Antonio Lozada
Merrimack,USA
Summary
Extensive billing, reimbursement, and customer service experience in a fast-paced healthcare environment.
Overview
21
21
years of professional experience
Work History
Billing Specialist/Accounts Receivable
Southern New Hampshire Medical Center
03.2016 - Current
- Detail-oriented and highly organized Medical Biller and Accounts Receivable Specialist with [X] years of experience in healthcare revenue cycle management. Proven track record of accurately processing medical claims, resolving billing discrepancies, and optimizing reimbursement through effective follow-up with insurance providers and patients. Skilled in CPT/ICD-10 coding, EHR systems, and payer guidelines. Adept at managing aging reports, posting payments, and maintaining compliance with HIPAA regulations. Committed to delivering exceptional service and improving financial performance through efficient billing practices and proactive account resolution.
Patient Accounts Representative
St. Joseph’s Hospital/Granite State Mediquip
04.2007 - 01.2016
- Receive client referrals, verify insurance, and ensure that all information is accurate. Develop and maintain positive relationships with clients, case managers, and insurance representatives by providing excellent customer service and communication. Confirm orders on a timely basis to ensure proper claim submission. Contributing member of performance improvement committee providing feedback and recommended solutions to management. Extensive knowledge of products and services including inventory control.
Patient Account Representative
Elliot Health Systems
01.2005 - 04.2007
- Initially hired by AccounTemps resulting in a permanent position. Responsibilities include: weekly and month end claims submission, sales journal entries, and system corrections and updates. Monitor A/R reports and resolve unpaid insurance claims. Generate monthly patient statements and follow up on any overdue balances. Review accounts for bad debt write offs. Monitor status of accounts submitted to collection agencies. Maintain daily and weekly deposits/cash control transactions.
Education
Technical Electronics Diploma -
George Westinghouse Vocational and Technical High School
06.1987
Skills
- Experience: Proven experience in medical billing and accounts receivable
- Knowledge: Strong understanding of medical terminology, coding practices (ICD – 10, CPT, HCPCS), and billing regulations
- Software proficiency: Expertise in medical billing software and electronic health record (EHR) systems
- Analytical skills: Strong problem-solving, research, and analytical skills
- Attention to detail: Meticulous attention to detail to ensure accuracy in all transactions and records
- Communication: Excellent verbal and written communication skills for interacting with patients, insurance companies, and internal staff
- Organization: Strong organizational skills and the ability to multitask effectively
- Confidentiality: Strict adherence to HIPAA guidelines and maintaining patient confidentiality
Interpersonal Skills
- Effective communicator
- Ability to work independently with a minimal amount of supervision.
- Team player that possesses a positive “can-do” attitude.
- Analytical and problem solving skills.
- Fluent in Spanish.
Military
- United States Army Reserves
- 72 Echo – Tactical telecommunications Teletype Operator
- 08/87–08/1992
Key responsibilities
- Claim submission: Prepare and submit clean claims to insurance companies electronically or by paper.
- Payment processing: Accurately post payments from insurance companies and patients into the billing system.
- Denial management: Investigate, correct, and rebill rejected or denied claims by working with insurance company portals and contacting them directly.
- Accounts receivable follow-up: Monitor patient and insurance account details, contact payers for unpaid claims, and resolve payment discrepancies.
- Patient interaction: Address patient billing questions, explain statements, and set up payment plans for outstanding balances.
- Record keeping: Maintain accurate patient and account records and comply with all HIPAA guidelines.
Customer Service
- Responsible for intake of new and existing customer orders.
- Interface with clients, referral sources, and insurance companies.
- Resolve and rectify client complaints and issues.
Billing and Reimbursement
- Responsible for monitoring status of claims.
- Adjudicate outstanding claims with insurance companies.
- Developed and monitored a system for tracking required documentation.
Languages
Spanish
Native or Bilingual
Timeline
Billing Specialist/Accounts Receivable
Southern New Hampshire Medical Center
03.2016 - Current
Patient Accounts Representative
St. Joseph’s Hospital/Granite State Mediquip
04.2007 - 01.2016
Patient Account Representative
Elliot Health Systems
01.2005 - 04.2007
Technical Electronics Diploma -
George Westinghouse Vocational and Technical High School