Experience

Ventura Orthopedics

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Data Entry

  • Oct 2022 - Present

  Handled confidential information and abide by HIPAA laws and other medical policies. Accurately and efficiently entered properly coded medical services, diagnosis, and treatments into the ECW System. Ensured each patient’s medical information is accurate and up to date. Submitted billing data to the appropriate insurance payers. Collaborated with other team members to ensure smooth workflows. Maintained accurate notes in ECW System. Handled confidential information and abide by HIPAA laws and other medical policies. Accurately and efficiently entered properly coded medical services, diagnosis, and treatments into the ECW System. Ensured each patient’s medical information is accurate and up to date. Submitted billing data to the appropriate insurance payers. Collaborated with other team members to ensure smooth workflows. Maintained accurate notes in ECW System.



Tecwest

• Brazil
• Retail

• Accounts Payable Administrator

  • Nov 2021 - Apr 2022

  Processed high volume A/P in a manufacturing company, 3-way match of Vendor Invoices, purchase order and receiving reports. Processed all company’s Vendor Invoices, employee expense reports, and credit card statements. Processed ACH, wires and mailed checks weekly. Maintained all backup electronically in PLEX accounting system. Reconciled vendor accounts as needed. Prepared various AP reports to support monthly close. Prepared monthly sales commissions reports. Processed high volume A/P in a manufacturing company, 3-way match of Vendor Invoices, purchase order and receiving reports. Processed all company’s Vendor Invoices, employee expense reports, and credit card statements. Processed ACH, wires and mailed checks weekly. Maintained all backup electronically in PLEX accounting system. Reconciled vendor accounts as needed. Prepared various AP reports to support monthly close. Prepared monthly sales commissions reports.



Change Healthcare

• United States
• IT Services and IT Consulting
• 700 & Above Employee

• Accounts Receivable Specialist

  • Sep 2019 - Mar 2020

  Followed up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials. Responsible for handling all correspondences related to an insurance or patient account. Contacted insurance carriers, patients and other facilities as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. Researched and resolved accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement



People's Care

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Accounting Staff / Billing

  • Sep 2016 - Dec 2018

  Responsible for electronic and manual billing for all company programs and submit P&I prior to deadline for Regional Centers. Prepared checks and deposit forms; deposit checks electronically into a scanner. Monitored and coordinated with District Managers and Regional Centers regarding any discrepancies on billed accounts versus actual payments received. Prepared and generated unbilled A/R reports for Executive Team. Maintained and filed all clients billings and receivable records. Applied cash, checks, electronic payments and reviewed for correct entry, and proper vendor coding. Reconciled and reported any discrepancies found in records. Prepared and printed Accounts Payable disbursement request daily. Prepared census and revenue reports for the CFO.



Nestle USA

• Mira Loma, Ca

• Account Payment Coordinator

  • Nov 2015 - Aug 2016

  Applied cash for a specified group of customers. Identified, analyzed and investigated non-trade deductions and unapplied cash. Assigned trade deductions to the resolution owner of the deduction. Established and maintained a working rapport and on-going communication with all levels and functions within the account team, customers, distribution and manufacturing operations, and Nestlé personnel. Developed process improvements, including recommendations for system, policy and procedure enhancements. Analyzed and resolved root cause of customer related issues to ensure customer satisfaction.



Community Health Group

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Claims Analyst

  • Sep 2014 - Oct 2015

  Reviewed CMS-1500 and UB04 information to check for accuracy and correctness. Reviewed and managed case management and adjudicating process of all Medicare and Medical claims to achieve timely claims resolution. Ensured primary paper claims have generated for processing; prepare for mailing with any necessary attachments and electronic claim files are created and uploaded. Performed extensive research to process and/or adjust healthcare claims and appeals. Reviewed CMS-1500 and UB04 information to check for accuracy and correctness. Reviewed and managed case management and adjudicating process of all Medicare and Medical claims to achieve timely claims resolution. Ensured primary paper claims have generated for processing; prepare for mailing with any necessary attachments and electronic claim files are created and uploaded. Performed extensive research to process and/or adjust healthcare claims and appeals.



Intellicare Direct

• Greater San Diego Area

• Chargeback Specialist

  • Apr 2013 - Sep 2014

  Maintained database and spreadsheets as they relate to credit card chargebacks. Responded and resolved inquiries regarding disputes from banks and customers using multiple banking systems. Maintained accurate data records and keep detailed notes on customer’s records and transactions. Responsible for auditing own entries to ensure accuracy of numbers at the end of the day. Researched and resolved questions involving credit card activity versus services used. Completed task in a timely manner to meet deadlines imposed by bank card inquiries. Responsible for collecting QA reports and enter bonus reports for Payroll purposes.



Cubic Corporation

• Greater San Diego Area

• Accounting Clerk

  • Aug 2011 - Dec 2012

  Processed all incoming travel and expense reports. Matched, batched, and coded invoices. Obtained approvals for payment and coding to proper GL accounts. Assisted with preparing weekly check runs. Audited Direct Deposit Reports. Maintained travel accounts payable files and records. Issued travel account order. Responded to employee inquiries regarding invoices, expenses, and check requests. Assisted with monthly closing. Performed other financial and business related tasks as assigned by the Accounts Payable Supervisor.



Mike O'Callaghan Federal Hospital

• Las Vegas, Nevada Area

• Orthopaedic Admin Tech

  • Sep 2009 - Jul 2011

  Ordered LAB works and Radiology, checked patients IN/OUT, Scheduled patient's PRE-OP/POST OP visit, made adjustments to Provider's schedule as necessary, point of contact for Credentialing Dept. Ordered LAB works and Radiology, checked patients IN/OUT, Scheduled patient's PRE-OP/POST OP visit, made adjustments to Provider's schedule as necessary, point of contact for Credentialing Dept.



HD Supply

• United States
• Wholesale
• 700 & Above Employee

• Accounts Receivable Processor

  • Apr 2007 - Jun 2009

  Responsible for receiving, posting, and depositing customer payments. Called and mailed correspondence to customers as necessary in order to update accounts. Contacted customers to discuss overdue balances. Researched and resolved unapplied/unidentified cash receipt. Generated month end reports in accounting software. Analyzed customer accounts to identify and correct billing errors. Accounts Reconciliation. Reconciled report discrepancies and problems Tracked and researched short payments from customers to determine need for rebilling or balance write off.