Insurance Medical Billing
Resume:
***** ** ** ******* – DORAL, FLORIDA – *****
PHONE 239-***-**** • E-MAIL: **************@*****.***
Leticia Cifuentes
PROFESSIONAL SUMMARY
-Claim Resolution Specialist Trainer
-Medical biller- Corporate Insurance, Private Insurance, as well as Medicare and Medicaid.
-Experienced and licensed Allstate 440 Customer Service Representative with a proven track record of surpassing customer and employer expectations. Leveraged consultative sales strengths to identify opportunities, nurture relationships and closed deals.
-Ability to effectively influence others to increase performance levels that are focused on impeccable service delivery and accountability for goal achievement.
-Personal and Commercial Insurance (health, auto, home, business)
-Experienced in office management, payroll, and AR/AP as well as Human Resources responsibility.
-Excellent experience developing and implementing a variety of corporate programs, including those that must comply with corporate, state, or federal agency guidelines.
WORK EXPERIENCE
WORKING WITH TEMP AGENCY- TEMP ASSIGMENT 10/05/15 PRESENT
Assignment: CSI- Services- Long Term Care Services- Collection Specialist
Vascular Vein Specialist- 4/14/2014 09/01/2015
Collections/Accounts Receivable/Payable-Responsible for obtaining authorization for all 6 locations. Verify Patients benefits and coordinate patient’s appointments to ensure all services are authorized. Coordinate appropriate documentation to support authorization request and communicate with register nurses from insurance companies. Register authorized services into system. Confirmed with patient their medical benefits. Review outstanding claims due to missing Authorization. Appeal/ make correction appropriately to ensure claims are paid correctly. Coordinate efforts with office personnel and/or doctors as necessary.
Florida Cancer Specialist- 10/24/2011 12/05/2014
Trainer to Collectors- Trainer to new hire- Claim Resolution Specialist to the company System & Software Review accounts receivable aging and contact private/government on claims outstanding 30 days or more to resolve claims. Manage private/government claim reviews and denial of payment by responding with appropriate documentation to support appeal.
Follow up claim to see if payment is made. Coordinate effort with office personnel and/or the doctor as necessary. Transfer appropriate balances to patient responsibility and notify the patient and appropriate department of this action accordingly. Bill applicable secondary insurance. Contact patients to correct their insurance information and verify to ensure accuracy.
Medical Biller/Commercial/Government Collector 21St Century Oncology 2008-to 10/2011
-Medical billing to corporate insurance, private, Medicare, and Medicaid.
-Perform daily detailed/Summary aging reports.
- Commercial/Government Collector
Served as payment poster when necessary
Performed daily correspondence
Licensed 440 CSR Allstate-Steve Woodard Ins. Inc., Cape Coral, FL 2007-2008
Developed and implemented sales plan and managed all phases of the sales cycle- from prospecting to close and follow-up support. Represented a full line of insurance and financial products, serving as a trusted advisor to business and individuals.
-Increased customer base by 15% in a twelve month period through an aggressive campaign focused on acquiring the Spanish speaking community with cold-calling, referrals and participating in networking events.
-Served as a liaison between client and corporate insurance companies.
-Responsible for binding and re-writing policies.
-Spearheaded new business development.
-Allstate Certified.
Licensed 440 CSR The Insurance Center, Fort Myers, FL 2006-2007
-Responsible for home/ auto quotes.
-Served as liaison between client and corporate insurance companies.
-Responsible for binding and re-writing policies.
-Tracked and updated information from corporate insurance companies for in-house distribution.
-Participated in rotation of receptionist and secretarial relief.
HEALTHCARE/MEDICAL BILLING EXPERIENCE
Collection Contract Specialist American Radiology, Naples, FL 2006
-Spearheaded past due recovery project that rendered 1.5 million in revenue.
-Responsible for billing corporate insurance, private, and Medicare accounts.
-Responsible for collection of past due accounts for corporate insurance and private clients.
-Reconciled the wiring payment reports and issued a daily bank deposit report.
Medical Biller Emergency Physicians of Naples, Naples, FL 2002-2005
-Medical billing to corporate insurance, private, Workers compensation, Medicare, and Medicaid.
-Performed as a CPT Coder biller.
-Collected wiring payment reports and provided daily reports of the bank deposits.
-Participated in rotation of secretarial relief.
Office Administrative to President Dav-Mar Medical Products, New York, NY 1990-1993
-Responsible for AP/AR.
-Responsible for maintaining company rebate program that rendered 30 to 40 thousand dollars in monthly revenue.
-Performed HR responsibility that included payroll, and employee records maintenance.
- Medical billing to corporate insurance, private, Workers compensation, Medicare, and Medicaid.
OFFICE MANAGEMENT EXPERIENCE
Executive Administrative Assistant Robison Oil, Scarsdale, NY 2000-2002
-Responsible for service contract maintenance for commercial and residential clients.
-Identified and analyzed monthly profit/loss for active service contracts.
-Responsible for set up of new contracts thru the Peachtree billing system.
-Responsible for maintaining and identifying client service history through the use of Microsoft Access.
Office Manager Stock Management, Greenwich, Conn. 1998-2000
-Responsible for AP/AR and billing.
-Co-author and editor of company/client business letter published on monthly basis.
-Maintained client information data thru Microsoft Access.
-Responsible for scheduling Pension Fund Administrator events world wide.
-Responsible for daily functions of office operations.
EDUCATION
Roosevelt High School- Yonkers, New York Completed High School Diploma
BA Business Administration, Lehman College, Bronx, NY 1991 1 Year
LICENCES AND SKILLS
Microsoft Word, Excel, Access, Quicken 2000, MYSIS, Medical Manager, Intergy software systems. G4 medical System (Centricity, Unity) Vision, ZirMed, Clearinghouse, Availity, Navinet)
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