Customer Service Revenue Cycle

Esmeralda Limas

720-***-**** ● Aurora, CO ● ***********@*****.***

EXPERIENCE

Revenue Cycle Specialist 2015 - 2021

Denver Health Denver, CO

Coordinated revenue cycle operations, ensuring optimal reimbursement for provider billing on inpatient and outpatient accounts, which led to a 20% increase in reimbursements. Managed customer service, billing, follow-up, and cash application processes for over 1,000 accounts monthly. Reduced denial rates by 15% through effective reconciliation, denial management, and appeals. Provided financial guidance on self-pay accounts, interpreting explanations of benefits for over 500 patients annually, and investigated delinquent accounts to assess legal liability in over 200 cases. Leveraged various software applications and information systems to enhance process efficiency by 30%.

Key Accomplishments:

● Significantly increased reimbursement rates and streamlined billing processes.

● Enhanced financial guidance services, contributing to higher patient satisfaction. Clerical Support Specialist (Team Lead) 2008 - 2015 Denver Health Denver, CO

Executed the employee training program for all new recruits, contributing to a 15% reduction in staff turnover. Managed patient registration for over 50 patients daily, including demographics, insurance verification, and billing. Assisted an average of 30 refugees per week from diverse backgrounds, often overcoming language barriers. Provided comprehensive administrative and clerical support using EMR systems.

Key Accomplishments:

● Led a team of administrative staff, fostering a collaborative environment and improving overall team performance. Administrative Assistant 2003 - 2008

The Computer Group Denver Denver, CO

Managed administrative emails and reviewed inventory adjustments. Adjusted completed picked inventory in the ViaWare system to reflect physical adjustments. Tracked inventory, maintained spreadsheets, and coordinated scheduling for Federal Express shipments. Reviewed and processed UPS shipments, investigating and resolving short-ship and non-filled orders. Customer Service Representative 1999 - 2002

Teletech Denver,

Handled incoming calls to assist customers with USPS inquiries, documenting issues and providing resolutions to ensure customer satisfaction. Assisted with Spanish calls, serving as an interpreter to support Spanish-speaking customers. EDUCATION

Community College of Denver Business Administration SKILLS

Fluent Bilingual (Spanish and English), Microsoft Suite, Epic Software, Windows, Medical Records, Data Entry, Leadership, Customer Service, Time Management

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