Patient Financial Services & Medical Billing Expert
Resume:
Maricela Rodriguez
**************@*****.*** 520-***-****
PATIENT FINANCIAL SERVICES REPRESENTATIVE
MEDICAL BILLING
PROFESSIONAL SUMMARY
Dedicated and detail-oriented Patient Financial Services and Medical Billing professional with over 20 years of experience in healthcare revenue cycle management, insurance claims processing, accounts receivable, payment posting, collections, denial resolution, prior authorizations, and patient account management. Proven ability to manage high-volume workloads, maximize reimbursements, resolve complex billing issues, and provide exceptional customer service to patients, providers, and insurance carriers. Skilled in Medicare, Medicaid, commercial insurance follow-up, account reconciliation, and revenue cycle operations. CORE COMPETENCIES
● Patient Financial Services
● Revenue Cycle Management
● Accounts Receivable Management
● Medical Billing & Claims Processing
● Insurance Claims Follow-Up
● Prior Authorization Management
● Insurance Verification
● Denial Resolution & Appeals
● Payment Posting
● Medicare & Medicaid Billing
● Commercial Insurance Billing
● EOB Review & Processing
● Contractual Adjustments
● Collections & Account Resolution
● Refund Processing
● Customer Service & Patient Relations
● Account Reconciliation
● Data Entry & Documentation
● Microsoft Office Suite
● Multi-Line Phone Systems
PROFESSIONAL EXPERIENCE
Banner Health
PFS Representative CBO June 2022 – September 2026
● Coordinate and facilitate patient billing and collection activities for healthcare accounts.
● Process payments, adjustments, denials, refunds, and payment plans accurately and efficiently.
● Research and resolve billing discrepancies, underpayments, denials, and account issues.
● Follow up on Medicare, Medicaid, and commercial insurance claims to ensure timely reimbursement and account resolution.
● Review payer remittances and reconcile account balances according to contractual agreements.
● Communicate effectively with insurance companies, provider offices, patients, and internal departments.
● Maintain accurate account documentation and statistical reporting within company systems.
● Identify billing and payment trends to assist in improving reimbursement processes.
● Provide professional customer service to patients, families, providers, and third-party payers.
● Support reduction of outstanding accounts receivable balances through effective collections and account management.
Bodycentral Physical Therapy
Medical Biller / Cash Poster January 2014 – February 2022
● Managed electronic and paper insurance billing processes.
● Utilized Collaborate and WebPT billing software systems.
● Posted insurance and patient payments from EOBs accurately and timely.
● Processed contractual adjustments, write-offs, refunds, and account corrections.
● Followed up on denied, rejected, and unpaid insurance claims.
● Obtained, submitted, and tracked prior authorizations for physical therapy services to ensure compliance with insurance requirements and uninterrupted patient care.
● Verified insurance eligibility, benefits, coverage limitations, and authorization requirements.
● Assisted patients with billing questions, payment arrangements, and account resolution.
● Processed patient billing and credit card transactions.
● Credentialed therapists and facilities with insurance providers.
● Submitted and verified authorizations.
● Prepared and processed daily bank deposits.
● Answered multi-line phone systems and provided administrative support. Fresenius Medical Services
Medical Biller / Interface Specialist September 2004 – November 2011
● Managed electronic insurance billing and daily charge entry.
● Utilized Medical Manager billing software.
● Processed write-offs and contractual adjustments.
● Verified insurance eligibility and benefits.
● Conducted insurance claim follow-up and denial resolution.
● Posted insurance payments from EOBs.
● Assisted patients with payment arrangements and billing inquiries.
● Generated daily, weekly, and monthly operational reports. J. Sidney Cotner, MD
Medical Biller August 2000 – March 2003
● Managed patient and insurance billing activities.
● Utilized Medisoft billing software.
● Posted payments and adjusted patient accounts.
● Processed cash handling and credit card transactions.
● Prepared daily, weekly, and monthly reports.
● Answered multi-line phone systems and assisted patients with inquiries. EDUCATION
Desert View High School
High School Diploma
SOFTWARE PROFICIENCY
Electronic Medical Records & Billing Systems
● Cerner
● PowerChart
● NextGen
● WebPT
● Collaborate
● Medical Manager
● Medisoft
Microsoft Office Applications
● Microsoft Excel
● Microsoft Word
● Microsoft Outlook
● Microsoft OneNote
● Microsoft PowerPoint
Communication Systems
● Genesis Phone System
● Multi-Line Phone Systems
● Outlook Email Management
REFERENCES
Available Upon Request
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