Ana Luisa Orsot
Damascus,MD
Summary
To obtain a position in the field of Medical Cash Posting Specialist
Overview
29
29
years of professional experience
Work History
Cash Posting Representative I
Trinity Health
01.2020 - 03.2026
- 2-1 System Access Epic 2021-present and Multiples Access
- Pulling lockbox (LB) excel spreadsheet for 531863-SS; 531888-GT & 531882 dialysis and general finances of checks #’s Hospital bill (HB) save the sheet from PNC bank deposit daily
- Copy/paste checks from LB to Epic ECM list to get ready to post
- Posting LB checks/payments; Manual/EFT; external from ach deposit through Epic via ECM insurance payers from PNC bank deposit as of lockbox checks variety insurance payments in patients accounts for hospital of Silver Spring (SS) & Germantown (GT) MD and record posted payments in Quick Base (QB) from daily deposit
- Save in folder EOB or documents and import/scanning onbase EFT manual explanation of benefits (EOB) documents from variety websites and posting payments in patients belonging accounts and record posted payments in Quick Base from daily deposit
- Adding notes for dialysis in ECM and post/update Quick Base (QB) to finance; update and file checks/documents in 365-teams channel
- Posting Epic 800’s batch for GT/SS-LB correspondence EOBs of denials, co-pay, deductibles and posting in Epic some payments and recoups already posted via from ECM by leadership & PLB group
- Colleagues send 365-teams massage for denial remit/eob to post on the acct import onbase attachment post in epic only $0.00
- Report 800’s complete batch every Wednesdays to supervisor in 365-teams massage
- Epic HB undistributed WQ-65876 & HB correspondence WQ-75568 daily from scanned imagine documents of any information attachment review belongs patients
- Checking in PNC and FAX for credit cards (CC) to pulling EOB/remit or documents and place in Y drive outs for reference to EFT or paper checks
- Returned/NSF checks from PNC posted then reversed from patients account are errors or overpaid returned as refunded or cancelation; import onbase returned/NSF checks now dc # pulled out Epic ECM and report to supervisor for voided
- Epic Single Billing Offices SBO posting patients checks/payments and record posted payments in Quick Base (QB) from daily deposit
- Md Medicaid ADC payments & dialysis payments update Quick Base (QB) and file checks/documents in 365-teams channel
- Processing refund check back to belongs payers that are not HCH payments/TAX/NPI #; not our patients; mismatching address information
- Revisit quick Base (QB) anything needs tracking and make calls to payer company for EOB & following exhausted or LB checks missing EOB email to payers from doc or call via relay services interpreter and catching up missing posting/update payments and notes
- Sometimes PNC checks/EOB’s mismatching must pull check & EOB combine together and import onbase new batch with all matching ck & eob
- Fixing incorrect payments or accounts from leadership asking and sometimes int. does not belong to HB accounts is for dialysis reversed/voided
- Update daily productive report for 800’s batch from onbase
- Checking PNC lockboxes (LB) for next day to file in share folder when file explorer able to create the folder
- End of Month (EOM) creates new folder for each month in file explorer/share drive and dialysis 365-teams channel
- Communication massage in 365-teams reach out any helping need and anything plus tracking together on End of Month (EOM) make sure everything is update including notes from Epic and Quick Base (QB)
- Covering/backup co-worker while out
- Checking email daily; stand out any massage; workday needs; HealthStream and huddle Tuesdays and Thursdays; town hall meeting when needs
- Remote
Cash Posting Specialist
Holy Cross Health
01.2017 - 01.2020
- 1. Daily workload Second Day Batches
- Received second day batches from ERN 835 file running overnight reports that need to do manual post the errors reports pull/printing the errors from vista file.
- Prepare batches get ready to be posting the payments from errors report after printing for payers of Medicare, Amerigroup, Mdphysicares, Aetna, John Hopkins, Beacon, UMD Health Partners, UnitedHealth care, Care first and various payers.
- Posting other payers that have no ERN 835 files coming as paper via website that need to do manual.
