Virginia Mayo
Inglewood, California
adzlay@r.postjobfree.com
Summary of Qualifications
Over 15 years of proven, healthcare finance & accounting experience with success in a team-oriented environment with a reputation for multi-tasking, flexibility and customer service. Expertise in completing projects in a timely and efficient manner with a strong work ethic and good attitude. Able to work effectively and productively with a variety of individuals including patients, insurance providers, physicians, RNs, and administrative staff. In-depth knowledge of Microsoft Office – Word and Excel. Expert with EPIC, CS-Link, Lawson, Blue Cross Provider, Emdeon, CSC Papers, Passport and I-Suite.
Productive, Dependable, Quality Work
Pride in Quality Work
Excellent Medical Collections Abilities
Excellent Customer Service Skills
Integrity & Honesty
Bi-lingual English & Spanish
Professional Experience
2016-2019 Home health Aide: Saulus Agency, hospice pts, I would oversee pt pre-dementia, Hospice,all types of Risk falls. . Run errands. Overseeing the home fully…
Cooking, laundry. Answering phones. Medication reminders, transferring pt. bathing patient. Run to beauty shop.
2014-2016 Care giving . I was working for Mia homecare, accounting, making out bills, going to the bank. Closing books, transporting to doctors, store, laundry, market. Patient passed away.
Cedars-Sinai Medical Center, Los Angeles, California August 1998 – June 2013
Department of Patient Finance & Accounting
Revenue Recovery Specialist 2007 - 2013
1Successful at collecting high dollar amounts on past due accounts of over 6 months. Collected over $1 million in accounts receivables within 1 week.
2Effective at collecting revenue for world renowned healthcare organization through exemplary communication skills, follow-through, creative problem solving and tenacity.
3Responsible for appeals of denied charges interfacing with patients and insurance providers. Researched complex, multi-faceted claims to ensure payment to medical center.
4Most difficult claims included insurance policies that were out of state which required research to verify eligibility and benefits.
5Managed denials of claims by insurance providers including researching, analyzing of un-reimbursed claims. Process included all correspondence with insurance companies, attaching medical records as needed, and completing specific detailed instructions by insurance companies to ensure payments.
6Worked efficiently and quickly on debit and credit adjustments with tight deadlines from $10 to over $1 million.
7Trained co-workers and third party administrators such as Screen Actors Guild, Delta Health, AFTRA, and CIGNA in collections, claims process, phone etiquette, and customer service.
8Interacted with diverse employees and clients that required exceptional customer service, ability to listen, and willingness to assist.
Pre-Collections Senior Representative 2004 - 2007
Contacted insurance providers to verify receipt of medical claims and then opened and closed denials based upon further information required to pay claim.
Researched, obtained, and forwarded medical records onto insurance companies for payment of claims.
Exhibited strong attention-to-detail through forwarding,
Documented, input, and routed identified, verified claims that were the responsibility of an Independent Physician Network
Senior Finance Representative 1998 - 2004
1.High collections and finance for Blue Cross and Medical Managed Care accounts.
2.Responsible for editing billing of claims including procedure codes. This was a high volume, fast paced deadline.
3.Integral team member in finance and accounting department of over 500 employees
4.Connected with payers and batch calls to process large payments. Developed strong relationships with key accounts. Won an award for highest production on collections team.
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Resume for Virginia Mayo
Los Angeles Unified School District – 61st Street Elementary School, Los Angeles, California 1990 - 1998
Teachers Aide
1Supervised elementary school children in bi-lingual class setting. Assisting the teacher in coursework preparation, grading of homework, and preparing classroom for school projects. Floated between all grades K – 6th Grade
2Responsible for managing children during recess, lunch, and after school. Ensured children’s safety, taught respect, enforced no bullying policy, facilitated play and interaction with children that spoke English and Spanish.
3Interpreted teacher instructions from Spanish to English which included communicating with parents.
4Participated in a variety of field trips at all grade levels as chaperone and leader to ensure safety and behavior of children.
5Tutored children in Math, English, and Writing.
Education & Certifications
West Los Angeles College, Culver City, California
Major – Business Administration
1Completed 40 units
Major – Early Childhood Education
2Certificate in Child Development
Cedars-Sinai Medical Center, Los Angeles, California
Internal Training & Development
3Certificate in Medical Terminology
4Certificate in Microsoft Excel & Word
5Certificate in Billing & Collections
6Certificate in Crucial Conversations
7Certificate in Coordination of Benefits - One Year Course
8Certificate in Billing, & Collections Course - Prompt 1 & 2
9Certificate in UBO4