ARIANA QUINTANILLA
SIMI VALLEY,CA
Summary
Experienced finance professional with 26 years of expertise in financial reporting, analysis, and project management. Proven track record in meeting deadlines and driving revenue growth. Skilled at enhancing productivity through meticulous financial analysis and thriving in high-pressure environments.
Overview
28
28
years of professional experience
Work History
Corporate Senior Government Reimbursement Analyst
Prime Healthcare
Ontario, California
11.2023 - Current
- Successfully uploaded and organized hospital trial balances into the Easy Workpapers database for a range of selected hospitals.
- Customized Easy Workpapers workspaces to accommodate the individual cost reporting needs of assigned hospitals
- Successfully handled the preparation and submission of cost reports to the HFS system.
- Utilized settlement comparisons to identify and assess audit findings for annual Medicare and Medi-Cal audits.
- Acted as a liaison to effectively convey information between hospital financial offices and auditors
- Verified accurate allocation of adjustments and reclassifications to the appropriate cost centers, utilizing trial balances
- Managed data pertaining to important reimbursement categories in cost reports
- Utilized data collection methods to determine expenses and income, facilitating accurate calculations of cost/charge ratio for treatment departments.
- Identified discrepancies, errors, or missing information in submitted data that could potentially affect reimbursement
- Ensured accurate assignment of necessary adjustments and reclassifications to cost centers by identifying them through trial balances
- Managed and organized data for essential reimbursement categories in cost reports
- Prepared cost reports for Pennsylvania hospitals (PACRS), as well as psychiatric and rehabilitation facilities, aligning with the regulatory directives of the state
- Developed strong relationships with clients and colleagues
- Demonstrated strong skills in organizing and prioritizing tasks
- Managed multiple tasks simultaneously while meeting tight deadlines.
Reimbursement Analyst
Hospital Management Services
Simi Valley, California
11.2016 - 11.2023
- Efficiently gathered and inputted data to evaluate costs related to Medicare/Medicaid patient care, guaranteeing adherence to reimbursement guidelines
- Utilized data collection methods to determine expenses and income, facilitating accurate calculations of cost/charge ratio for treatment departments.
- Identified discrepancies, errors, or missing information in submitted data that could potentially affect reimbursement
- Ensured accurate assignment of necessary adjustments and reclassifications to cost centers by identifying them through trial balances
- Managed and organized data for essential reimbursement categories in cost reports
- Prepared cost reports for Pennsylvania hospitals (PACRS), as well as psychiatric and rehabilitation facilities, aligning with the regulatory directives of the state
- Participated in audits related to reimbursement, providing necessary documentation and explanations
- Attended regular training sessions to stay up-to-date on healthcare reimbursement regulations at the state and federal level.
- Developed strong relationships with clients and colleagues
- Efficiently accomplishing tasks with a high level of accuracy and meticulous attention to detail
- Managed customer interactions proficiently
- Demonstrated strong skills in organizing and prioritizing tasks
- Successfully handled the preparation and submission of cost reports to the HFS system.
- Utilized problem solving skills to identify and rectify inconsistencies between submitted documents and internal databases
- Engaged in collaborative efforts with managers on various specialized initiatives and reports, resulting in increased overall productivity through enhancements in areas like CHAMPUS, wage index, process improvement, and system/reporting refinements.
- Identified opportunities for process optimization and recommended changes
- Aided in the creation of training materials focused on reimbursement practices for newly hired personnel
- Managed multiple tasks simultaneously while meeting tight deadlines.
Financial/ Accounting Specialist
Anthem Blue Cross
Woodland Hills, California
10.2008 - 08.2016
- Performed diverse operational financial and policy activities of a non-routine nature
- Received, validated and entered payment information into Finance systems
- Created financial reports and supported all areas of responsibility for the financial team
- Complied financial information and reconciled reports and financial data
- Performed process analysis for the team and business partners, communicated recommendations to management, and participated in the implementations
- Processed journal entries and performed accounting corrections to ensure accurate records
- Interpreted and communicated departmental and organizational policies and procedures
- Facilitated month-end close processes, journal entries, and account reconciliations
- Audited internal financial processes on a monthly basis.
Sr Enrollment & Billing Representative
Anthem Blue Cross
Woodland Hills, California
09.2000 - 10.2008
- Responded to incoming calls and initiated outgoing calls, provided customer service to plan members, providers and employer groups by answering benefit questions, resolving issues and educating callers
- Verified enrollment status, made changes to records, researched and resolved enrollment system rejections; addressed a variety of enrollment questions or concerns received by phone or mail
- Responsible for all billing and delinquency processes for assigned groups
- Notified clients of premium discrepancies through payment adjustment notices and detailed audits
- Responded to inquiries concerning enrollment processes
- Determined eligibility and applied contract language for each case assigned
- Performed error output resolution for electronic eligibility and processed error discrepancy lists
- Billed, collected premiums and reconciled payments
- Maintained and reconciled premium bill, self-bill and individual billed accounts.
Store Level Accounting and Bookkeeping
Nordstrom Rack
Woodland Hills, California
01.1997 - 01.1999
- Accounting of all monies received by store
- Recorded all reconciliations to the stores computerized accounting system
- Prepared funds for each register for the next business day
- Prepared deposits for the store account
- Assisted customers with account information as well as returns and purchases in the stores customer service department during peak business hours.
Skills
- Experienced in Easy Workpapers
- Experienced in HFS submission
- Experienced in IPACRS submission
- Attention to detail
- Time management
- Proficient in Microsoft Office
applications (Word and Excel)
- Capable of handling customer
contacts - Skilled in work organizing and
prioritizing - Focused on ensuring customer
satisfaction - Motivated, enthusiastic, and reliable
- Skilled in cultivating positive
relationships with clients and
colleagues
Timeline
Corporate Senior Government Reimbursement Analyst
Prime Healthcare
11.2023 - Current
Reimbursement Analyst
Hospital Management Services
11.2016 - 11.2023
Financial/ Accounting Specialist
Anthem Blue Cross
10.2008 - 08.2016
Sr Enrollment & Billing Representative
Anthem Blue Cross
09.2000 - 10.2008
Store Level Accounting and Bookkeeping
Nordstrom Rack
01.1997 - 01.1999