Sonia Cuenca

Email: abo0ku@r.postjobfree.com

Address: * ***** ***** ******

City: Fair Oaks

State: CA

Zip: 95628

Country: USA

Phone: 916-***-****

Skill Level: Experienced

Salary Range: 42

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Sonia A. Cuenca 1 Coyle Creek Circle Fair Oaks, CA, 95628 916-***-****

abo0ku@r.postjobfree.com

Objective To obtain a position in a company that will enable me to use my strong organizational skills, educational background, and ability to work well with people.

Highlights:

27 years of experience in Healthcare Finance environment.

Experienced on Patient Accounting Auditing and Research Procedures, excellent communication. Well-organized and multi-task. Fluent in English - Spanish.

Reviewed financial records, such as prior tax return forms, income statements and documentation of expenditures to determine forms needed to prepare tax returns.

Analyzes and reviews submitted claims to determine if claims are payable. Recognizes problems of complex claims. Healthcare terminology - experience in a hospital or health insurance environment.

Skilled at organizing complex projects, defining project priorities, and delegating tasks.

Proficient basic clerical duties and prepare correspondence utilizing proper syntax, grammar and punctuation and experience in data entry.

Experienced using DRG, CPT, ICD-9, HCPCS and APC pricer. Knowledge of medical terminology and medical procedures. Knowledge of Accounting Principles and Bookkeeping.

Proficient at various computer software programs and applications; Microsoft 2007. QuickBooks, and Internet.

Work in a Microsoft environment, including Word, Excel, Powerpoint and Outlook.

Demonstrated accuracy, attention to detail and ability to work well in team environment.

Able to analyze and solve complex claims issues due to auditing experience in Healthcare organization. Knowledge of HMO, PPO, W/COMP, Medicare, MediCal claims and payments.

Experience:

SELF EMPLOYED (own business) Sonia's Tax Services Sacramento, CA

Tax Preparer Bookkeeping Services 2002 to Sept 2012

Prepared income tax return forms for individuals and small businesses.

Reviewed financial records, such as prior tax return forms, income statements and documentation of expenditures to determine forms needed to prepare return.

Researching and understanding tax law. Meeting financial needs for an extensive clientele.

Reviewed taxpayer accounts, and conducted audits on-site, by correspondence, and helping clients with translations on-site at the IRS.

On clients' behalf, checking and completing tax forms and auditing their tax records.

For Small Business clients accurate bookkeeping records kept. Quarterly Tax Records prepared.

Worked for Sanz Tax Services 2012 preparing tax returns.

HR BLOCK North Highlands, CA

Tax Specialist III Jan 2002 to Feb 2011

Prepared income tax return forms for individuals and small businesses.

Reviewed financial records, such as prior tax return forms, income statements and documentation of expenditures to determine forms needed to prepare return.

Recommended strategies clients can use to achieve their financial goals and objectives, including specific recommendations in such areas as cash management, insurance coverage, and investment planning.

Sold financial products such as IRAS, and insurance products as guarantees for their returns. Recommended information and contacts with Licensed Insurance Agents for additional insurance needs.

Interviewed client to obtain additional information on taxable income and deductible expenses and allowances.

Occasionally verified totals on forms prepared by others to detect errors of arithmetic or procedure.

Responsible for Spanish speaking clientele.

Discussed translation requirements with clients, and determined any fees to be charged for services provided.

Proofread, edited, and revised translated materials.

Pilsen Community Pediatrics Chicago, IL

Medical Billing Auditor 05/2009 to 10/2011

Inspected cash on hand, notes receivable and payable, negotiable securities, and canceled checks to confirm records are accurate.

Prepared detailed reports on audit findings.

Inspected items in books of original entries to determine if accepted accounting procedure was followed in recording transactions.

Analyzed problems associated with processing of complex claims, applied independent judgement when discrepancies were found.

Arranged for settlement of adjusted accounts with Insurance Companies and reviewed medical contracts. Worked on special projects as requested.

CHW -Mercy Hospital Sacramento Rancho Cordova, CA

Financial Analyst I 2001 to 2007

Maintenance of the decision support system and related data bases.

Assisted in the monthly cost accounting and overhead allocation.

Recommended and applied analytical techniques which were appropriate for various financial,

operational, and clinical projects. Handled different computers systems and softwares.

Experienced, organized and able to create Excel spreadsheets and pivot tables.

Generated reports to support Managers in the decision making process.

CHW- Greater Bay Area Region San Mateo, CA

Reimbursement Analyst I 1996 to 2001

Contributed for ensuring contractual adjustments posted through the patient accounting systems were accurate. Audits to Medicare RA's posted on receivables. Audit Medicare payments before government auditors.

Reviewed accounts with adjustment variances identified by CFO/Controllers.

Experienced with Medicare, Medicaid and Managed Care Reimbursement. Knowledge of all State, HIPPA, and governmental, state and federal regulations.

CHW-Greater Bay Area Region San Mateo, CA

Patient Accounting/Auditor Collector 1998 to 2000

Achieved excellent communication to inform Manager of chronic problems.

Telephone contact with third party payor sources.

Worked extensive audits on accounts receivables by reporting methods.

Audited Cash Posting activities as requested by the department management.

Close contact with outside Collection Agencies to assure proper collection. Audited

collections accounts and fixing errors.

CHW-Greater Bay Area Region San Mateo, CA

Patient Account / Biller / Cash Adjustor Representative 1984 to 1996

Patient billing and accounting processes, insurance, third party billing forms, procedures, medical terminology, Medicaid/Medicare.

Knowledge of third party codes, insurance terms, UB-04 procedures and claims

submission processing and reimbursement procedures. ICD-9, CPT and HCPCS.

Maintained patient confidentiality, multitask, produce quality work and meet deadlines.

Excellent customer service skills.

Worked special projects on accounts receivables, ability to balance payments and adjustments as posted on accounts.

Education

Sunrise Tech School Citrus Heights, CA

Certifications on Accounting/QuickBooks/Microsoft 2007 2010

Accounting for a Service Business Organized as a Proprietorship or as Corporation.

Preparing Payroll Records. Payroll Accounting, Taxes, and Reports.

Financial Statements, Recording Adjusting and Closing Entries for a Corporation.

QuickBooks and Accounting principles. Online transactions, inventory, sales tax set up and use of QuickBooks for Payroll. Microsoft 2007.

Sunrise Tech Citrus Heights, CA

Medical Billing Coding Certificate 2009

Medical Billing Coding insurance claims, including private, Medicare and insurance fraud. Handling confidential patient files and medical records. HIPPA procedures.

HR Block Sacramento, CA

Income Tax Ongoing Education 2002

Enrolled in advanced courses in Real Estate regulations, Depreciation and Itemized Deductions. Ongoing classes from 2002-2012.

San Andres University Bolivia - South America

Business Administration 1980

References Available upon request

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