Diana R. Perez

Experience Biller/Collector/Auditor

Cell # 714-***-**** email:ad3nrk@r.postjobfree.com

OBJECTIVE:

Over 15 Years of Experience of Billing and Collections,Customer

Service in the Healthcare industry, as well as Excellent Interpersonal Skills.Team player

Seeking to obtain a position as a Medical Billing Collector, with a firm which allows me to apply my skills and knowledge .

WORK EXPERIENCE

Senior Collection Specialist

KPC

Santa Ana CA 92801

02/2022 to 11/2023

Billing, Collections, Grievance, Auditor, for facility outpatient and inpatient charges,data entry, registration, authorization and insurance verification, for Government and Non Government accounts. Auditing and appealing accounts for under payments or denials for Government and Non Government accounts as well as all Managed care accounts. Workers Compensation . Systems used, Paragon, MPF, NThrive.Sunrise. Familiar with HCFA 1500 & UB-04 forms. Coding.

Medical Collector Representative

The Oncology Institute

Cerritos, CA 04/2019– 02-2022

• responsible for collecting balances on all services rendered to patients.

• follow up on all unpaid claims, underpayments of all appeals to all insurance carriers.

• analyze all E.O.B.’s for proper reimbursement and/or underpayments.

• Worker’s Comp., Personal Injury, Mcare, Mcal, COMMERCIAL, CIGNA,

AETNA, HMO, PPO, IPA’S

• insurance verification, Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO,

COMMERCIAL, Workers’ Comp, PI

Medical Collector Representative

TEMECULA 24 HOUR URGENT CARE Temecula, CA 10/2018 – 10/2018

•R esponsible for collecting balances on all services rendered to patients. •F ollow up on all unpaid claims, underpayments and /or appeals to all insurance companies.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments.

•f or all Government, Non Government, HMO,IPA, Commercial, Workers Comp

•I nsurance Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO, COMMERCIAL, Workers’ Comp, PI

Medical Collector Representative

UNITED SURGERY

Murrieta, CA 09/2018 – 10/2018

•R esponsible for Data Entry

•F ollow and audited on all unpaid claims, an appeal on any underpaid claims.for all insurance carriers.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments. for Government and Non Government, IPA,HMO,Commercial Account.s •P osting Payments for all IEHP claims.

Medical Collector Representative

ACCESS MEDICAL

Carlsbad, CA 08/2018 – 09/2018

•R esponsible for collecting balances on all services rendered to patients. •F ollow up on all unpaid claims, underpayments and /or appeals to all insurance companies.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, COMMERCIAL, CIGNA,

AETNA, HMO, PPO, IPA’S

•I nsurance Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO,

COMMERCIAL, Workers’ Comp, PI

Physician Medical Collector Representative

ONCURE/21 CENTURY Irvine, CA 10/2013 – 01/201 4

•R esponsible for collecting balances on all services rendered to patients. •F ollow up on all unpaid claims, underpayments and /or appeals to all insurance companies.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments.

•f or all Government, Non Government, HMO,IPA, Commercial, Workers Comp •I nsurance Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO, COMMERCIAL, Workers’ Comp, PI.

Physician Medical Collector Representative

ATLANTIS EYECARE

Anaheim CA 06/2011 – 08/2011

•R esponsible for collecting balances on all services rendered to patients.

•F ollow up and audit all unpaid claims, underpayments and send out written appeals to all insurance carriers.

Reviewed all E.O.B.’s for proper reimbursement of all underpayments.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA,

AETNA, HMO, PPO

•I nsurance Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO, COMMERCIAL, Workers’ Comp, PI’s,

Physician Medical Collector Representative

Caduceus Medical Group

Yorba Linda CA 02/2011 – 03/2011

•D ata Entry of all surgery services rendered to all patients on a daily basis.

•I nsurance Verification/MSI, Medi-Care, Medi-Cal, PPO, HMO,

COMMERCIAL, Workers’ Comp, PI

•S elf-Pay, collecting on all patients' balances.

Physician Medical Collector Representative

VMR Institute Laser Institute

Huntington Beach CA11 /2010 – 12/2010

Physician Medical Collector Representative

•R esponsible for collecting balances on all services rendered to patients. •R esponsible for submitting claims for processing of payments to all the insurance companies.

•F ollow up on all unpaid claims, underpayments and send out written appeals to all insurance companies.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments.

•D ata Entry of all daily, and/or surgeries services rendered to all patient, daily.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA,

AETNA, HMO, PPO

•S elf-Pay, collecting on all patient balances.

