Manager High School
Resume:
Norma Latorre
***** ** *** *** ***** Fl *****
**************@***.***
Objective: To obtain employment with a progressive organization to
effectively utilize my professional skills and provide reliable services.
Education:
Computer Course
Sullivan & Cogleano Computer School- Miami, FL
High School
Perth Amboy High School- Perth Amboy, NJ
Work Experience:
Universal Medical Center- Referral Coordinator 09/2009-Present
. Responsible for coordinating all patient referrals.
. Verification of insurance benefits
. Authorization verification
. Experienced in Medicare and Medicaid benefit guidelines
Mercy Hospital - Financial Representative III 08/2006 - 08/2009
. Ample experience with medical record management.
. Effectively expedite authorization and pre-authorization process.
. Responsible for insurance verification to validate registration accuracy.
. Accurately perform front-end collections exciding monthly threshold.
. Constantly apply federal, state, and local regulations knowledge to
ensure that collection process is in compliance.
. Perform outbound phone calls to Medicare members and efficiently explain
complex case
management programs.
. Maintain organized and accurate documentation of daily customers'
communication and
recovery process.
. Utilize multiple reports to indentify under-payments, over-payments, and
patient responsibility.
. Provide support to Patient Financial Services manager and case management
team using various
resources during recovery projects, departmental goals, and administrative
assignments.
. Generate memos and reports to inform Managed Care loading issues to
Patient Financial
Services manager in order to maintain reimbursement accuracy.
. Efficiently perform under-payment recovery.
World Waste Company -Collections Associate 12/2005-12/2006
. Analyze and identify outstanding balances and perform successful
collections process.
. Maintain adequate communication with customer and Health Plans to ensure
company recovery
process transparency.
. Interpret contractual language in order to identify legitimacy of
reported under-payments, overpayments, and denied claims.
. Provide extraordinary customer relations by expediting clients' inquiries
and addressing clients
concerns.
. Utilize organization skills to prioritize projects in order to comply
with department deadlines
and management expectations.
Diagnostic Testing Group -Administrative Coordinator 08/2004-
11/2005
. Responsible for timely deliver statements to patients and Hospitals to
ensure prompt reimbursement.
. Maintain imaging software by scanning and labeling payroll, HCFA, and EOB
forms.
. Manage patients' health insurance information and ensure compliance with
HIPPA regulations.
. Scheduling appointments and file documentation to maximize availability
during consults.
. Prepare letters and forms using Word and Excel to provide quality and
legible information.
Qualifications:
. Proficient in Microsoft Office applications.
. Effective at creating and maintaining positive relationships with clients
and associates.
. Fluent in English and Spanish.
. Outstanding organizational skills.
. Detail oriented with remarkable ability to multi-task.
. Experienced in Hospital contract management systems (PMMC) and Health
Information
Systems (Meditech and HealthQuest).
. Accurate interpretation of Managed Care contractual language.
. Aptitude and ability to quickly learn new systems.
References:
Furnished upon request.
Contact this candidate