Revenue Cycle Specialist

JENNIFER ROMERO

**** ** **** **, *********, FL 330**-***-*** 3476

******.******@*******.***

Proposed, negotiated and managed several major Managed care & Government contracts critical to

the success of the company's business strategy and financial goals. Secured awards of numerous fixed price production contracts exceeding $50M. Maintain relationships throughout the years with network providers. Renegotiated key contracts with an intent of 25% over Medicare allowed rates but instead was able to get 58% more.

SKILLS

Administration & Management

Time Management

Knowledgeable in Computers & Electronics.

Proficient in Word, Excel, Power Point &

Microsoft teams.

Budget Conscious

High level of personal integrity

Negotiation

Work co operatively & effectively with

others (internally & externally) to achieve a common objective

Customer & Personal Service

Active Listening

Reading Comprehension

Critical Thinking

Training Lead

Judgment & Decision Making

EXPERIENCE

MAR 2022 – PRESENT

REVENUE CYCLE SPECIALIST

GARNET & CARBONELL D.P.M LLC.. 3 Clinics’

Advise management of renewals for LBT, OSHA training, AHCA inspections per location.

Work with worker comp & lawyers for patients’ treatment of care.

Work closely with patient accounting / business office

Train staff in running insurance / eligibility.

Work with underpaid accounts and appeals

Run variance reports per payer.

Load in contract rates & changes into EMR system

Create projects per payer for reimbursement.

JAN 2019 – MAR 2022

CORPORATE CONTRACTS MANAGEMENT MANAGER & CANCER CENTER QUALITY

ASSURANCE, LARKIN COMMUNITY HOSPITAL. 3 Hospitals & 1 Clinic.

Prepare reports Regarding market conditions & merchandise costs.

Participate in the development of specifications for equipment, products or substitute materials.

Analyze market and delivery systems to assess present and future material availability.

Prepare bid awards requiring board approval.

Maintain records of goods ordered and received.

Represent companies in negotiating contracts and formulating policies with suppliers.

Created reports for underpaid/overpaid accounts.

Created projects per payer for reimbursement.

Load in contract rates & changes into EMR system.

Run variance reports per player.

Reviewed every surgery that inquired a high-cost implant for administrative approval.

Negotiate contracts.

Supervise the registration, chemo approvals, & high-cost medication billing for cancer center

Prepare reports on quality & timely execution of treatments.

Worked closely with patient accounting / business office.

Reviewed recoupments as well as medical coding audits.

JULY 2016 – JAN 2019

INSURANCE VERIFER, LARKIN COMMUNITY HOSPITAL.

Surgery scheduling & precertification

Verifying patient insurance coverage to ensure necessary procedures.

are covered by an individual provider.

Create, maintain & enter information into databases.

Greet patients, explain benefits, collect: copays & deductibles.

Set up & manage paper or electronic filing system, recording information,

updating paperwork or maintaining documents such as correspondence,

denials, approvals, appeals & other materials.

Developed strong patient relations by providing the highest level of customer.

service.

Made a new EMR account for new patients.

Ensured that change & payment were posted appropriately.

Visit patients in rooms to verify issues with insurance.

Work closely with physician’s office as well as other hospital personnel

SEPTEMBER 2014 – JULY 2016

MEDICAL ASSISTANT/ MEDICAL RECORDS CORRDINATOR, DR. RUBEN AYALA MD

PA.

Answered phones.

Calling in medication to pharmacy

Checking insurances

Keeping track of medical records & sending them to doctor

Offices/ Hospital/ Lawyers (subpoena)

Check in PT’s collecting.

Copayments & Deductibles

Making appointments

JUNE 2013 – AUGUST 2013

MEDICAL ASSISTANT, MIAMI CHILDREN’S HOSPITAL (DERMATOLOGY).

Assisted P.A. with wart/mole removals •

Brought patients to the exam room.

Helped

with skin allergy testing

Entered medical history in EMR.

Verified referrals.

OCTOBER 2011 – SEPTEMBER 2012

MEDICAL ASSISTANT/FRONT DESK, DR. STEPHANIE DUNCAN-GARCIA FAMILY

PRACTICE

Phlebotomy

Entered medical history in EMR

Filing • Answered phones

Performed EKGs

Blood Pressure

Brought patients to the exam room Requested Referrals

Made Appointments.

JANUARY 2009 – AUGUST 2011

FRONT DESK ASSISTANT, SWEET HOME HEALTH CARE AGENCY.

Answered phones • Ensured punctuality of care staff • Ordered medical equipment •

Assisted care staff • Input patient demographic info in EMR • Verified insurance coverage.

EDUCATION

JUNE 2009

HIGH SCHOOL DIPLOMA

SOUTHWEST MIAMI SENIOR HIGH

OCTOBER 2011

MEDICAL ASSISTANT DIPLOMA

MEDVANCE MEDICAL INSTITUTE

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