ANA MONTERO
Lufkin,TX
Summary
Accomplished healthcare administration professional with 20+ years of experience in billing, collections, credentialing, and customer service across clinical and insurance environments. Recognized for optimizing revenue cycles, resolving complex claims, and improving operational efficiency. Skilled in credentialing, medical records management, accounts receivable oversight, and implementing new systems. Adept at collaborating with cross-functional teams, maintaining compliance, and delivering high-quality service to patients, providers, and insurers. CORE SKILLS Medical Billing & Collections Credentialing & Compliance Revenue Cycle Optimization Insurance Claims Resolution EHR/Billing System Implementation Accounts Receivable Analysis Customer Service & Call Resolution Medical Records Management Time Management & Multitasking Cross-Functional Collaboration Data Entry & Documentation Problem Solving & Attention to Detail
Overview
15
15
years of professional experience
Work History
Inbound Customer Service Representative
Vortex Solutions
05.2025 - 10.2025
- Provided accurate and timely resolutions to healthcare inquiries from Tricare beneficiaries, sponsors, and providers via phone and email
- Took ownership of customer issues, using sound judgment to deliver effective solutions
- Consistently met departmental productivity, quality, and performance metrics
- Documented all interactions and case details in the CMR system with high accuracy
- Participated in ongoing training to improve knowledge and service capabilities
- Maintained excellent attendance and schedule adherence.
Lead Billing / Collections / Credentialing
Champions Urgent Care PLLC
Houston, TX
10.2011 - 11.2024
- Led successful implementation of new EHR and billing systems, improving efficiency and data accuracy
- Managed full-cycle billing and collections, reducing delays and improving cash flow
- Performed detailed A/R analyses to identify trends, reduce delinquent accounts, and enhance revenue performance
- Oversaw provider credentialing, ensuring full compliance with all regulatory and payer requirements
- Coordinated cross-functional efforts to secure essential credentials for new facility readiness and operations
- Supported practice growth by maintaining accurate medical records and optimizing administrative workflows
- Process and submit insurance claims to Medicare, Medicaid, Workers Comp and private insurance
- Verify patient insurance coverage and obtain necessary pre-authorizations
- Review and correct coding errors to reduce claim denials
- Post payments and reconcile accounts to ensure accurate patient balances.
Lead Biller / Collector
Dr. Jesus Beltran III
Houston, TX
01.2011 - 12.2013
- Implemented streamlined billing procedures that increased collections by more than $150,000 in the first year
- Designed and introduced an improved patient check-in process, reducing claim denials through accurate insurance verification
- Managed billing, collections, payment posting, credentialing, and medical records using Sage/Intergy and Emedon
- Process and submit insurance claims to Medicare, Medicaid, Workers Comp and private insurance
- Post payments and reconcile accounts to ensure accurate patient balances
- Provided comprehensive administrative support, ensuring operational continuity and high patient satisfaction
- Maintained strong patient communication and resolved issues quickly and professionally.
Education
College of the Mainland
12.2006
Collin College Junior College
02.2004
Skills
- Administrative and organizational skills
- Time management
- Resourcefulness and attention to detail
- Billing, collections, and credentialing expertise
- Inbound customer service and resolution
- Healthcare inquiry handling
- Case documentation
- EHR software proficiency
- Billing accuracy and coding
- Claims processing
- Customer relationship management
- Revenue cycle oversight
- Cross-functional collaboration
- Process improvement strategies
- Client communication skills
- Problem-solving abilities
- Adaptability to change
- Team collaboration
- Documentation and reporting skills
- Technical troubleshooting expertise
- Complaint handling techniques
- Computer proficiency
- Billing error resolution strategies
- Customer-focused approach
- Language proficiency skills
- Account management and updating
- Question answering techniques
- Data entry accuracy
- Payment processing skills
- Cash handling expertise
- Complaint resolution strategies
Languages
Timeline
Inbound Customer Service Representative
Vortex Solutions
05.2025 - 10.2025
Lead Billing / Collections / Credentialing
Champions Urgent Care PLLC
10.2011 - 11.2024
Lead Biller / Collector
Dr. Jesus Beltran III
01.2011 - 12.2013
College of the Mainland
Collin College Junior College