Medical Billing Accounts Receivable
Resume:
.
CONTACT
Mission Hills, CA *****
********.**@*****.***
SKILLS
Customer Focus
Coaching and Mentoring
Performance monitoring
Performance Improvement
Medical Billing
Electronic Claims
Billing and Collection Procedures
Accounts Receivable
Electronic Health Record Software
Claims review
Knowledgeable in Athena IDX
ICD-10 Proficiency
HIPAA Regulations
HCPCS Coding
Denial Management
Healthcare compliance
EMPLOYMENT SKILLS
10+ years revenue cycle experience
7+ years healthcare billing/collections
Ability to work in a fast-paced environment
Maintained excellent customer relations
Goal-oriented with strong leadership capabilities
Ability to follow instructions and make decisions with no supervision
Proficient with Excel, Microsoft Powerpoint
Organized and detail-directed problem solver
Proficient in all documentation, record maintenance to ensure accuracy and patient confidentiality
Team Player
Self-Motivated
LANGUAGES
Spanish
Native or Bilingual
To obtain a position with a well-established organization that offers professional growth. Talented Team Leader experienced and dedicated to enhancing employee satisfaction and business success. Diplomatic and friendly with proven commitment to employee training. Hardworking team player bringing necessary experience and knowledge to tackle any operational demand.
WORK HISTORY
July 2016 - Current
Team Lead Medtronic, Northridge, CA
Supervise a team of 20 insurance verification and collections specialists, providing training, mentorship, and performance evaluations.
Lead team meetings to discuss process improvements, performance metrics, and address any issues or challenges
Analyze revenue cycle data and reporting to identify trends, areas for improvement, and to develop strategies to optimize financial data.
Managed schedules, accepted time off requests and found coverage for short shifts.
June 2014 - June 2016
Collections Medtronic, Northridge, CA
Managed collections for commercial, Medicaid and Medicare insurance claims, ensuring timely and accurate processing of claims and reimbursements.
Review payer Explanation of Benefits (EOB), and other payer correspondence, calculating patient responsibility taking into consideration coverage and benefits, including referrals, authorizations, and/or pre-determination requirements and contract terms.
Ensured compliance with all relevant regulations and internal policies when handling collection claims for commercial, Medicaid, and Medicare accounts.
Exceeded team metrics of 30 accounts per day in addition to assisting with high incoming call volume and email escalation assist,
August 2011 - June 2014
Medical Biller Targeted Medical Parma, Los Angeles, CA
Workers' Compensation and Private Insurance billing
Resubmission of unpaid claims
Reconciliation of physician's reports
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Verified accuracy of accounts payable payments, resulting in 10% reduction in payment errors and check reissues.
December 2009 - August 2011
Medical Billing and Collections Medtronic, Northridge, CA
Reviewing and Billing insurance companies
Validating eligibility requirements and ensuring accurate account information is received to guarantee maximum reimbursement in timely manner.
Increased accuracy of medical billing by meticulously verifying proper coding for diagnoses and procedures in patient charts.
November 2008 - October 2009
Medical Billing and Collections Global Healthcare Alliance, Houston, TX
Worked closely with Physicians/Patients to obtain accurate insurance information for prompt payments
Maintaining aging accounts and prevent aging AR and DSO
Answering questions from patients or Physician offices concerning EOB
EDUCATION
March 2024
Bachelor of Science Business
University of Phoenix, Tempe, AZ
August 2010
Medical Billing Insurance Coding Healthcare Billing
UEI College, Van Nuys, CA
.
KARINA DIAZ
Contact this candidate