Receivables Specialist Data Entry
Resume:
Sabrina R. Gomez
EDUCATION
University of Phoenix – Master of Health Administration 2009 – 2011
California State University – Bachelor of Arts in Liberal Arts 1988 – 1989; 1992 - 1994
Valley College, North Hollywood, CA – Associate Degree 1990 – 1992
VETERANS PREFERENCE
10 Points
WORK EXPERIENCE
Social Security Administration Dec. 2022-present
BA Authorizer
Benefit Authorizer (Training)
Determine current benefits
Verify total earnings and make financial corrections
Aurora Women’s Health May 2022-Nov.2022
OB Financial Coordinator
Counseled and verified OB patients insurance
Set up payment plans
Heavy collections
Updated demographic information
Healing Partners, Sparks, MD May 2020-Jan. 2021
Medical Billing Specialist
assist with all revenue and billing operations within their scope, Data entry and review physicians claims in Medisoft Billing and apply coding rules with the use of CPT, ICD codes and modifiers
Identify and report to management payer issues with regards to billing and collections. Communicate with insurance companies and other parties to clarify billing issues and resolve payment issues.
Assisted in identifying areas for improvement, recommending solutions to management, and developing policies and procedures.
Ava Mina Pain Treatment, Lutherville, MD Sep. 2019 – Nov. 2020
Office Manager
Open the office, greet patients, verify insurance and coordinate all financial matters. Review aging, collect and organize accounts and manage patient list. Disseminate authorization documents and dispense advice.
Key Contributions:
oAfter analysis Collection of $60k was obtained reducing the percentage of outstanding balances.
John Hopkins Hospital, Baltimore, MD May 2015 – May 2019
Transplant Financial Coordinator
Coordinate all financial matters pertaining to liver transplant. Collect and organize accounts and manage patient list. Conduct analysis of potential transplant patients and provide guidance regarding their financial responsibilities. Disseminate authorization documents and dispense advice on waiting list periods.
Key Contributions: Negotiate coverage and obtain approval with third party payers of claims. Diminished take back by 40% by ensuring accuracy of pivotal information.
John Hopkins Hospital, Baltimore, MD February 2015 – May 2016
Revenue Cycle Coordinator
Evaluated rejection of inpatient claims and processed third party denials. Petitioned and appealed for clinical and administrative refusals by focusing on EOBs and URs (Explanation of Benefits and Utilization Review).
Key Contributions:
oReduced outstanding revenue by $500K
Robert Half-Erickson Living, Catonsville, MD September 2014 – February 2015
Accounts Receivables Specialist
Examined and scrutinized patient demographics and accounts to reduce cost of claims processing and delay in payments. Made adjustments on SNFs (Skilled Nursing Facility) and outpatient clients to reflect accurate financial accounting. Heavy outstanding collections.
Key Contribution:
oDeveloped successful collection strategies focusing on the easier payments which did not require review allowing more time to collect on the challenging claims.
University Physicians Inc., Baltimore, MD June 2008 – June 2013
Patient Account Representative III
Balanced credits and debits and recovered outstanding A/R by detailed analysis of Age Trial Balance (ATB). Rectified past errors and made adjustments to balance ledger. Secured reimbursements from outstanding claims.
Key Contribution:
oReduced outstanding Blue Cross/Blue Shield of MD aging by 20%.
oCreated a better workflow that reduced outstanding claims by 30%.
CareMax Medical Resources, Columbia, MD October 2006 – March 2008
Team Lead – Collections
Reviewed balance sheets, reconciled accounts and administered payroll. Produced reports on a daily and monthly basis for analysis.
Key Contribution:
oProvided leadership for seven Medicare/Medicaid and private insurance collections employees.
oDecreased A/R to more than 90-day revenues. Met and exceeded company goals.
Symphony Respiratory Services, Hunt Valley, MD March 2004 – November 2005
DME Lead Billing Representative
Ensured timely payments on Medicare and private insurance claims. Prevented overdue payment or non-payment and reconciled monthly billing by issuing claims and handling collections promptly. Monitored payments transmissions and prepared reports for weekly and monthly reviews.
Key Contributions:
oManaged six major accounts for SNFs.
oImproved processing time by lowering processing of claims time down by 1 day.
MILITARY EXPERIENCE
United States Army Reserve August 1988 – June 2002
Managed 40 Soldiers in their role as a medical laboratory technician. Created the schedules, counseled soldiers, and provided support. Managed and worked in the phlebotomy and microbiology departments.
Assignments:
349th General Hospital, Los Angeles, CA, 1988 - 1990
oSpecialist Laboratory Technician
129th Combat Support Hospital, San Diego, CA, 1991 - 1992
oSergeant Laboratory Technician
oDeployed to Kuwait for Operation Desert Storm
349th General Hospital, Los Angeles, CA, 1993 - 1995
oSpecialist Laboratory Technician
63rd Infantry, Wuerzburg, Germany, 1996 - 1997
oStaff Sergeant Laboratory Technician
344th General Hospital, Queens, CA, 1998 - 2000
oStaff Sergeant Laboratory Technician
349th General Hospital, Los Angeles, CA, 2000 – 2002
oStaff Sergeant Laboratory Technician
SKILLS
Microsoft Office
oExcel
oWord
oPowerPoint
oOutlook
Accounts Receivable/Payable
Collections, Medical billing
Scheduling, Receptionist
Payroll, Account reconciliation
Debits & Credits
REFERENCES
Juanita Clay, Transplant Financial Coordinator
John Hopkins University
Phone: 410-***-****
Email: ***********@**********.***
Jeanelle Clark, Admisions Coordinator
Select Specialty Hospital
Emory Health
Phone: 202-***-****
Mitzi McCain, Senior Director of Accounts Receivable
Kur Smart Pain Management
Phone: 443-***-****
Email:
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