Sonia Ortega
Chandler
Summary
Well-rounded professional backed by healthcare industry, medical billing, and administrative assistant experience. Able to provide timely and accurate data to ensure reimbursement for patient services. Follow policies, procedures, and guidelines to ensure consistent quality. Maintain and assure patient privacy and confidentiality.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Biller
Amanecer Community Counseling Center
07.2021 - 10.2025
- Enter data electronically to process charges, payments, denials, and adjustments.
- Resolve routine patient billing inquiries and problems, collect payments, and made payment arrangements.
- Make outbound telephone calls and coordinate with insurance companies regarding claim status.
- Handle collections duties and appeals and update patient information.
Administrative Assistant / Secretary
Addison Group | Care Now Urgent
11.2020 - 04.2021
- Answered inbound and made outbound telephone calls, scheduled appointments, and maintained files.
- Verified insurance coverage, updated records, and made copies of medical records.
- Registered patients, checked patient in, and collected copayment.
- Upheld confidentiality of all information as outlined in HIPAA privacy guidelines.
Patient Access Representative
Ajilon Temp Agency
10.2019 - 08.2020
- Greeted, registered and submit and complete pre-authorization to insurance companies.
- Responded to customer inquiries and resolved problems in a timely manner to ensure efficient customer service.
- Communicated effectively with team members and other departments.
- Safeguarded patient confidentiality by making sure protected health information was secured.
Patient Account Representative
Las Cruces Physician Services
01.2016 - 07.2019
- Reviewed payment plans with patient, made outbound telephone calls to insurance companies, and updated patient information.
- Verified insurance coverage, checked insurance for claims status, and handled collection and appeals duties.
- Collect, post, and created payment arrangements and follow policies, procedures, and guidelines to ensure consistent quality.
Human Resource Officer
Casa Del Sol
02.2015 - 01.2016
- Trained new hires, completed new hire orientation, finalized paperwork, and
- Handled accounts receivable and accounts payable and processed payroll and drug test screening.
- Performed receptionist duties and completed daily deposit.
Patient Account Representative
Farm Bureau
06.2013 - 01.2015
- Verified patient information, issued insurance quotes, and made outbound telephone calls to upsell insurance plans.
- Communicated in a clear and concise manner and worked effectively as a team member.
- Ensure strict adherence to security and confidentiality guidelines as outlined in HIPAA.
Education
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2024
Associate Degree - Pre-Business
Dona Ana Branch Community College
01.2008
Skills
- Medical Billing
- Accounts Receivable
- Collections
- Co-Pay
- Deductibles
- Co-Insurance
- EOBs
- Medical Office Procedures
- Revenue Cycle Management
- Posting Payments
- Government (Medicare & Medicaid)
- Third Party Payers
- Scheduling
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Managed Care (HMO, PPO, POS)
- Insurance Verification
- Insurance Claim Processing
- CMS 1500
- CMS 1450 (UB-04)
- Workers Compensation
- Front Office Operations
- Medical Terminology
- Anatomy & Physiology
- HIPAA Compliance
- Medical Coding (ICD-10-CM, HCPCS, CPT)
Certification
Ultimate Medical Academy – HIPAA Essentials for Healthcare Professionals Certificate.
Section name
- Adapt to new challenges and ideas and able to develop relationships with diverse populations.
- Provide insight and recommendations to resolve problems.
- Build positive relationships and work collaboratively with company departments and team members.
- Communication Platforms – Zoom, Skype, Google Meet, and MS Teams.
- Microsoft Office Applications – Word, Excel, and PowerPoint | Type 25 WPM.
Timeline
Medical Biller
Amanecer Community Counseling Center
07.2021 - 10.2025
Administrative Assistant / Secretary
Addison Group | Care Now Urgent
11.2020 - 04.2021
Patient Access Representative
Ajilon Temp Agency
10.2019 - 08.2020
Patient Account Representative
Las Cruces Physician Services
01.2016 - 07.2019
Human Resource Officer
Casa Del Sol
02.2015 - 01.2016
Patient Account Representative
Farm Bureau
06.2013 - 01.2015
Associate Degree - Pre-Business
Dona Ana Branch Community College
Diploma - Medical Billing and Coding
Ultimate Medical Academy