ALEXANDRA OLIVEROS
Brandon
Summary
Experienced Account Representative with a strong background in customer service. Exceptional organizational skills and ability to build and maintain relationships with customers. Calm and focused in high-pressure situations. Actively pursuing Medical Billing Certification through the AAPC to enhance skills. Over 20 years of experience in Medical Administration/Billing/Office fields. Excited to apply existing knowledge and new insights from certification training to future endeavors.
Overview
8
8
years of professional experience
Work History
Sr. Patient Accounts Specialist/Claims Analyst
Tampa General Hospital
02.2024 - Current
- As a claims analyst, I am responsible for following up on all claims for Generic Commercial, Aetna, Humana, Coventry, Evolutions, First Health, Oscar, Veterans, Well Care payers and more
- I confirm if claim was received by payer either by paper or electronically through Onesource or payor portals online, or by calling payors to inquire.
- I correct any issues with the claim and either resubmit the claim for payment by way of a corrected claim, submit reconsiderations, medical record requests, itemized billing details or invoices per request, and any other work that needs to be done to close out the account
- I refer accounts to clinical denials department for clinical level appeals, to coding for diagnosis code review, or to the Medical Billing Audit department for coding review
- I adjust charges as necessary, bill the next responsible party and/or patient, as required
- I verify benefits, update payers, obtain claim status, and complete accounts from work Q
- I notate accounts, fax documents, scan, call insurance companies, obtain information online and more
- I work as a part of a team, however we are independently responsible for our work Q's and productivity
- I also assist with new hire training, and get called upon a lot for assistance with how to do something in our Epic system, or for assistance with processes and procedures from team mates, and Team Leads.
- I manage the accounts to ensure timely processing of transactions and maintain accuracy in financial records.
Financial Counselor - Billing
Tampa General Hospital
06.2023 - 02.2024
- I am responsible for answering all Patient Financial Services calls from patients, insurances, and attorneys regarding patient billing inquiries, processing payments, overpayments/refunds, researching billing details, explaining Explanation of Benefits, coverage and/or billing issues, processing financial assistance applications, resubmitting claims to insurance, following up on claim status from the insurance, updating coverage information for commercial, auto and workers compensation claims, and more.
- Processing requests for UB04's and itemized billing details
- I am also responsible for responding to patients through MyChart EMR portal, verifying insurance, submitting accounts for coding and billing reviews, data entry, customer service, and more in the EPIC system
- Provided financial guidance to clients to enhance personal budgeting skills.
- Miscellaneous projects as assigned
- Facilitated onboarding of new staff, ensuring seamless integration into billing operations.
- Assisted team members and leadership in managing and improving billing processes.
Scheduling and Insurance Verification Specialist
Mobile Optix, PLLC
02.2023 - 06.2023
- I collect the schedules for upcoming mobile clinics, run all benefits, and collect all necessary authorizations for patient visits
- I enter all information into the EMR system and telehealth system, create final schedules for technicians to use the next day, and communicate all findings to the primary care physicians' offices
- I also answer all incoming calls, handle all order inquiries, problems and situations that may arise regarding orders, scheduling, and insurance
- I update and maintain all in office reports with post clinic stats on number of patients seen, number of eyewear ordered, timing and solvable problems
- Among many other tasks, I pull all the exam notes for the previous day to send to the clinics by 10 am along with a post visit report indicating all happenings that took place on clinic day
- I visit clinics twice weekly to maintain positive relationships between corporate office and to assist the mobile clinic van with patient flow
- REASON FOR LEAVING: Due to financing issues, the company closed its doors in September 2023
- I also assist with new hire training, and get called upon a lot for assistance with how to do something in our Epic system, or for assistance with processes and procedures from team mates, and Team Leads.
Financial Counselor - ED
Tampa General Hospital
02.2023 - 03.2023
- Process ER Registrations by visiting patient ER rooms, and collecting all demographics, insurance, copayments, and signatures for processing
- I am responsible for answering billing questions, processing financial assistance applications, and assisting with the billing process
- I also assist with new hire training, and get called upon a lot for assistance with how to do something in our Epic system, or for assistance with processes and procedures from team mates, and Team Leads.
