Evelyn Molina

Lead Account Resolution Specialist III at Currance
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Contact Information
us****@****om
(386) 825-5501
Location
Cleveland, Texas, United States, US

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Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Lead Account Resolution Specialist III
      • Feb 2022 - Present

      Revenue Cycle ARS for Stanford Children's Hospital, LPCH · Completed in-depth research to investigate claims and resolve problems. · A/R follow-up on delinquent accounts · Working denials for professional services · Medicaid/Medicare/Commercial Appeals, Redeterminations, Reconsiderations, all levels. · SME Medi-Cal and Medi-Cal MCOs · Training and onboarding new employees · Daily briefings on revenue cycle status via Teams · Special Projects as assigned Revenue Cycle ARS for Stanford Children's Hospital, LPCH · Completed in-depth research to investigate claims and resolve problems. · A/R follow-up on delinquent accounts · Working denials for professional services · Medicaid/Medicare/Commercial Appeals, Redeterminations, Reconsiderations, all levels. · SME Medi-Cal and Medi-Cal MCOs · Training and onboarding new employees · Daily briefings on revenue cycle status via Teams · Special Projects as assigned

  • Memorial Clinical Associates
    • Houston, Texas, United States
    • Payment Processor
      • Mar 2019 - Oct 2019

      Payment posting and processing - All payer types, Commercial, Medicaid, Medicare · ERA and paper check posting · Identifying and escalating underpaid or zero-paid procedures to the manager for review Prepared and mailed invoices to customers, processed payments, and documented account updates. Payment posting and processing - All payer types, Commercial, Medicaid, Medicare · ERA and paper check posting · Identifying and escalating underpaid or zero-paid procedures to the manager for review Prepared and mailed invoices to customers, processed payments, and documented account updates.

    • Medical Biller/Coder
      • Nov 2014 - Aug 2018

      · Preparing, reviewing, and submitting claims electronically or by paper daily · Resolving daily rejections on claims submitted to payers · Following up on past due claims · Working payer denials daily · Identify and resolve patient billing questions and concerns · Preparing, reviewing, and submitting claims electronically or by paper daily · Resolving daily rejections on claims submitted to payers · Following up on past due claims · Working payer denials daily · Identify and resolve patient billing questions and concerns

    • United States
    • Medical Practices
    • Billing Coordinator/Patient Registration
      • Sep 2007 - Aug 2010

      · Performed Eligibility and Verification for all payers · Processing daily and monthly claims batches · Trained new employees in the claims department · Performed claim audits for all payers · Responsible for performing various administrative and clerical duties Assisted with A/P duties when assigned · Performed Eligibility and Verification for all payers · Processing daily and monthly claims batches · Trained new employees in the claims department · Performed claim audits for all payers · Responsible for performing various administrative and clerical duties Assisted with A/P duties when assigned

    • Claims Coordinator
      • Nov 2000 - Sep 2007

      · Performed Eligibility and Verification for all payers · Processing daily and monthly claims batches · Trained new employees in the claims department · Performed claim audits for all payers · Responsible for performing various administrative and clerical duties Assisted with A/P duties when assigned · Performed Eligibility and Verification for all payers · Processing daily and monthly claims batches · Trained new employees in the claims department · Performed claim audits for all payers · Responsible for performing various administrative and clerical duties Assisted with A/P duties when assigned

Education

  • MacCormac College
    Associate of Science - AS, Business Administration and Management, General
  • Coyne College
    Certified Diploma in Medical Billing and Coding, Medical Billing and Coding

Community

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