Customer Service Medical Billing
Resume:
Florina I. Cordova
Murrieta, CA 92563
ac64rv@r.postjobfree.com
ac64rv@r.postjobfree.com
SUMMARY: I have 18 years' experience in Customer Service, Medical Billing and Collections. To include 8 years of Office Supervisor/Manager. I am looking for a career opportunity with a company where I can be an asset by way of sharing my strength of knowledge and work experiences.
SKILLS: Bilingual, Billing, CPT/ICD9/10 coding, 10 key by touch, Customer Service, Office Management/Supervisor, Commercial all insurances, Audit A/R, Monthly Reports, Authorizations, Payment Posting / Cash handling, Patient Collections, Mutli-Software programs and All Interoffice Correspondence/daily office functions.
EXPERIENCES:
Oak Hills Medical Corporation / VIPP November 2015 – January 2018
RCM Billing Manger
1400 Easton Drive Ste #143
Bakersfield, CA 93309
Oversee billing and collections for all medical corporations. Knowledge of the entire billing cycle from front end to collections and payments of charges submitted. Audit team members on performance, Manage primary office and remotely managed overseas office. Review and approve delinquent accounts, worked on complicated appeals, claims review and advised the best resolution for collection method. Worked with accounts to insure all revenue is captured. Maintain administrative access to all insurance sites for all offices and clinical. Prepared monthly A/R audit reports. Performed clearance approval for all invasive in office procedures. Met monthly quota 800K.
Med-Net Billing, Inc. August 2014 – December 2015
Account Manager
122 Sheldon Street
El Segundo, CA 90245
Specialty billing /collections: Neuro-Spine surgeon, Ortho Surgeon and Assistant Surgeon –RNFA for professional services. All insurances (PPO, HMO, Workers Comp, Medicare and Medi-cal, etc.) Account collections, Collecting Surgery deposits, negotiated contract payments. Met and exceeded month quota of $250K.
Protege Medical Billing Feb 2014 - June 2014
Biller
2000 Truxtun Avenue
Bakersfield, CA 93309
Billing of multiple accounts - PCP, Specialists - (plastic surgery, GI), Hospital professional services. Post copayments, verified authorizations / insurances and Patient demographics. For specialty billing coded from operative report for services rendered.
Dr. Rajeev Krishan MD May 2013 - Feb 2014
Gastroenterologist Biller
9900 Stockdale Hwy Ste #208
Bakersfield, CA 93311
Billing of all claims - Charge entry, payment posting (cash pays, insurance payments), patient collections, invoices, follow-up, appeals. Hospital professional claims - Coded from operative report to bill for services rendered. For both claims verified insurances, authorizations and patient payments. Work patient collections; payment arrangements or sent accounts to collections. Also handle all customer services calls.
On unemployment - due to layoff May 2012 - May 2013
Terrio Therapy-Fitness, Inc. June 2007 - May 2012
Follow-up/Billing Supervisor & Follow-up Specialist
8302 Espresso Drive Ste #100
Bakersfield, CA 93312
Started supervising staff of 10 - ended up as a staff of 5 persons in the billing department. Duties we to answer questions, audit control on accounts/followed up on accounts worked by staff. Assisted in working on denials/appeals, aging reports, patient collections, reviewed accounts for adjustment/account corrections. Team partner for Management TAG meeting (prepared reports for department goals). Attended seminars to stay updated with in insurances regulations.
MEDRIUM November 2005 – June 2007
Work Lead Call Center
4900 California Ave Ste #170B
Bakersfield, CA 93309
Customer service for high volume in bound call center (English and / Spanish calls). Handled all accounts local and out of state. Worked with al insurances claim corrections and appeals. Assisted patient with question /concerns, processed over the phone payments and payment arrangements. Resubmitted all corrected claims to insurance with in timely filing. Verified insurance, patient information and operative report depositions.
Dr. Phillip Rand MD August 2000 - September 2005
Office Manager / Biller
San Diego, CA 92103
Provider Retired
Office Manager for GYN practice, managed staff of 4 assisted in scheduling patient appointments, billed for all services to insurances, posted payments, made daily bank deposits. Performed all day to day office operations. Prepared payroll time sheets, attended seminars to stay with in regulations.
EDUCATION: Lynwood High School in Lynwood CA Graduated 1992 Diploma General Studies
Travel/Trade Career Institute in Long Beach, CA Graduated 1993 Certificate Computer Application
Maric College in San Diego, CA Graduated 2002 Certificate MIT/Medical Billing.
REFERENCES: Separate attachment.
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