Experience

MemorialCare

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Physician Billing Supervisor

  • Aug 2023 - Present

• Patient Financial Counselor

  • Feb 2021 - Aug 2023



Compassionate Cancer Care Medical Group

• Fountain Valley

• Billing Manager

  • Nov 2010 - May 2020

  Oversee billing department for three office locations, work large balances on accounts with health insurance providers, timely A/R follow-up on all assigned accounts, immediate resolution of all issues preventing timely reimbursement on claims, appeals on all denied or underpaid claims. Work necessary reports associated with denials. Maintain logs for refunds, processed miscellaneous correspondence from patients and insurance companies, electronic billing, payment posting from insurance and… Show more Oversee billing department for three office locations, work large balances on accounts with health insurance providers, timely A/R follow-up on all assigned accounts, immediate resolution of all issues preventing timely reimbursement on claims, appeals on all denied or underpaid claims. Work necessary reports associated with denials. Maintain logs for refunds, processed miscellaneous correspondence from patients and insurance companies, electronic billing, payment posting from insurance and patients. Charge entry for chemotherapy and hospital visits. Show less Oversee billing department for three office locations, work large balances on accounts with health insurance providers, timely A/R follow-up on all assigned accounts, immediate resolution of all issues preventing timely reimbursement on claims, appeals on all denied or underpaid claims. Work necessary reports associated with denials. Maintain logs for refunds, processed miscellaneous correspondence from patients and insurance companies, electronic billing, payment posting from insurance and… Show more Oversee billing department for three office locations, work large balances on accounts with health insurance providers, timely A/R follow-up on all assigned accounts, immediate resolution of all issues preventing timely reimbursement on claims, appeals on all denied or underpaid claims. Work necessary reports associated with denials. Maintain logs for refunds, processed miscellaneous correspondence from patients and insurance companies, electronic billing, payment posting from insurance and patients. Charge entry for chemotherapy and hospital visits. Show less



PCHOMG

• Fountain Valley

• Sr.Account Specialist

  • Nov 2007 - Nov 2010

  Management and completion of accounts receivables, Including analyze, audit, refunds, adjusts, appeal, and daily correspondence on current and past due accounts. Daily electronic remittance downloads from a variety of Insurance carriers, analyze and reconcile daily and monthly deposits, including posting and balancing payments accordingly, Detailed customer service on incoming and outgoing calls with all types of insurance carriers, patients, and clients on delinquent and current accounts… Show more Management and completion of accounts receivables, Including analyze, audit, refunds, adjusts, appeal, and daily correspondence on current and past due accounts. Daily electronic remittance downloads from a variety of Insurance carriers, analyze and reconcile daily and monthly deposits, including posting and balancing payments accordingly, Detailed customer service on incoming and outgoing calls with all types of insurance carriers, patients, and clients on delinquent and current accounts, Data entry on superbills for chemotherapy and hospital visits as well as coding them. Show less Management and completion of accounts receivables, Including analyze, audit, refunds, adjusts, appeal, and daily correspondence on current and past due accounts. Daily electronic remittance downloads from a variety of Insurance carriers, analyze and reconcile daily and monthly deposits, including posting and balancing payments accordingly, Detailed customer service on incoming and outgoing calls with all types of insurance carriers, patients, and clients on delinquent and current accounts… Show more Management and completion of accounts receivables, Including analyze, audit, refunds, adjusts, appeal, and daily correspondence on current and past due accounts. Daily electronic remittance downloads from a variety of Insurance carriers, analyze and reconcile daily and monthly deposits, including posting and balancing payments accordingly, Detailed customer service on incoming and outgoing calls with all types of insurance carriers, patients, and clients on delinquent and current accounts, Data entry on superbills for chemotherapy and hospital visits as well as coding them. Show less



Gynecologic Oncology Associates

• Sr. Account Specialist

  • Oct 2000 - Sep 2006

  Responsible for accounts receivable for more than $2.5 Million Office Visits, surgery, chemotherapy, and patient collections. Appealed underpayment” and surgery procedures that were denied as incidental. Re-billing of rejected claims and secondary insurance. Verified all patient insurance coverage for proper billing. Obtained authorizations. Responsible for accounts receivable for more than $2.5 Million Office Visits, surgery, chemotherapy, and patient collections. Appealed underpayment” and surgery procedures that were denied as incidental. Re-billing of rejected claims and secondary insurance. Verified all patient insurance coverage for proper billing. Obtained authorizations.