Manager Customer Service

Oralia rivas

**** *** ***** *** *******, TX 782**-***-*** 3320 ******@*****.***

HealthCare Business Professional

Dedicated and technically skilled business professional with a versatile healthcare billing, collections, and

customer service background developed through experience as a revenue cycle manager, billing

specialist/processor, business office manager, and field representative.

Excel in resolving employer challenges with innovative solutions, systems and process improvements proven to

increase efficiency, customer satisfaction and the bottom line.

Offer advanced computer skills in MS Office, EPIC, TPOCS, CHCS, AHLTA, Passport, Americana, VistaCare,

Addon, Anodyne, Image Now, PACES, ADP, Korons, and other applications/systems.

Key Skills

Bookkeeping & Payroll Report & Document Preparation Records Management

Accounts Payable/Receivable Spreadsheet & Database Creation Financial Analysis

Teambuilding & Supervision Policies & Procedures Manuals Inventory Management

Staff Development & Training Office Management ICD 9 & CPT Coding

Experience

Deacon Professional Services 2010 to Present

Financial Services Manager, Medicine Team assignment UTHSCSA Revenue Cycle

Provided coverage as revenue cycle manager for Medicine Team (OB/GYN, Family Medicine, Neurology, Peds,

Medicine) analyzed denials, identified trends, proposed resolutions

Established procedures for the resolution of rejected claims and expedited the cleanup of the Supervisor Insurance

Follow Up Workqueues

Preformed front end review for the department of Urology resulting in a tremendous improvement in their lag days

(7 day decrease in one weeks’ time) and proposed processes to further improvement.

Identified VA charges that were not collectable due to lack of proper authorization thereby decreasing outstanding

revenue

Researched Railroad Medicare electronic claim issues and established processes to successfully rectify matter

Provided coverage and assisted in all areas as needed.

Benefit Recovery 2005 to 2010

OutPatient Billing/FollowUp Mgr.

Responsible for all aspects of Outpt Third Party billing and collections management for thirty two Military,

Treatment Facilities, including the hiring, training, and development of 17 employees’ day to day processes,

production, evaluations, etc…

Maintained a competitive billing percentage of contracted and Co. goals; increased daily production from $5M to

as high as $10M within three months of assignment

Paramount HealthCare Co 2000 to 2005

Medicare Billing Spec/AR Field Rep/Business Office Mgr.

Responsible for all aspects of Medicare A&B billing systems, i.e.…MOO, Trailblazer, and Palmetto for six

facilities, SNF, MSP,OtPt, & DMERC utilizing a variety of billing systems, i.e. Medicaid, Managed Care,

Hospice, PVT etc.. for over 150 SNF/ICF clients maintained a competitive collection percentage

Supervised A/P for over 100 vendors

Managed Patient Trust Fund Accounts for 80+ clients

Established tracking systems for startup facility 3652s, RUGs, A/R, A/P, Trust, Personnel/Payroll that saved

thousands of dollars in fees and improved the overall revenue of Co. by successfully bringing in house the formerly

outsourced billing and receivables.

SunBridge Care & Rehab/The Palms

1994 to 2000

Business Office Manager

Responsible for all aspects of A/R utilizing a variety of billing systems, i.e. Medicare, Medicaid,

ManagedCare,VA, Hospice,PVT, etc..for over 180+ SNF/ICF clients

Supervised A/P for over 100 vendors

Established processes, and tracking systems that resulted in the successful collection of $800K in outstanding

receivables and maintained a competitive collection percentage thereafter

Supervised Patient Trust Fund Accounts for 80+ clients; established processes that enabled the facility to comply

with all state, and federal regulations

Education

Texas A&M University College Station, TX

Del Mar College Corpus Christi, TX

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