- REASON FOR LEAVING: Due to management issues, and lack of employee care, I decided to pursue other opportunities
Practice Manager, MedSpa Coordinator
One Stop Medical Shop & SPA
05.2022 - 12.2022
- I am responsible for the efficient running of the office, from the front office to the back office, patient flow, assisted as a medical assistant doing basic triage such as collecting medical history, height, weight, going over medications, obtaining medical records from other offices, submitting orders, etc
- Cash posting, scheduling, collection of copays, insurance verifications, billing, cash management, accounts payable, accounts receivable, management, bookkeeping, payroll, purchasing, supply ordering, recruiting, contracts, credentialing, office maintenance, running the maintaining the laser hair removal machine, setting up treatments and estimates, and plans, customer service, selling, managing and maintaining our ID Life DNA Nutrition market, managing and maintaining our Evexipel Pellet Hormone Therapy market and more
- I also assist with new hire training, and get called upon a lot for assistance with how to do something in our Epic system, or for assistance with processes and procedures from team mates, and Team Leads.
- REASON FOR LEAVING: The office permanently closed as of 12/23/22
- I am re-hirable and can provide a positive reference from this employer
Work Gap/Stay at Home Mother
Stay At Home Mom
03.2021 - 05.2022
- We were blessed during Covid to have the opportunity to live on one income so that I could stay home with my son who at the time was doing virtual school, and while my daughter was away at school in Gainesville, Florida
- I was unemployed by choice and enjoyed the time at home with my family during what was probably one of the worst times for our country
- I decided to go back to work parttime in May of 2022 as my son readjusted as he returned to brick and mortar school, and my daughter came home and began working, and I had more free time on my hands
- REASON FOR LEAVING: I was ready to get back to work and become active in the workforce once again
Financial Counselor Transition Associate
AON/Florida Cancer Specialists
07.2020 - 03.2021
- This was mainly a training position. DURING COVID: I was a traveling financial counselor and training associate, training new staff at different acquired locations, bringing them up to par with AON/FCS standards
- I also covered different assignments across the US dependent upon need
- Most of my work was done remotely from home, however I did often travel to sites to be in office for training and/or coverage as needed as a financial counselor, biller, financial assistance representative, front desk coordinator, referral and authorization clerk, and anything else that was needed
- My responsibilities included assisting patients regarding insurance, copays, free drug or patient assistance programs, coordination of payments, and answering any questions
- I was responsible for reviewing upcoming treatments, and obtaining information needed for approval
- REASON FOR LEAVING: At the time that I was hired, the company was transitioning to being fully acquired by Florida Cancer Specialists, however, deals broke apart, and they began separating, and my position was no longer available, and I would have to apply and accept an in-office position in my area
- At the time, my husband was making good money, so rather than going through that, we decided that I should stay home with my kids and take some time off to dedicate to family
- I am re-hirable and left on a positive note
Oncology Office Manager/Financial Counselor
Comprehensive Hematology Oncology
08.2019 - 06.2020
- As center manager, my responsibilities included staff supervision, time sheets, coordinating student trainings, overseeing front office, back office, chemo treatment room, lab, and floating employees
- I was responsible for approval of time off requests, and ensuring the office was staffed appropriately, always
- As a financial counselor, I was responsible for assisting patients regarding insurance, copays, free drug or patient assistance programs, coordination of payments and answering patient questions
- I am responsible for the reviewing of upcoming treatments, and obtaining information needed for approval
- I have a great understanding of HMO, PPO, State and Governmental insurance verifications and benefits
- I possess a strong knowledge of billing PM systems and EMR (eClinicalWorks, HST Pathways, Centricity and ONCO EMR), as well as collection policy, and options available to patients for financial assistance
- REASON FOR LEAVING: While I loved working with patients, especially in this specialty as I have a soft heart for Cancer Survivors and Victims as my mother passed due to Cancer, the atmosphere at this office was very difficult and growing more unprofessional
- After trying to work with management, and peers to make things better, It got to a point where I could not keep going
- I am re-hirable and left on a positive note
Patient Financial Counselor
Moffit Cancer Center
12.2017 - 08.2019
- Reviewed and processed patient applications for financial assistance, adhering to Moffitt's program parameters and regulatory requirements.
- Customer Service with our patients was very important, as I had to communicate with patient by both phone, mail and email in order to obtain documentation to support their financial needs and to find the best program to fit their current and future needs with the hospital.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
Office Manager
Kemuel Christian University
08.2017 - 07.2018
- Generated and updated reports and letters, ensuring accuracy and timely completion.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Assisted in the recruitment process, conducting interviews and onboarding new employees/potential students to promote a seamless integration into the team/school dynamic.
- Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
Financial Counselor
Moffitt Cancer Center
09.2017 - 12.2017
- Worked with patients and their families to develop personal recommendations for improvement of financial circumstances, reducing debt and increasing income for treatments/medications, such as cancer policies, medicaid assistance/government assistance, retirement plans, etc.
- Cultivated a positive, non-judgmental environment for clients to openly discuss their financial challenges and concerns.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Strengthened client understanding of complex financial concepts using clear explanations and real-life examples.
