Data Analysis Health Care

Maria Rivera

Orlando, FL 407-***-**** **********@***.***

Objective

To find a position with a growing organization where my accounting skills and collection

experience can be used in the environment. Seek diversity and professional challenge with an

opportunity for advancement.

Experience

Horne LLP, Data Analysis- December-2021- Present

Assist in the maintenance of controls over accounting systems and records maintenance involved in the payroll function.

Support all Payroll responsibilities required for period close, including reconciliations, and determine accrual adjustments as required. Recommend process improvements and control procedures including continuous documentation of processes and controls.

Develop and maintain process documentation, policies and procedures related to job responsibilities.

Perform timely and accurate general ledger account reconciliations on several complex GL accounts.

Prepare and/or review required Payroll reporting.

Orlando Health- Patient Financial Counselor- March 2017- July 2020

• Screens all patients for insurance coverage and verified income, fills out financial re-screen

information on the computer with current demographics and pay categories for all patients.

screened.

• Communicate with patients and Insurance companies on the phone. Assists other staff.

members with screening information when needed in planning health care.

• Appropriately document and report payments information. Update patient accounts and

balances.

• Negotiate and strategize patient payments arrangements, review, and process patients

insurance company forms.

• Re-call patients from the list provided by pay plans for health screens.

AR ANALYST- VISTANA -CONTRACT-NOVEMBER 2017 – JULY 2020

• Daily downloading lockbox files, review and correct discrepancies for upload.

• Monitoring and application of all cash entries from various sources. • Reconciling cash posting

report at end of day. • Process ACH’s credit card and wires. • Generate legal contracts for all

vacation ownership sales/ review contracts.

• Prepare and submit invoices to customers, provide information to customers and service

department as requested.

• Process adjustments, refunds & monthly write offs, recorded and balanced all cash

transactions.

INSURANCE REIMBURSEMENT/ CALL CENTER LINCARE HOLDINGS MARCH 2016 –

NOVEMBER 2017

• Submitting claims for commercial Insurance, processing Commercial Insurance.

• Processing the Modifiers to summit the claims, make adjudgment, as needed for claim

resubmissions.

• Prepare and send secondary claims daily, attaching primary EOBs when required.

• Adding the correct CPT codes and summiting It for billing.

• Reviewing and following up with commercials insurances that are requesting medical records

and Re-summit the claims.

• Review and follow up with Commercial Insurances to verified why they are rejecting the

claims, explained to the patients the EOB’s when requested, Call Insurance and verified if

Insurance is active and ask for benefit’s like, Coinsurance, Deductible, Patient responsibility,

out of pocket maximum.

DATA & CASH MANAGEMENT BRINKS INCORPORATED MARCH 2015 – FEBRUARY

•

2016

• Office administration

• Cash management

• Data entry

• Posted payments and entered

AR ANALYST HOTEL BEDS JUNE 2014 – FEBRUARY 2015

• Clear bookings for prepaid accounts in Agency Book (Atlas). Upload wires and post wires daily

thru GEC.

• Transfer any payments from unidentified cash account to appropriate accounts. Process Inter-

Company transfers.

Skills & Abilities

• MS Dynamics

• SAP

• Cash Management

• Microsoft Office

• Excel

• Reconciliation

• ADP

• AS 400

• Collection, Billing, Customer Services

Education

ASSOCIATE’S IN ACCOUNTING DECEMBER 2013 CUYAHOGA COMMUNITY

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