Elizabeth Razo

Revenue Cycle Specialist

adubt6@r.postjobfree.com 346-***-****

5+ Years Supervisor experience in Medical Collections/Front Office Procedures. Includes, managing all front desk procedures, maintaining staffing schedules, payroll, benefits, A/P, A/R, balancing day and month end reports, reconciling daily transactions for nightly bank deposits, customer service, Recruited new employees, Initiating onboarding and orientation for new candidates as well as provided training.

Collector II (Contract)

Millennium Physicians - Kingwood, TX

8/21 to 9/21

Out of Network for Physicians

Follow up on aging 30+ followed up on accounts online and telephonically, worked correspondence denials or request for records. Submitted reconsiderations, appeals and corrected claims when necessary till account resolution avoiding timely filing deadlines. Approved negotiations according to company policy and procedures.

Charge Entry Clerk (Contract)

Rapid Response -Kingwood, TX

6/21 to 7/21

Insurance verifications, demographic entry and charge entry.

Collector II (Contract)

Memorial Village ER - Houston, TX

3/21 to 5/21

In Network/Out of Network for free standing Emergency Room

Followed up on aging 0 + days in A/R, obtained follow up online and telephonically, working incoming correspondence from the carrier, any denials determine the reason for the denial submitted reconsideration and appeals if necessary and made sure claims were not past timely filing.

Collector II

Prime source - Houston, TX

August 2020 to December 2020

Out of Network for specialty Pharmacy

Took initial intake information from the patient when receiving prescriptions from physicians, verification and authorization of benefits for the healthcare side, obtained copay cards for specific medications prescribed to patient. Called patient for scheduling of delivery of medications and set up ongoing refills, billed initial claims to carrier from clearing house and corrected any rejections for claim to be resubmitted.

Collector II (Contract)

Round Table - Houston, TX

3/20 to 8/20

Workers Compensation/MVA for Freestanding Emergency Room

Obtained all information for W/C and MVA accounts such as (WC) obtained carrier information, claim number, address and phone number, adjuster name, employer information, verified the approved compensable injury and date of injury. (MVA) obtain the same information however, find out who the representing attorney is call to verify and determine if the case is a first, third or employer claim. Do follow up, follow through until the claim or case is resolved. Prepare paperwork for liens to be taken to the courthouse.

Collector II (Contract)

Benefit Recovery - Houston, TX

7/19 to 2/21

Out of Network for pain management

Initial billing of claims, corrected rejections of claims in the clearing house and resubmitted, follow up on all claims 0 + days on aging reports checking claim status online and telephonically. Any rejections of claims either corrected and submitted a corrected claim or sent a reconsideration or appeal till resolution of the account making sure there is no past timely filing on out of network claims I approved negotiations with in the % of company policy and guidelines.

Collector II

Nobilis Health - Houston, TX

7/18 to 7/19

In Network/Out of Network for ASC and hospitals

Initial billing of claims, corrected rejections of claims in the clearing house and resubmitted, follow up on all claims 30 + days on aging reports checking claim status online and telephonically. Any rejections of claims either corrected and submitted a corrected claim or sent a reconsideration or appeal till resolution of the account making sure there is no past timely filing issues and in network providers were paid according to the fee schedule. On out of network claims I approved negotiations with in the % of company policy and guidelines.

Collector

TMMS/KBBC

12/16 to 7/18

In Network/Out of Network Radiology

Initial billing of claims, corrected rejections of claims in the clearing house and resubmitted, follow up on all claims 30 + days on aging reports checking claim status online and telephonically. Any rejections of claims either corrected and submitted a corrected claim or sent a reconsideration or appeal till resolution of the account making sure there is no past timely filing issues and in network providers were paid according to the fee schedule. On out of network claims I approved negotiations with in the % of company policy and guidelines.

Interim Director of Business Office Operations

Humble Surgical Hospital

4/16 to 12/16

Supervised front desk, medical records, scheduling and verifications, maintained staffing schedules, interviewed employees, scheduling and coordinated scheduled surgeries with materials manager, payroll.

Assistant Business Office Manager/Business Office Manager

USPI

12/09 to 1/16

• Assisted in all daily functions of the CBO Director, payroll, supervisor over collections department. Supervisor over registration, verifications, scheduling, medical records and collections, maintained all HR, benefits, A/P, A/R and Payroll, hired and provided orientation and training to staff, evaluated employee job performance, all adjustments and refund request, performed end of month and liaison between the CBO and the center in and out of network collections for outpatient surgery centers.

Education

High school

MacArthur High School - Houston, TX

1985 to 1989

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