- Managed caseload effectively, ensuring timely follow-up appointments and communication with clients.
- Implemented crisis intervention strategies when necessary, connecting clients with appropriate emergency resources during times of severe financial hardship.
- Documented details regarding contact with patients, providers and other individuals in system.
- Safeguarded client confidentiality while maintaining accurate records and documentation of counseling sessions.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
Billing Assistant
Womens Health & Wellness Center
09.2016 - 08.2017
- Enhanced customer satisfaction by promptly addressing and resolving billing inquiries or disputes.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Improved billing accuracy by diligently reviewing and verifying invoice data before submission.
- Received, sorted, and distributed incoming mail.
- Maintained updated records of all transactions and invoices, ensuring easy access and retrieval when needed.
- Supported month-end closing activities by reconciling accounts and preparing financial reports as needed.
- Reduced errors in billing documentation by implementing a thorough double-check system.
- Processed insurance and patient payments accurately.
- Generated clean claims by thoroughly reviewing services performed for prompt insurance carrier payment.
- Monitored and updated claim statuses to ensure timely processing.
- Assisted with various projects, reports, and additional duties as assigned.
- Trained new employees, ensuring seamless integration into billing processes.
- Assisted with process management to enhance team efficiency and support leadership.
Education
Certified Medical Biller -
AAPC
Tampa, Florida03-2025
BA - Christian Counseling
Kemuel Christian University
Brandon, Florida07.2019
AS - Theological Studies
Kemuel Christian University
Brandon, Florida01.2018
Skills
- Account management
- Financial analysis
- Data entry
- Invoicing
- Medical Billing
- Medical Collections
- Patient Financial Services
- Bilingual (Fluent English/Spanish)
- Accounting
- Training
- Account reconciliation
- Customer service
- Time management
- Problem solving
- Communication skills
- Microsoft Excel
- Accounts payable
- Accounts receivable
- Team collaboration
- Detail orientation
- Multitasking skills
- Analytical skills
- Organizational skills
- Record keeping
- Billing procedures
- Payment processing
- Transaction analysis
- Policy adherence
- Cross-department coordination
- Dispute resolution
- Trend analysis
- Account adjustments
Leadership Experience
Professional:
- Financial Counselor Transition/Training Associate - AON/Florida Cancer Specialists - 2020-2021
- Office Manager - Comprehensive Hematology and Oncology - 2019-2020
- Office Manager - Kemuel Christian University - 2017-2018
- Practice Administrator - Michael J. Buscemi Orthopedics - 2014-2016
Personal:
- Church Secretary and Assistant to Head Pastor - Iglesia Cristiana Puerta Del Cielo, Inc (Heavens Gate Christian Church) - 2016-2022
- Worship Leader - Iglesia Cristiana Puerta Del Cielo, Inc (Heavens Gate Christian Church) - 2016-2022
- Childrens Ministry Leader - Iglesia Cristiana Puerta Del Cielo, Inc (Heavens Gate Christian Church) - 2016-2022
- Food Pantry Coordinator - Iglesia Cristiana Puerta Del Cielo, Inc (Heavens Gate Christian Church) - 2016-2022
- Youth Ministry Leader - Iglesia Cristiana Puerta Del Cielo, Inc (Heavens Gate Christian Church) - 2016-2022
- Middle School Ministry Leader - The Chapel Mango Church - 2020-2021
Languages
English
Native or Bilingual
Spanish
Full Professional
Timeline
Sr. Patient Accounts Specialist/Claims Analyst
Tampa General Hospital
02.2024 - Current
Financial Counselor - Billing
Tampa General Hospital
06.2023 - 02.2024
Scheduling and Insurance Verification Specialist
Mobile Optix, PLLC
02.2023 - 06.2023
Financial Counselor - ED
Tampa General Hospital
02.2023 - 03.2023
Practice Manager, MedSpa Coordinator
One Stop Medical Shop & SPA
05.2022 - 12.2022
Work Gap/Stay at Home Mother
Stay At Home Mom
03.2021 - 05.2022
Financial Counselor Transition Associate
AON/Florida Cancer Specialists
07.2020 - 03.2021
Oncology Office Manager/Financial Counselor
Comprehensive Hematology Oncology
08.2019 - 06.2020
Patient Financial Counselor
Moffit Cancer Center
12.2017 - 08.2019
Financial Counselor
Moffitt Cancer Center
09.2017 - 12.2017
Office Manager
Kemuel Christian University
08.2017 - 07.2018
Billing Assistant
Womens Health & Wellness Center
09.2016 - 08.2017
BA - Christian Counseling
Kemuel Christian University
AS - Theological Studies
Kemuel Christian University
Certified Medical Biller -
AAPC
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