Inpatient Medical Collector Representative

PFS Outsourcing Receivables

Houston TX10 /2009 – 09/2010

•R esponsible for collecting balances on all services rendered to patients, 60 days and over.

•R esponsible for submitting/resubmitting claims for processing of payments to all the insurance companies.

•F ollow up on all unpaid claims, underpayments and /or appeals to all insurance companies.

•R eviewed all E.O.B.’s for proper reimbursement and/or underpayments.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO.IPA

D.M.E. Medical Collector Representative

Vengroff Williams & Associates

Garden Grove CA 01/06 – 05/2008

•R esponsible for collecting balances on all services rendered to patients,in the

A/R over 60 days,

•R esponsible for submitting/resubmitting claims for processing of payments to all the insurance carriers, Reviewed all E.O.B.’s for proper reimbursement for all underpayments.

•F ollow up on all unpaid claims, underpayments and send out written appeals to all insurance carriers.

D.M.E. Medical Collector Representative

Integrated Recovery Products

Costa Mesa CA 01/2005 – 06/2005

•R esponsible for collecting balances on all services rendered to patients, worked on reports over 60 days and over.

•R esponsible for submitting/resubmitting claims for processing of payments to all the insurance carriers

•F ollow up on all unpaid claims, underpayments and /or appeals to all insurance carriers.

•R eviewed all E.O.B.’s for proper reimbursement of all underpayments.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO,IPA

Physician Medical Collector Representative

St. Jude Heritage Medical Group

Fullerton CA 07/2004 – 01/2005

•R esponsible for collecting balances on all services rendered to patients,worked on A/R reports for 60 days and over.

•R esponsible for submitting/resubmitting claims for processing of payments to all the insurance companies.

•F ollow up on all unpaid claims, underpayments send out written appeals to all insurance carriers.

•R eviewed all E.O.B.’s for proper reimbursement for all underpayments.

• Worked on Workers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO,IPA

Inpatient Medical Collector Representative

Anaheim Memorial Medical Center

Anaheim CA 05/2001 – 07/2004

• responsible for collecting balances on all services rendered to patients, worked on A/R reports over 60 days and over.

• responsible for submitting/resubmitting claims for processing of payments to all the insurance companies.

• follow up up on all unpaid claims, underpayments and send out written appeals to all insurance carriers.

• review all E.O.B.’s for proper reimbursement on all underpayments.

• work Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO,IPA

Inpatient Medical Collector Representative

West Anaheim Medical Center

Anaheim CA 10/1999 – 03/2001

•R esponsible for collecting balances on all services rendered to patients,worked on A/R reports for 60 days and over.

•R esponsible for submitting/resubmitting claims for processing of payments to all the insurance companies.

•F ollow up on all unpaid claims, underpayments and send out written appeals to all insurance carriers.

•R eviewed all E.O.B.’s for proper reimbursement on all underpayments.

•W orkers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO,IPA.

Physician Medical Collector Representative

Drs. Reynolds, Meyer & Mulvania

Huntington Beach CA 07/1992 – 02/1999

•R esponsible for collecting balances on all services rendered to patients, worked on A/R reports for 30 days and over.

•R esponsible for submitting/resubmitting claims for processing of payments to all the i Government and Non Government Carriers,.Commercial .

•F ollow up on all unpaid claims, underpayments and send out written appeals to all insurance carriers. • Reviewed all E.O.B.’s for proper reimbursement for all underpayments.

•I nsurance Verification, and obtaining authorization as well as retro-authorization for all procedures and surgeries. Surgery Scheduling. Front office Duties,scheduling appointments and checking out new and established patients.

• Worked on, Workers’ Comp, Personal Injury, Mcare, Mcal, MSI, COMMERCIAL, CIGNA, AETNA, HMO, PPO,IPA

SKILLS: Bilingual/Spanish

Allscript, Ggastro, Advantx, AS400, Medi-Tech, Keene, IDX, Citrix, Affinity,

Emdeon, MC400, Chartmaxx, Advanced MD, Edex, Gateway, Noridian,

Availity,MS Word, Excel, Outlook, Internet, typing 45-50 wpm, Faxing, Copier,

Scanner,Coding: CPT/RVS/HCPCS/ICD9,Insurance Plans: MediCare,

MediCal, IMS, HMO, IPA Medical Groups, PPO, Workers’ Compensation, Blue Cross, Blue Shield, Commercial, Personal Injury, Champus/Tricare.

EDUCATION: Brack High School – Diploma, San Antonio TX

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