Mail Clerk Payment Poster
Resume:
Sandra Gonzales
**** **** ******. *********, ** *3024
Cell. 305-***-****
Professional Profile
* ***** ** ********** ** a Site Coordinator
** + years of experience as a Payment Poster
Medicare, Medicaid, Commercial Insurance
AllScripts, Payerpath, ZirMed Payments, Zotec, Smart, Medimobile, Imobile, Account tracker, HPF and Meditech.
Proficient in Microsoft Office
Bilingual, English and Spanish
HIPPA Compliance
Work Experience
Site Coordinator of the Hospitalist Department (Aventura Hospital)
(Envision Health Care) Aventura, FL April 2018 - Present
Responsible for creating the rounding list for all doctors, assign all patients admitted by the hospitalist.
Short rounding list for the hospital, Doctors / residents schedules and ER schedules for our group.
Review billing daily, CPT Codes, History and Physical notes, internal medicine progress notes, discharge summary, check that everything is signed and ready to send properly. Print documents by pdf, attach it to the respective account and send it to the billing department.
Send deficiencies to the doctors for corrections.
Daily Census report, update comparison census from last year.
Daily reconciliation of the bills.
Monthly and weekly reconciliation of the missing charges
In charge of the home health orders and death certificates for doctors to sign, fax back.
Sort and distribute mail to the providers.
Assist providers with supplies, new phones, coats, etc.
Radiology Associates of Hollywood
(Envision Health Care) Sunrise, FL September 2016- April 2018
Payment posting Specialist 1
Receives EOB remittances from mail clerk daily along with calculator tapes totaling all payments.
Researches patient inquiry to verify correct account for applying payment.
Posts insurance and patient payments including contracted and non - contracted insurance carriers.
Post all the collection payments.
Posts appropriate adjustments when required according to contract.
Monitors reimbursement for any underpayments.
Logs deposit audit record on the audit log.
Contact insurance companies
Sports Medicine of South Florida, P.A. Weston, FL November 2013-July 2016
Payment Poster
Post all payments received from patients, including checks, credit cards, health insurance, workers compensation, electronic, and auto
Charge entry
Contact insurance payers directly to retrieve payment information to ensure accuracy
Insurance verifications, and eligibility.
Enter case details, which may include codes for medical records, subpoena and depositions
Update patient demographics, insurance and personal information
Void payments
Assign monies to corresponding outstanding charges
Denials and adjustments
Prepare daily deposit
West Broward Pulmonary Consultants Plantation, FL August 2004-March 2011
Front Desk Receptionist
Record and update financial information
Collect patient charges/ post payments
Follow up and expedite third party claims
Filing, scheduling of appointments
Maintain business office inventory and equipment by regulating stock, anticipating supply needs, placing orders, verifying receipt of supplies, and scheduling equipment services and repairs
Maintain patient personal and financial confidentiality
Verify correct CPT codes for pulmonary function tests, nerve conduction, x-rays and bone density
Rosaida Healthcare Opa-Locka, FL February 2002-June 2004
Front Office Assistant
Post and reconcile insurance and patient payments
Accurately apply payments to patient accounts
Set up new patient accounts
Monthly processing of patient statements
Answer and resolve patient billing inquiries
Ensure office practices are following HIPPA regulations
Education
My Home & School (Lima-Peru)
High School Diploma, 1995 (Lima-Per)
Margarita Cabrera Academy (Lima-Peru) Bilingual Executive Secretary
Broward Community College ESOL Program
Le Cordon Blue - Culinary program 2011 (Florida-USA)
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