Customer Service Billing Specialist
Resume:
Krista Ozuna
**** ******** *** ****** *********, CA
909-***-**** ***********@*****.***
Summary
Dedicated Senior Billing Specialist with a proven track record of optimizing revenue cycle management. Highly skilled in accounts receivable, billing efficiency improvements, and team leadership. Adept at implementing successful appeals strategies and exceeding targets. Known for exceptional customer service and fostering a collaborative work environment.
Experience
Agile Sourcing Partners Inc.-Corona CA
Account Specialist II- 5/2024-current
Review invoices in a timely manner for So-Cal Gas
Reviewing prices with invoices and contracts from a variety of sources
Customer service skills answering emails, phone calls from multiple contractors with questions on paving and Dimp projects.
Deal with supervisors and approvers for So-cal gas projects
Worked the Palisades and Eaton fire protect
Complete monthly and weekly goals in a timely manner
Review time sheets hours from crew members and verify time was submitted correctly
Attend Monthly and weekly meetings
Work faxes that come in from contractors that the work order has closed
Send follow-up emails to the approvers so we can obtain the discount offer that applies if the invoice is paid within 90 days
Work spreadsheet on month end numbers and make sure all invoices are updated and paid
CPSI/Trubridge-Mobile AL
Billing analyst- 12/2023-5/2024
Review provider documentation daily to ensure completeness for proper billing.
Supervise multiple accounts to ensure accurate and timely revenue cycle processes.
Heavy calls to commercial and Medicaid management insurances following up on claims.
Sending Appeals to insurances and posting payments and adjustments.
Billing Medi-Cal claims, commercial claims and Medicare advantage claims through Cerner system
Time management on high dollar accounts
WebPT - Upland, CA
Senior Billing Specialist- 02/2018 - 08/2023
Review provider documentation daily to ensure completeness for proper billing.
Ensured accuracy of billing information by verifying details with customers or other departments.
Liaise with other departments to maintain high customer service standards in billing processes.
Responded to customer inquiries regarding billing issues via phone, email, or in-person meetings.
Audit medical claims from various carriers, ensuring validity and adherence to billing guidelines.
Supervise multiple accounts to ensure accurate and timely revenue cycle processes.
Developed strategies for improving the efficiency of the department's operations.
Performed periodic audits of customer accounts to verify the accuracy of information.
Rejections in clearing house Waystar and Change healthcare
Verifying insurances including Medicare and Medi-Cal and all commercial including all states
CMRE FINANCIAL SERVICES-02/2002 - 02/2018
Insurance Collector/Patient Billing/Insurance Verification - Brea, CA
Provided customer service to clients by responding to inquiries and resolving complaints.
Accountable for managing follow-up and collections comprehensively, involving tasks such as placing phone calls and navigating payer websites.
Evaluate account details and essential system applications to ascertain the subsequent suitable work activity.
Oversee and uphold desk inventory, generate reports, and address high-priority and aged inventory issues.
Collaborated with team members on projects related to financial services administration.
Initiate phone or written communication with patients to gather additional information as required.
Skills
Contract Preparation
Payment Posting
Fiscal Reporting
Invoice Processing
Customer Service
Communication Skills
Detail-Oriented
Ethical Judgment
Problem-Solving
Insurance terminology
Excel, outlook, word
Medical Billing and Collections
Epic, Cerner, Meditech
1500, UB04
Education and Training
Chaffey College- Business Administration Management, 2016
Alta Loma High School - High School Diploma
Accomplishments
Achieved 15% Reduction in Accounts Receivable Aging
Enhanced Billing Efficiency by 20%
Received Recognition for Exceptional Customer Service
Introduced Training Program Improving Team Competency
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