinated with providers and supervisors to provide updates on denials and appeal submissions.

Verified eligibility, managed claim denials, and submitted appeals and reconsiderations using the EPIC system. Contacted multiple insurances daily to obtain claim status and request reprocessing, and trained a new hire on insurance specialist duties.

Maintained patient accounts, reviewed notes in business and client systems (Meduit, RCI/Cerner), and determined if accounts needed further review or reinstatement for billing. Completed 100-200 accounts daily and responded to emails in a timely manner.

Assisted patients, insurance representatives, and attorneys with questions on bills and claims, resolving accounts financially or correcting incorrect bills. Applied action codes for specific call reasons and ensured customer satisfaction while adhering to HIPAA guidelines.

Trained new department employees on sales techniques, client protocols, and policies, fostering teamwork across multiple departments. Managed cash transactions, opened and closed registers, and provided excellent customer service with positive feedback.

Completed a certification program in medical billing and coding, gaining expertise in healthcare financial processes. Acquired skills in managing claims and understanding billing procedures.

Activities and societies: Volunteered with First United Methodist Church, Education Participation in the Communities (EPIC) at CSULA, and Valley Care Community Consortium. Participated in a health-educated gardening club internship at Our Savior Center: Dorris Dann Kids Campus.

Graduated with a Bachelor of Science in Public Health, focusing on health administration and policy. Gained knowledge in data analysis and healthcare systems.