Eunice Cueto

786-***-****

addqo6@r.postjobfree.com

Summary

Billing and Recovery/Case Health Collector Specialist, CMS (Medicare)/Audit Government with experience in Grievance and Appeals.

Licensed Health 240, CSR 440, Notary Public.

Certified Collector Specialist/Administrator with over 20 years’ experience in the Insurance Industry, Collections for Physicians or Medical Clinical and Surgical Centers, Hospital, Pharmacy (infusion), Medicare, Medicaid, Home Health, Commercial Insurance Co’s. Pharmaceutical, Billing (DME & Per Diem) Medical Terminology and Coding (ICD-10, CPT, HCPC) experience.

Highly skilled in Billing/Collections, Authorizations. Client/Account Relationship Specialist, DMS-Tele Sales, Coordination of Benefits and Third-Party Liability (COB/TPL), Medicare Secondary Payer (MSP) claims and procedural challenges regulations, experience generating or auditing medical claims. Managing cases/production in a goal/driven setting.

Bilingual professional, skilled in management, Customer Service with strong interpersonal and analytical skills, with impeccable written and verbal communication with a wide variety of public and business partners and private organizations, by fostering teamwork establishing and maintaining effective working relationships, building sincere interest in deepening a Client Relationship.

Ability to articulate decisions, technical knowledge and products or policies to customers. Quick learner that is adaptable to stressful situations while maintaining excellent verbal and written communications skills. Independent decision making, negotiating and problem-solving skills. Ability to multi-task. Remain current on the latest trends in the industry, with comprehensive knowledge of Financial and Insurance Products, services and best practices.

Strong PC, including internet knowledge, Microsoft Office (windows 7 & 8.1), Outlook, Excel. Oracle. Power Point. CPR, Carelink, Canvas. I-emphyss, Zirmed, CMS-(BCRS, ENT, Higlas).

Professional Experience:

PERFORMANT CORP- March 2019 – October 2019

License Healthcare Billing and Recovery Case Specialist II CMS(Medicare)/Audit Government. Production Quota Products, Checks, Demands, Defenses, Payments.

ICD9/ICD10, HCPC’S, CPT, CMS1500, HIPPA Regulations, Fee Schedules, EOB, Medical software, CMS- (BCRS, ENT, Higlas), Terminology, Abbreviations.

BC/BS OF FLA/TTEC- September 2018 – December 2018/Appointed with BC/BS until March 26, 2019

Chief Executive, Licensed Insurance Agent, Sales, Client Specialist.

CONVEY Health/(Humana/Cigna) - October 2017- January 2018

Client/Account Relationship Manager, Health Insurance Agent

WALGREENS Pharmaceuticals/OPTIONCARE – July 2016 – December 2016

Client/Account Financial and Licensed Certified Collector Specialist for Medicare, Medicaid, Home Health, Commercial Insurance Co’s. Pharmaceutical, Billing (DME & Per Diem)

UNITED HEALTH April – May 2016

Insurance Coordinator, Collector Specialist, Claims and Authorizations.

HUMANA – June 2015 – Dic 2015 Health Lic-240

Client/Account Chief Executive Health Insurance Licensed Agent- DMS-Tele sales. Certified in Medicare/Medicaid. AHIP, Humana Products, All Medicare Products, IDV, Long Term Care.

STATE FARM INSURANCE CO. March – May 2012- Appointed with State Farm for 2 yrs. CSR Lic-440

Client/Account Banking, BAI Certified (depositing services, withdrawals, loan payments, credit cards request, checks payments, cash handling). Paralegal secretary, Notary Public FL.

Auto/Homeowners Licensed Insurance, (Umbrella Insurance, Liability, Sales, Leads, subrogation, Adjuster, Claims).

E & R Med Billing Service April 1995 – March 2013

• Vice President, Financial Client/Account Relationship Manager, Chief Executive Administrator, Billing Collector, Customer Service Representative

Banking, Collections and HEALTHCARE & INSURANCE Benefits experience. Billing, Authorizations. (Commercial, Medicare and Medicaid) Medical Terminology and Coding (ICD-10, CPT, HCPC) experience. Hospital, Physician or Medical Clinical, experience. Over 18 years’ Experience in Insurance Billing, Collections and Sales.

Chief Executive Administrator in Client/Account Collections for Ophthalmologic and Gastrointestinal Surgical Centers.

1.- Managed multiple accounts in monthly collections, which two of them were Surgical Centers. Slashed payroll/benefits administration in collection amount for each account of $100,000.00 monthly.

2.- Routine meetings by building solid relationships with business partners and specialist by fostering teamwork and collaboration regarding Financial, Collections and Health Products.

3.- Skilled in Medisoft Network Professional Software.

Fidelity National Insurance Co. Feb 1992 – March 1995

Licensed Adjuster Property Damage, PIP, Paralegal Secretary, Subrogation Coordinator.

Computer Skills

Microsoft Office Tools, Word, Outlook, Excel, Power Point, Oracle, Canvas, CPR, Carelink, CMS-Higlas. References and licenses available upon request.

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