Marlana Torres

ac532j@r.postjobfree.com home phone 813-***-****

Authorized to work in the US for any employer Work Experience

Reimbursement Specialist CCX Corporation - Tampa, FL March 2015 to June 2018

Home health Care- worked with all types of home infusion therapy, occupational, speech and physical therapy.

Appeals as needed either by fax or calls to Cigna to high dollars claims to reprocessing for payment.

Formula needs for young and old, wheelchairs, etc. Strived for excellence in my daily production and QA audits monthly.

Receptionist Comprehensive Spine Ortho March 2014 to August 2014

front end coordinator of all appointments, authorizations and scan medical records, insure that the claim is clean on the front end. Work close with the Nurse Case Managers on the work comp, Adjuster AUTO

ASAP Billing Resources July 2013 to March 2014

Worked on a system called Epic, which is linked into two major hospital portals TGH and Memorial Hospital's. Cardiology for 3 cardiologist office's Oncology/Hematology Psychiatry

Sr. Reimbursement Specialist Back 2 Sleep, LLC May 2012 to June 2013

Contact patients to verify the products received and advise of the usage. Reimbursement from insurance, collections in every type, verification of benefits and authorization. Work correspondence daily, incoming and outbound calls on a daily basis. Report audits on aging A/R.

Attorney Relations, A/R Specialists ANALGESIC HEALTHCARE August 2006 to April 2011

Demonstrated capacity to support on the quality assurance. Contact Attorney regarding the case status, medical records and all billing to insure reimbursement on the medical services rendered.

Office Manager WORLDWIDE MEDICAL SERVICES August 2004 to July 2006

Over seen all incoming referrals for compliance. Prepared all Verification of benefits as well as any authorizations for the services. Coordinate all billing and records for all accounts to our outside billing company, as well as overseeing and tracking billing VS collection ratios. Kept monthly spreadsheet for all incoming business from out referring Physicians, as well as reports on the sales representatives working for World Wide for work flow and quality.

A/R Specialist ANALGESIC HEALTHCARE November 2000 to August 2004

Experienced in all types of medical billing, IE: Group Health Insurance, Auto/TPL claims, Slip and falls and BI claims. Reauthorization as well as collections. Coordinate with Health Ins as well as Attorneys on the status of the outstanding medical Invoices. Excelled in High volume work environment with attention to detail and customer satisfaction. Part of the compliance team to review all intake paperwork from the referring Physicians. Excelled in daily tasks, as well in daily goals and deadlines on special projects assigned. Experienced in case review, peer review and IME Education

Hillsboro High School - Tampa, FL January 2000 to February 2000 Skills

microsoft programs, excel spreadsheets, outlooks Additional Information

SKILLS: Experienced in Microsoft Word, Microsoft Excel, Outlook, as well as Window based System's and ICD-9-ICD-10 and CPT coding. Six Sigma Training, HIPAA trained