- Posting all the above payers into Health Quest system
- Adjustments correction the requested from email and biller representative of necessary
- Add insurance payers in Health Quest correct code and payer name.
- At the end of month make sure all the payments are posting and matching the correct amount payments and balance matching between deposit amount of money and errors reports manual post
- 2. System Access
- Health Quest-access for patients’ information system of all
- Excel records the complete second day batches after posting the payments from payers and matches the total of the amount deposit from PNC bank deposit.
- Vista files-print out the errors reports from ERN 835 files that need to posting the payments.
- Chartmax-documentation of patients’ files information, EOB or EOP and batches searching when needed to review any documentation.
- PNC bank website checking and tracking the ARCH EOB or EOP payments retraction/overpayment as review when insurance payers made direct deposit review and print when need the EOB or EOP or patient’s account is missing and searching on website to find the patient’s information.
- Use several insurance websites when have contract with Holy Cross Health, emden website that is the most insurances payers.
- Correction of any payer payment and adjustments to the patients’ accounts information
- Words-anything
- Emails-checking up from the offices in daily
- PDF file-record the batches cover sheet and other necessary.
- Download/upload/printing various insurances payers the Explanation of Benefits (EOB) or Explanation of Payments (EOP) in specific insurances websites like PDF or ERN’s/ERA
- Using Emdeon website as various insurance payers
- E-Fax: when you must fax some insurance, payers fax the EOB or EOP
- Copier/Printer-usual when is necessary.
- Backup co-workers their workload responsibilities when she/he out the offices
Cash Application Representative
Roberts Home Medical, Inc.
01.2008 - 01.2016
- 1. Upload daily bank statement ACH receive/collect payments online.
- Medicare, Medicaid, VA Medicaid, various Insurances Companies, Facilities Home Cares, and general Credits Cards
- Loading the excel sheet and classic by payer groups add each total amounts.
- Recording the excel daily reports of amounts payment received/collect from payer daily for each month in the year.
- Email/outlook excel daily reports to managers group.
- Uploading excel sheet reports into sharepoint everyone in the offices able to review.
- 4. Access HMA System 2009-2015/Brightree Website 2015-2016
- Running ERN electrically reports and posted/closed batches of the various payers.
- Recording the excel daily reports amount of payment as matching from ACH bank statement and email via outlook the report to supervisor daily and the accountant payable department.
- Manual posting/closed batches of patients’ paper checks, facilities home cares checks, and others payer paper checks from incoming mail.
- Online store order via outlook email from other branches department requested to manual posted/closed the payment.
- Uploading online E-Cashiering the patients e-checks; credits cards and posting in HMA system
- Posting Medicare overpayment/retraction from ERN reports in HMA system
- Printing and processing the cash sales/invoices from other branches’ location sent via email outlook.
- Correction of any payer payment and adjustments to the patients’ accounts information
- Closing the terminal of any payments collect from customer services location branches offices in Brightree.
- Process the Brightree fund confirmed of ARCH payers from bank statement list matching the amount of money and payer name.
- Download/upload/printing various insurances payers the Explanation of Benefits (EOB) or Explanation of Payments (EOP) in specific insurances website as PDF or ERN’s/ERA email the person who had P3 system to upload insurances payers in Brightree system.
- Using Emdeon website as various insurance payers
- Backup co-workers their workload responsibilities when she/he out the offices
- 5. Prepare the outgoing/incoming mail; distributed and deposit.
- Stamped the outgoing mail for all the department drop at the front offices for postal services pickup/drop off.
- Opening the mail from postal offices location and from drop off at front offices i.e., paper checks from payers’ various insurances; patients paper checks; facilities home care paper checks; credit cards stubs and sore the checks by groups
- Making copies of checks as necessary and checking the brightree ERN’s any paper checks matching and fund confirmed
- Calculating twice copies and original all the paper checks from the mail by groups and making deposit slip to be deposit to bank.
- Making cover sheet for patients copies of the payment checks.
