Experienced Medical Billing & A/R Manager

REBECCA ARCE

PROFILE

A medical biller with over 33 years in the medical field. With extensive knowledge in billing Medicare, Medicaid, commercial insurance, and medicare advantage HMO. I have been fortunate enough to work in different settings allowing me to utilize my skills, obtain new experiences, perform independently as well as with others and communicate effectively.

EXPERIENCE

BILLING MANAGER, RGV HOUSE CALLS; HARLINGEN, TX — 2023-2026 In my time at RGV Housecalls I was responsible for the following. Review and submit electronic claims daily. Submit corrected claims and appeals within payer deadlines. Work all assigned insurance buckets. Monitor clearinghouse rejections and resubmit corrected claims promptly. Follow up on all denials as per EOB and correct claims as per rejected claims.

BILLING SPECIALIST, GRACIA HOSPICE; MCALLEN,TX — 2020-2023 While working for Gracia I was responsible for the following. Updating census every morning. Track daily admissions, discharges, and deaths. Verify insurance on all referrals and admissions. Submit NOE on all new admissions to medicare. Work the A/R aging report all buckets. BUSINESS OFFICE MANAGER, EDINBURG NURSING AND REHAB; EDINBURG, TX — 2019-2020

In my time at Edinburg nursing and rehab I was responsible for the following. Billing and applications, patients trust funds, renewals on Medicaid applications for residents, and insurance verifications.

FINANCIAL COORDINATOR/BUSINESS OFFICE MANAGER, WESLACO REGIONAL REHABILITATION HOSPITAL; WESLACO, TX - 2004-2019

In my time working at Weslaco Regional Rehabilitation Hospital I was responsible for the following duties. I completed insurance verifications, posting payments working the AR reports all buckets, and all end of month reports. INSURANCE CLERK, VALLEY WOMEN’S CLINIC; HARLINGEN, TX — 2002-2004 CRITICAL CARE SECRETARY/BILLING IN PSYCHIATRIC DEPT./ BILLING CLERK, VALLEY BAPTIST MEDICAL CENTER; HARLINGEN, TX — 199*-****-*** Sapphire Ave, Unit A, Weslaco, Tx 78599 956-***-**** *******.****@*****.*** SKILLS

I have extensive knowledge in the following areas:

* Posting of all Private Pay, Medicare, Medicaid and Private Insurance payments.

* Electronic and paper claims transmittance.

* Insurance Appeals.

* Fix all edits on Medicare/ Availity before submitting claims.

* Negotiate hospital pricing with out of network commercial insurance companies.

* Work AR aging all buckets.

REFERENCES

Maggie Barriro, RN, BSN - 10 years - Mission, Tx 956-***-**** Elsa Quintero, Director of Marketing- 5 years - McAllen, Tx 956-***-**** Landy Cordova, Director of Patient Outcome - 5 years - Alamo, Tx 956-***-**** 601 Sapphire Ave, Unit A, Weslaco, Tx 78599 956-***-**** *******.****@*****.***

Contact this candidate