Natalie Aguilera

Riverside, CA *****

951-***-**** Email: adulk7@r.postjobfree.com

OBJECTIVE

Seeking opportunity to find a long lasting career for an exceptional company or organization and to be a valuable asset to that company in their billing and collections. Looking to utilize my experience with both physician’s and hospital’s billing and collections to contribute to meeting that company’s regular goals.

EXPERIENCE

Option Care

Reimbursement Specialist

10/2019-Current

• Specialize in ensuring claims billed for our Home Infusion therapy services are booked accurately and appropriately.

•Accurate timely collections from Anthem Blue Cross

•Knowledge of contracts

•Ability to dispute denials to ensure payment will be issued

•Determining root causes of denials on patient accounts in order to eliminate future denials

•Maintaining KPI requirements

•Creating and maintaining payer projects to ensure payment will be obtained

On Track Revenue Management

Collector

07/2017-2019

●Work all types of insurance companies incoming correspondence and EOBs to ensure our patients accounts are being processed and collected upon correctly.

●Assigned to work directly with 4 of our multiple physical therapy offices.

●Make sure the offices are up to date on requested authorizations, making sure the office is verifying eligibility correctly and keeping the patient's chart up to date.

●Work denials and delinquent accounts making collection calls to insurance companies as well as patients.

Robert Half/Dignity Health

Collector & Correspondence Representative 09/2016-06/2017

●Received daily correspondence on each individual patient seen in our hospital’s Emergency Room and Urgent Care Facility.

●Worked each piece of daily correspondence regarding our patients and handled accordingly such as doing redirecting in billing the correct insurance, updating insurance information, submitting for appeals, working each individual EOB especially the zero pays, called on claim status, and submitting for billing review if the claims were denied for incorrect billing.

●Worked specific insurance payer’s reports weekly to update patient’s account whether needing to be redirected or to show our expected reimbursement.

MedAmerica

Billing & Collections Specialist 01/2014-01/2016

●Receiving/mini-coding patient charts from contracted hospital’s emergency room.

●Worked accounts receivable to successfully lower delinquent accounts.

●Worked with account write-offs.

●Worked directly with government and commercial insurance companies to ensure payment is obtained either by appeal or by piecing together why payment was not made such as with billing errors.

●Submitted my own hand written appeals on medi-cal denied claims.

New Image Bariatric

Insurance Verification Specialist/Surgery Biller 05/2013-12/2013

●Verified new and established patient’s medical insurance.

●Verified patient’s medical benefits and out of pocket expenses that would be due for surgery.

●Worked with submitting requests for authorizations.

●Scheduled new and existing patient appointments via phone and in person.

●Performed vitals on patients at each of their visits.

●Called each patient to confirm upcoming appointments and to make sure their attended appointments made with other specialists to meet requirements for surgery.

Orkin Pest Control

New Customer Specialist 04/2007-10/2011

●Successfully explain to potential customers how becoming an existing customer of Orkin Pest Control was the best investment they could make for their homes.

●Schedule initial appointments and coordinate with our technician’s branches and follow up with these new customers to make sure they were satisfied with the initial meeting and service.

●Obtain payment information and set customers up with an automatic payment plan.

●Successfully price specific treatments to specific residential properties.

●Successfully overcome any objections given by the potential customers and assure them they would not be disappointed with our service.

Black Angus Restaurant

Cocktail Waitress 06/2006-04/2007

●Simultaneously maximize customer satisfaction and company sales by interacting directly with customers.

●Experienced with multiple roles and positions within the restaurant staff.

●Recognized for delivering excellent customer care in the restaurant industry.

SKILLS

●Windows, Microsoft (Word, Excel, Powerpoint), AS400, Artiva.

●Superb typing skills (100+ wpm)

●Excellent customer service, knowledge with scheduling appointments, successful sales techniques, excellence with managing customer accounts, knowledge with medical billing and collections.

●Knowledge with insurance verifications, billing procedures, accounts receivable, and collections.

●Competent with high volume business and multi-tasking.

EDUCATION

Northwest College, Riverside CA 09/2012-05/2013

●Studied Medical Assisting. Finished course work in May 2013. Studied both front and back medical office work, performing venipuncture, immunizations, medical insurance billing, vital signs including EKGs, as well as patient chart filing.

Pasadena City College, Pasadena CA 06/2005-06/2007

●General Education

Gabrielino High School, San Gabriel CA 09/2001-06/2005

●High School Diploma

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