Cina Batiste
Houston,Texas **078
Objective
To secure a responsible position within a progressive organization where I will be able to contribute my skills, knowledge and experience for professional growth.
Medical Software/Systems
Meditech TRAC Zirmed
Medisoft EPIC BioWeb
EZ Claim Office Ally Cortex
Skills Summary
Claims processing Billing/Coding Payment posting
Accounting adjustments Accounts Receivable Accounts Payable
Reimbursement analysis Collections Intake
Benefits verification Prior Authorizations Pre-determinations
Employment History
BioCure LLC 07/21/2014-Present
Medical Collections/Billing Analyst Lead- Ensure the daily completion and tracking of out of network benefit verifications and prior authorizations of prescriptions received through intake via the medical team, assign patients to team members. Approve for servicing based on benefits,profits margins, and authorizations. Complete medical billing within 24 hours of fill and scheduled delivery. Create collection reports and status within 30 days of bill date. Work outstanding accounts and enroll eligible patients in patient assistance programs.
Kindred Healthcare 07/2013-07/2014
Billing and Collections for two hospital locations, Town/Country and Heights. Reviewed all payments for optimal reimbursement, account adjustments, negotiated payment agreements, and submitted appeals for denied services.
Sutherland Global Services 02/2013-07/2013
Consultant / Project Assistant-Prepares and distributes weekly reports in excel for project managers and supervisors for BPO service level initiatives. Organized goal tracking and progress of individual teams.
I.T.S Rx/Acaria Healthcare 11/2009-03/2012
Reimbursement /A/R Collection Specialist - Lead team of billers and collectors to effectively streamline billing processes for pharmacy products. Extracted aging reports via main pharmacy database and divided by payor to be worked by individual team members. Assigned monthly team goals and identified trends in A/R based on problem payors. Verified all transactions complied with financial policies and procedures.
Cypress Creek Hospital 02/2008-08/2009
Insurance Specialist / Financial Counselor- Verified patient's medical benefits and collected upfront self-pay balances. Matched insurance payments with outstanding accounts and distributed weekly financial reports for management meeting. Duties also included payment posting, pulling credit reports and preparation of daily bank deposits. Maintenance of daily self-pay ledger.
Kelsey Seybold Clinic 11/2005-4/2007
Patient Account Analyst / Coder- Verified patient's medical benefits to determine self-pay balances for outpatient infusion services. Insurance billing/coding, prior authorization of infusion services, and preparation of outpatient referrals for home healthcare services/DME. Scheduled infusion appoints.
Education
Prairie View A&M University August 1991-June 1993