Veronica Cotto
Sunrise, FL ***** ● 954-***-**** ● ********.*********@*****.***
A dedicated professional with over 13 years of solid planning and organizational skills in coordinating all aspects of each project from inception through completion Demonstrating a strong problem-solving ability with minimal guidance. Highly competitive, self-starter who is disciplined, goal-oriented, and able to grasp new concepts quickly and efficiently
Ability to work well with all levels of management.
Work well under pressure with great attention to detail
Proficient multi-tasker who can function well in a fast-paced work environment.
Extremely organized and able to adapt quickly to changing priorities.
Maintains excellent written and oral communication skills and problem-resolution abilities.
Excellent ability to work independently as well as on a team.
Proficient knowledge of Microsoft Word, Microsoft PowerPoint, and Microsoft Excel, Outlook with general knowledge of Microsoft Access.
Work Experience
Global Medical Management Inc. - Pembroke Pines, FL
Client Service Coordinator 01/2016 to Present
●Provide optimum service to policyholders, Providers, and clients to precisely complete appropriate claims paperwork, documentation, and system entry
●Identify complex claims issues adversely impacting the resolution of claims
●Engage actively with all internal functions that support client management, including but not limited to operations, claims, legal, compliance, and IT to provide guidance regarding contractual compliance and client expectations
●Record and maintain knowledge regarding assigned accounts in VCC and CRM to ensure that client information is accurate and available when required, including updates to the client-specific procedures
●Oversee the daily claims process and bills on hold for assigned client accounts (including negotiations), including actively monitoring large/catastrophic claims for optimal cost containment and analyzing claims to determine the insurance liability, make approval or denial decisions
●Review claims based on payer billing regulations and requirements, coordination of benefits, reimbursement, timely filing, interpretation of rejection and denial notifications, including appeal requirements in accordance with current federal, state, managed care, or third-party payer guidelines
●Verify diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered
●Run and keep detailed spreadsheets for tracking purposes of all billing and follow up as needed on unpaid claims via web-based payer sites, payer web portals, or contacting insurance directly to successfully receive reimbursement or overturn payer denials
●Outlined necessary improvements for billing processes, prepare and analyze weekly
Riverhead Homes/Injex21, Fort Lauderdale, FL
Executive Assistant to CEO 01/2012 to 10/2015
●Conserves Executives' time by reading, researching, and routing correspondence; drafting letters and
documents. Collection and analysis of information including initiating communication between
clientele and Executives.
●Managed Executive appointment schedule, planning and scheduling meetings,
conferences, teleconferences, and preparing travel arrangements.
●Maintained purchase order documents done on purchased cards related to Injex21, matched with invoices and receipts to verify accuracy
●Posted receipts to appropriate general ledger accounts, prepared bills, invoices, and bank deposits
●Reconcile the accounts receivable ledger to ensure that all payments are accounted for and properly posted.
●Verify discrepancies and resolve clients’ billing issues
●Facilitate payment of invoices due by sending bill reminders and contacting clients
●Generated financial statements and reports detailing accounts receivable status
Education
High School Diploma
Boyd Anderson High School Oakland Park, FL,2008
Skills
Billing, Collections, Claims Management, Confidential Record Organization, Claims handling and investigations, Claims Processing and Claims resolution, CRM, VCC, FTP etc.