Evelyn Molina
Lead Account Resolution Specialist III at Currance- Claim this Profile
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Bio
Experience
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Currance
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Lead Account Resolution Specialist III
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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
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Memorial Clinical Associates
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Houston, Texas, United States
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Payment Processor
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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.
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Medical Biller/Coder
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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
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BAZELL CLINIC, LLC
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United States
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Medical Practices
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Billing Coordinator/Patient Registration
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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
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Claims Coordinator
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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
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Education
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MacCormac College
Associate of Science - AS, Business Administration and Management, General -
Coyne College
Certified Diploma in Medical Billing and Coding, Medical Billing and Coding