Lovina R. Torres
El Cajon,CA
Summary
Focused knowledge of customer service, data entry, record management, and company management. Aiming to leverage my abilities to successfully fill the vacancy on your team. Frequently praised on detailed-oriented by my peers, I can be relied upon to help your team achieve its goals.
Medical billing professional with strong track record in managing billing operations, ensuring compliance, and optimizing revenue cycles. Adept at team collaboration, driving process improvements, and fostering reliable, adaptable work environment. Expertise in coding systems, claim processing, and resolving billing discrepancies. Known for results-driven approach and effective problem-solving skills.
Overview
9
9
years of professional experience
Work History
Business Office Manager
Amaya Springs Health Care Center
10.2024 - Current
- Updated reports, managed accounts, and generated reports for company database.
- Managed financial operations for the business, ensuring accurate budgeting and timely invoice processing.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Billing Medicare, Managed Medicare, Medi-Cal and Managed Medi-Cal.
- Managing daily Census and confirming Medicare skilled days with Qualifying Hospital Stayed Days.
Private Elderly Caregiver
Private Care
09.2023 - Current
- Performed light housekeeping tasks to maintain a clean and comfortable living environment for clients.
- Assisted clients with daily living activities such as bathing, dressing, grooming, and toileting for improved hygiene.
- Enhanced client safety by closely monitoring health conditions and promptly addressing any concerns.
- Facilitated social engagement for clients by organizing outings, accompanying them on walks, or engaging in conversation.
Assistant Business Office Manager
Victoria Post Acute Care
09.2023 - 10.2024
- Performed accounts receivable collections for past due accounts by conducting collection calls.
- Managed staff scheduling, payroll, and benefits administration to ensure smooth operations and employee satisfaction.
- Verified and tracked all project deadlines to facilitate smooth workflow and satisfied clients.
- Resolved conflicts among team members through effective communication strategies resulting in harmonious work environments.
Admissions Assistant
Country Hills Post Acute
12.2022 - 01.2023
- Assists in the completion of initial and re-authorizations as needed of all HMO/Medi-Cal custodial residents, including pertinent documentation necessary for approval
- Keeps accurate and necessary tracking system for Authorizations needed
- Completes Authorizations timely and follow up for approval
- Submits claims for HMO and Medi-Cal including follow up, phone calls and Appeals
- Researches and follows up on HMO claims as assigned by the Office Manager, i.e., Claims submission, Appeals, follow up and correspondence; accountability to the Business Office Manager for the assigned accounts with oral and written reports of action taken
- Assists in the Collection Process of all private accounts, including phone calls, collection letters and the policy and procedure for collections
- Performs assertive functions as necessary or directed, i.e., letters, phone calls, photocopying, etc
- Engages in cross training for all business-related services
Receptionist
San Diego Post-Acute
12.2021 - 12.2022
- Complied with privacy and confidentiality policies when communicating with callers and guests
- Processed incoming and outgoing documents via electronic methods and systems
- Assisted in resolving patient complaints and disputes
- Assisted office management in tasks that needed completing
- Example: Medical billing, Admissions, Scheduling, Documentation and Scanning
- Managed telephone system at a high rate
Front Desk
Bomber Squad Boxing Academy
07.2021 - 01.2022
- Provided Security and control to the front door and retail area of the fitness center
- Contacted housekeeping or maintenance staff when guest reported problems
- Developed positive working relationships with members, and with colleges across fitness center
- Membership and product sales
- Scheduling for fitness centers coaches and trainers
Supervisor
BSE Security Service Inc
09.2020 - 07.2021
- Established and implemented policies and procedures to improve the efficiency of office operations
- Implemented process improvement strategies to reduce costs and improve efficiency
- Supervised direct reports and enforced adherence to established procedures and deadlines
- Communication with guards in regards of policies, procedures, and scheduling
- Conduct interviews, orientation and in field training
- Ensure Company is in regulations of California State and federal laws
Key Holder
Grocery Outlet
05.2020 - 09.2020
- Created and maintained detailed reports on store performance and inventory levels
- Established credit policies and operating procedures
- Monitored store employees for compliance with established policies and procedures regarding attendance, punctuality, break times
Asset Protection Associate
Walmart
02.2019 - 12.2019
- Operated and monitored electronic access controls, emergency notification systems and burglar and fire alarms to prevent theft from premises
- Maintained documentation and reports on security-related incidents and investigations
- Assessed threats posed by external sources such as vandalism or terrorism and took appropriate action accordingly
- Observe and detain shoplifters for theft of company assets, helping minimize product shrink
Asset Protection Detective
Macy's
06.2018 - 11.2018
- Directed work of contract security officers or other loss prevention agents
- Investigated knew and suspected internal theft, external theft, and vendor fraud
- Actively monitored entrances and exits for unauthorized persons or activities
Office Assistant
Brightwood College
08.2016 - 06.2018
- Scanned, faxed, and filed invoices and sales receipts
- Assisted with the preparation of presentations
- Provided customer service support via phone or email inquiries related to products or services offered by the organization
- Organize paperwork and maintain knowledge of HIPPA for students and instructors
- Organized corporate events and conferences by arranging catering services and other logistics
- Maintained and updated filing, inventory, mailing and database systems, either manually, or used computer
- Compiled monthly reports detailing project activity status and submitted them to management
Education
Associate degree - Science of Criminal Justice
Brightwood College
10.2017
High School Diploma -
William Mitchell High School
05.2013
Skills
- Deadline management
- Account reconciliation
- Staff training and development
- Office administration
- Documentation and control
- Claims processing proficiency
- HIPAA compliance
- Effective communication
- Patient confidentiality practices
- Accounts receivable management
- Medical coding expertise
- Revenue cycle management
Timeline
Business Office Manager
Amaya Springs Health Care Center
10.2024 - Current
Private Elderly Caregiver
Private Care
09.2023 - Current
Assistant Business Office Manager
Victoria Post Acute Care
09.2023 - 10.2024
Admissions Assistant
Country Hills Post Acute
12.2022 - 01.2023
Receptionist
San Diego Post-Acute
12.2021 - 12.2022
Front Desk
Bomber Squad Boxing Academy
07.2021 - 01.2022
Supervisor
BSE Security Service Inc
09.2020 - 07.2021
Key Holder
Grocery Outlet
05.2020 - 09.2020
Asset Protection Associate
Walmart
02.2019 - 12.2019
Asset Protection Detective
Macy's
06.2018 - 11.2018
Office Assistant
Brightwood College
08.2016 - 06.2018
High School Diploma -
William Mitchell High School
Associate degree - Science of Criminal Justice
Brightwood College
Similar Profiles
Joseph TalampasJoseph Talampas
Medical Records Director at Amaya Spring Health Care CenterMedical Records Director at Amaya Spring Health Care Center
Mark RonquilloMark Ronquillo
Registered Nurse at Royal Springs Health Care & Rehab CenterRegistered Nurse at Royal Springs Health Care & Rehab Center
Maricar GeveroMaricar Gevero
Licensed Practical Nurse at Royal Springs Health Care & Rehab CenterLicensed Practical Nurse at Royal Springs Health Care & Rehab Center
Luis ColmenaresLuis Colmenares
Construction Manager III at HHS ConstructionConstruction Manager III at HHS Construction
James M. ChretienJames M. Chretien
Director of Finance at Marin Health Medical NetworkDirector of Finance at Marin Health Medical Network