Detail-Oriented Billing Specialist with EVV Expertise
Resume:
MANUELA GARCIA
Las Cruces, NM *****
******.******@*****.***
Detail-oriented Billing Specialist with experience in billing processes including payroll, accounts receivable, EVV systems and insurance authorizations. Proven ability in resolving discrepancies and excellent compliance in handling high- volume workloads in a timely manner.
• Billing processes
• EVV systems
• Accounts receivable
• Payroll administration
• Compliance monitoring
• Customer relationship management
• Bilingual English/ Spanish
01/2019 to Current
MOUNTAIN SHADOWS HOME CARE INC.
Las Cruces, New Mexico
Billing Specialist
Verify caregiver clock-in and clock-out times using EVV systems, ensuring accurate payroll and billing for all hours worked.
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• Process payroll while confirming accurate hours and resolving discrepancies prior to submission. Managed accounts receivable, tracked outstanding balances, and followed up on unpaid claims to ensure timely payments.
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• Verified authorized service hours, ensuring compliance with established guidelines and minimizing billing errors. Utilized EVV systems (including AuthentiCare) to track visits and confirm service accuracy, enhancing billing reliability.
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Processed criminal background checks for all new applicants, ensuring thorough vetting and compliance with hiring standards.
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11/2008 to 12/2017
MESILLA VALLEY HEALTHCARE ASSOCIATES
Las Cruces, New Mexico
Front Desk Receptionist/Billing Specialist
Answered high-volume inbound calls in a 6 multi-line phone system, providing accurate information and assisting with all inquiries.
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• Collected patient payments and processed transactions accordingly with office procedures.
• Entered new patient demographic information and verified established patient data to ensure accuracy. Fulfilled medical records requests in a timely manner while maintaining confidentiality in compliance with HIPAA.
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• Verified all patient insurance eligibility and benefits prior to appointments.
• Handled all patient prior authorizations and insurance appeals, ensuring timely approvals and follow-ups. MEDICAL OFFICE TECHNOLOGY CERTIFICATE 1997
International Business College, IN
GED 1996
Dona Ana Community College, Las Cruces, NM
References available upon request.
SUMMARY
SKILLS
EXPERIENCE
EDUCATION AND TRAINING
REFERENCES
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