Adriana Hernandez
El Paso,TX
Summary
Knowledgeable Business Office Collector with over 20 years of experience in healthcare revenue cycle management, specializing in accounts receivable follow-up, insurance collections, and payer resolution. Proven track record of resolving billing issues, and ensuring timely reimbursement from Medicare, Medicaid, and commercial payers. Detail-oriented and persistent professional with excellent communication skills and a reputation for accuracy, efficiency, and maintaining positive payer relationships.
Overview
25
25
years of professional experience
Work History
Business Office Coordinator
Rio Vista Behavioral
El Paso, TX
06.2020 - Current
- Perform high-volume accounts receivable follow-up on commercial, Medicare, and Medicaid claims.
- Resolve denied and underpaid claims through payer research, appeals, and reconsiderations.
- Review and interpret EOBs
- Communicate with payer representatives to resolve complex billing issues.
- Ensure compliance with timely filing limits and payer guidelines.
- Document all account activity thoroughly within billing system.
Business Office Manager
Peak Behavioral Health
Santa Teresa, NM
02.2018 - 04.2020
- Oversaw daily operations of the business office, including billing, collections, and payment posting.
- Supervised and trained business office staff to ensure productivity and accuracy.
- Monitored AR aging reports, cash collections.
- Serves as liaison between business office, admissions, and UR departments.
- Ensured compliance with Medicare, Medicaid, and commercial payer regulations.
- Assisted with payer communications.
Business Office Specialist
Peak Behavioral Health
Santa Teresa, NM
07.2001 - 02.2018
- Conducted insurance follow-up and collections
- Submitted claim reconsiderations and corrected claims to resolve denials.
- Verified insurance benefits and eligibility when needed.
- High-volume accounts receivable follow-up.
Education
Business Administration
El Paso Community College
El Paso, TXHigh School Diploma -
Gadsden High School
Anthony, NM05-1980
Skills
- Customer service
- Accounts Receivable Follow-Up
- Commercial & Government insurance collections
- Medicare & Medicaid billing guidelines
- Claims resolution and reconsiderations
- Payment posting & reconciliation
- EOB interpretation
- Payer portal navigation
- Insurance verification & benefits review
- HIPAA compliance
- Clearinghouse communication
- Timely filing & authorization review
- Strong written & verbal communication
- High-volume account management
Languages
English
Spanish
Timeline
Business Office Coordinator
Rio Vista Behavioral
06.2020 - Current
Business Office Manager
Peak Behavioral Health
02.2018 - 04.2020
Business Office Specialist
Peak Behavioral Health
07.2001 - 02.2018
Business Administration
El Paso Community College
High School Diploma -
Gadsden High School