Customer Service & Billing Operations Leader
Resume:
DINA TAGLE
Vacaville, CA *****
****.******@*****.*** / 650-***-****
SUMMARY
Dedicated Customer Service Professional with extensive experience in customer-facing roles. Enhanced operational efficiency through strong attention to detail and commitment to continuous improvement. Demonstrated adaptability and exceptional interpersonal skills while working independently and embracing new challenges. SKILLS
• Claims management • Reimbursement analysis
• Electronic billing software • Process optimization
• Quality assurance • Practice management
• Patient registration • HIPAA compliance
• Staff training programs • Microsoft Office proficiency
• Problem solving and analytical thinking • Attention to detail
• Time management
EXPERIENCE
10/2011 - 06/2025
PATIENT BILLING AND COLLECTION SUPV 2 / UCSF Medical Group Business Services - Emeryville, California Oversaw billing operations for CCMC 3 and CCMC 4, ensuring timely management of receivables to maximize reimbursement.
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• Monitored Apex work-queue through PB follow-up to identify and resolve bottlenecks in billing processes.
• Analyzed reimbursement patterns and escalated discrepancies to Payor Provider Relations for resolution.
• Implemented process changes that improved billing accuracy and efficiency.
• Participated in departmental initiatives to enhance overall performance.
• Prepared monthly accounts receivable reports, including aging analysis for management review.
• Performed monthly quality checks to evaluate and improve performance standards of CCMC 4 staff.
• Resolved aged high dollar accounts by escalating issues to payor claims supervisor. Office Billing Manager / UCSF Neurosurgery 06/2004 - 09/2011 Oversaw billing operations for the Department and ensured timely management of receivables to maximize reimbursement.
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• Managed billing processes for neurosurgery department, ensuring timely and accurate invoicing.
• Managed billing processes for Department of Neurological Surgery, ensuring timely and accurate invoicing.
• Coordinated insurance claims and followed up on payer and patient payments to ensure timely resolution.
• Developed and maintained billing policies to comply with healthcare regulations and standards.
• Trained staff on billing software and best practices for efficient workflow management.
• Monitored work-queue through PB follow-up to streamline operational processes. DT
• Monitored billing activities, identifying trends to improve accuracy and reduce errors.
• Collaborated with healthcare providers to resolve discrepancies in patient accounts.
• Identified areas for improvement in billing cycle efficiency, contributing to cost reduction and profit increase.
• Conducted regular meetings with staff to discuss performance goals and improvements in workflow processes.
• Ensured compliance with federal, state, and local laws governing the billing process.
• Provided support during audits, ensuring all documentation met compliance requirements.
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• Worked closely with the Department authorization team to ensure timely submissions. SENIOR COLLECTION REPRESENTATIVE / UCSF 01/2001 - 06/2004 Reviewed accounts in IDX system for accuracy, securing comprehensive information for effective claims processing.
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• Submitted claims to payors in a timely manner, ensuring compliance with deadlines.
• Processed medical claims using electronic billing software, maintaining accuracy in submissions.
• Resolved billing discrepancies with insurance companies through professional communication.
• Verified insurance coverage and benefits through Payor websites or telephone calls.
• Updated demographic and medical insurance data for proper HCFA/CMS 1500 submission.
• Escalated payor trends and issues to Supervisor for prompt resolution.
• Attended training sessions to improve job performance and streamline processes. PRE- REGISTRATION COUNSELOR / UCSF Medical Center - San Francisco 05/2000 - 01/2001
• Registered patients for outpatient procedures and emergency services.
• Handled insurance verification and resolved discrepancies with providers promptly. Handled insurance verification and promptly resolved discrepancies with providers to ensure accurate patient coverage.
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• Assisted with patient registration and verification processes efficiently. Assisted with patient registration and verification processes, enhancing overall efficiency of the registration workflow.
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Managed accurate data entry of patient information into electronic health records system, contributing to seamless patient care.
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• Verified customer information in order to ensure accuracy of data entry into the system.
• Maintained confidentiality of patient information in compliance with regulations.
• Ensured compliance with HIPAA regulations by maintaining confidentiality of patient information.
• Assisted other departments with tasks related to the registration process.
• Inquired with clients to gather necessary information for accurate paperwork completion. ELIGIBILITY SPECIALIST / Brown and Toland Medical Group 09/1999 - 05/2000
• Assessed eligibility for diverse health programs and services, ensuring clients received appropriate support.
• Verified insurance eligibility through payor portal, facilitating timely access to necessary care. Maintained accurate records of client interactions and eligibility determinations to support compliance and inform program improvements.
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• Trained new staff on policies and procedures governing eligibility assessments.
• Organized and prioritized daily workload while managing multiple responsibilities under pressure. PRE- REGISTRATION COUNSELOR / Healthcare Financial Staffing - San Francisco, California 10/1998 - 09/1999
• Assisted patients at UCSF Pre-Registration Unit.
• Provided excellent customer service to patients and families during registration.
• Assisted with patient registration and verification processes efficiently.
• Registered patients for outpatient procedures and emergency services.
• Resolved discrepancies with providers during insurance verification to ensure accurate patient registrations.
• Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
• Verified customer information in order to ensure accuracy of data entry into the system.
• Maintained confidentiality of patient information in compliance with regulations.
• Ensured confidentiality of patient information, complying with all relevant regulations and enhancing trust.
• Managed data entry for patient information into electronic health records system.
• Collaborated with departments to streamline registration processes, improving overall service delivery.
• Asked clients questions to gather necessary paperwork information. SEASONAL POSTAL WORKER / USPS - San Francisco, California 08/1992 - 09/1999
• Sorted and delivered mail across designated routes, ensuring timely delivery to customers.
• Organized bulk mailings by sorting letters into zip codes and bundling for efficient distribution.
• Sorted and organized mail for efficient distribution and delivery.
• Operated postal vehicles to transport mail between facilities and routes.
• Assisted customers at service counters with inquiries and package shipping. EDUCATION
Some College: Business Administration And Management 06/1978 - 05/1980 Baguio Central University - Baguio City, Philippines Medical Assistant
Provident Vocational School - Daly City, CA
CERTIFICATIONS
• Leadership Training
TECHNICAL SKILLS:
• Epic System
• IDX System
• Microsoft Team
• Huntington Business System for Tine keeping
• Excel
• Word
• Power point
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