Tina Nava Bonilla

**** ******* **** ****

Houston, Texas 77049

832-***-****

ad1bsp@r.postjobfree.com

COLLECTIONS SPECIALIST

Claims, A/R, Coding, and Billing

Over 3 years of hands-on Collection experience with AR, claims denial, appeals, underpayments, missing information, reconsiderations, and resubmitting corrected claims. Interactions with Commercial Insurance through portal or by phone; UHC, Cigna, BCBS, Aetna, Humana, etc... Workers’ Compensation agreements, payment posting-adjustments and credits. I have knowledge of Microsoft Office Applications, Word, Excel, Outlook, Google apps, Teams, coding in CPT, CM, PCS, experience in 3M application. Ability to interpret EOB’s, medical records, medical terminology, research documentation and determine what steps to take for payment. Compliance of HIPAA guidelines, verbal, and written professionalism, excellent in customer service, and can handle multiple tasks at once.

San Jacinto College – Associates Degree – Major in Applied Science, Minor in Health Information Management (HIM) - August 2018

AHIMA Member – Registered Health Information Technologist (RHIT) - December 2018 - Active

WORK EXPERIENCE:

Quality Control Service Consultants LLC – QCSC - February 2021 – March 2022

Collections, Billing, and Coding Specialist – Revenue Recovery for 12 different Neuromonitoring providers and facilities, daily payment posting, monthly closing calculation of payments, review patient’s accounts for collection of payment, negotiating claims with insurance companies, pulling up EOB’s on Insurance portals, correcting and recoding denied EOB’s, submit rebills, reconsiderations, appeals through insurance portals, data entry on all accounts, answer phones, assisted with special projects as needed, preformed adjustments and credits to accounts, billed secondary insurance, sent out medical records when needed for claims, reading EOB’s, gave a weekly report to providers of their accounts when needed, faxing, filing, email.

Cenikor Foundation - February 2020 – January 2021

Collections Specialist; Revenue Recovery for Alcohol and Drug Rehabilitations Facilities, review patient account’s for outstanding balances, research outstanding balances in patient’s EMR, follow up on claims and denials, review patient’s insurance coverage and authorizations approval, verify benefits, interact with insurance companies to inquire about non-payment or underpayment of services provided, submit rebills, reconsiderations, or corrected claims and appeals through insurance portals. Data entry on all accounts reviewed and processed on Welligent and BBVA internal portals. Preformed adjustments on timely filing accounts, transferred balances to patient responsibility for deductible, copayment, and or insurance non coverage, billed secondary insurance. Send out medical records to insurance companies when further documentation is needed. Reviewed company contracts for contractual fee schedule, performed end of the year special projects on specific insurance companies to collect final payments on outstanding accounts.