- Collecting/sore/classification all the other documents from the mail
- Checking any paper checks or mail that were invalid.
- Distributing any mails and intercrop letters to other location branches
- 6. Scanning; correspondences and others
- Scanning/upload the insurances payers; facilities home care paper checks in brightree system for posting.
- Scanning/upload the denied and duplicate copies of insurances payers as of explanation of benefits (EOB) or explanation of payments (EOP) in brightree system for review and follow-up and other general correspondences letters.
- Scanning/email the Medicare correspondences and overpayments letters and upload to sharepoint system.
- Processing the medical records request from lawyers and any other home care to pull out patients’ history documents file
- Using 10-keying of the credit card terminal machine
- Followings-ups backload with pending/holding any workload need to catch-up.
- Doing forward any pending from previous month’s checks; explanation of benefits (EOB) or explanation of payment (EOP) get fund confirmed in the brightree system.
- Making sure the end of month everything is updating and matching daily excel reports.
- Forwarding any incomplete workload to supervisor for follow-ups
- Staff meeting with supervisor.
Claims Documentation Representative-Billing Department (HMA system)
Roberts Home Medical, Inc.
01.1997 - 01.2008
- 1. Printing Monday through Thursday 1500’s claims in the morning follow HMA calendar
- Splitting primary and secondary 1500’s claims after printing from the printer
- Distributing primary 1500’s claims to biller team
- 2. Processing 1500’s secondary claims
- Splitting Insurances payers OI, Medicare, and Medicaid as groups
- Matching Medicare explanation of benefits (EOB) or explanation of payment (EOP) from plant press through HMA support team or Remit Data website online send in outlook/email.
- Printing out insurance payers OI explanation of benefits (EOB) or explanation of payment (EOP) from webxtender PC computer software scanned from cash application after posted in HMA or online pull-out EOB and printing attached to 1500’s claims.
- Printing certification medical necessary (CMN) complete filled out form doctors and attached to 1500’s claims.
- Mailing out all complete secondary 1500’s claims to insurance payers contract groups
- Recording DC Medicaid secondary 1500’s claims with green certified mail card number in notes and under date of services A/R in HMA system; also, each 1500’s claims on box # 31 need to have company initials sign.
- 3. Processing 1500’s primary claims returned from billers groups
- Sorting 1500’s claims by insurances payer’s groups
- Recording in notes and under date of services the green certified mail card in HMA system
- Mailing out all primary 1500’s claims with green certified mail card
- 4. Received green certified mail card from postal offices
- Scanning; indexing and filing in webxtender each patient’s file.
- Recording in notes and under date of services A/R in HMA system the green certified mail card
- Mailing all done appeals to insurances payer’s groups with green certified mail card.
- 5. Processing CMN-Certification Medical Necessary (Assistant)
- Splitting each CMN more than one (1) page and no fax number
- Recording CMN in HMA system notes when mailed to doctors for review, signed and date.
- Sending CMN via plant press to doctors
- Sending CMN to patients to fill out correct doctor’s information
- Faxing CMN to doctors’ offices
- Receiving CMN via plant press through email and forwarding to CMN team
Education
Associate of Applied Sciences -
Gallaudet University
Washington, DC05-1996
High School Diploma -
Harry’s Truman High School
Bronx, NY06-1991
Skills
Computer, 10-keying calculator, Sorenson Video Relay Modem, Printer, iphone Authorization for entry system, copy machine, Fax machine, Team player, Website/online, Microsoft apps, Reading, Writing, English, Communication
Timeline
Cash Posting Representative I
Trinity Health
01.2020 - 03.2026
Cash Posting Specialist
Holy Cross Health
01.2017 - 01.2020
Cash Application Representative
Roberts Home Medical, Inc.
01.2008 - 01.2016
Claims Documentation Representative-Billing Department (HMA system)
Roberts Home Medical, Inc.
01.1997 - 01.2008
Associate of Applied Sciences -
Gallaudet University
High School Diploma -
Harry’s Truman High School