Audrey Rivera
St. Cloud,FL
Summary
Dynamic Medical Billing Specialist with proven expertise in denial management and patient billing at Atlanta Area Psychological Associates. Adept at optimizing claims processing and maintaining HIPAA compliance, I excel in resolving discrepancies and enhancing patient experiences through effective communication and critical thinking. Committed to achieving high standards in accounts receivable management.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Atlanta Area Psychological Associates
07.2024 - 01.2026
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Identified and resolved patient billing and payment issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Posted and adjusted payments from insurance companies.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Handled account payments and provided information regarding outstanding balances.
Payment Poster Specialist
Ventre Medical Associates
10.2022 - 09.2023
- Played an integral role in maintaining a clean claims submission rate above industry standards through diligent posting practices and collaboration with other departments.
- Optimized payment allocation processes, resulting in decreased time spent on manual adjustments.
- Streamlined the insurance verification process, ensuring accurate benefit information for prompt claim processing and payment resolution.
- Contributed to the reduction of aged accounts receivable by prioritizing oldest outstanding balances for follow-up action.
- Supported audits by providing detailed records of all posted payments and adjustments upon request.
- Managed large volumes of data efficiently and with great care on daily basis.
- Accurately posted payments and adjustments both electronically and manually.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Maintained compliance with HIPAA regulations while handling sensitive patient information during payment posting tasks.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Maintained accurate records of customer payments.
- Responded to customer concerns and questions on daily basis.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Verified accuracy of accounts payable payments, resulting in 70% reduction in payment errors and check reissues.
Administrative Assistant
Plantation Psychologist Associates
03.2018 - 08.2022
- Supported office staff and operational requirements with administrative tasks.
- Provided exceptional customer service, addressing patient concerns promptly and professionally.
- Contributed to positive patient experiences by consistently providing friendly interactions and helpful assistance during their visits.
- Assisted with the implementation of new patient registration procedures, streamlining the intake process for both patients and staff.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Handled sensitive patient information with utmost discretion, adhering to HIPAA guidelines at all times.
- Assisted with billing procedures to ensure accurate invoicing and prompt payment from patients and insurance companies.
- Demonstrated excellent multitasking abilities while simultaneously handling various administrative tasks such as answering phones, greeting patients, and data entry.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Reduced wait times by effectively managing walk-in appointments alongside scheduled visits.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Registered patients and completed associated paperwork for accurate records.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Assisted with medical coding and billing tasks.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
Medical Advocate Receptionist
Dr Parikh, Badresh Kumar
04.2014 - 03.2018
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Responded to inquiries from callers seeking information.
- Resolved customer problems and complaints.
- Kept reception area clean and neat to give visitors positive first impression.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Managed multi-line phone system and pleasantly greeted patients.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Completed clerical duties and tasks for clinic administration.
- Expedited check-in process for patients by efficiently collecting necessary paperwork and verifying insurance coverage upon arrival.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information.
- Answered central telephone system and directed calls accordingly.
- Corresponded with clients through email, telephone, or postal mail.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Improved appointment scheduling system, reducing wait times and increasing client satisfaction.
Education
High School Diploma -
South Broward High School
Dania Beach, FL06-1989
Skills
- ICD-10 proficiency
- HIPAA compliance
- Denial management
- Accounts payable
- Claim submission
- Insurance verification
- Medicare and medicaid process
- Patient billing
Certification
Medical Terminology- 2024
Medical Billing I -2024
Medical Billing II-2024
Medisoft Training-2024
Medicare/Medicaid Fraud Waste and Abuse Training-2025
CPR/AED Adult/Child/Infant
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Medical Software's
Medisoft
Kareo
e ClinicalWorks
Practice Fusion
My Client Plus
WebPT
Compulink
Timeline
Medical Billing Specialist
Atlanta Area Psychological Associates
07.2024 - 01.2026
Payment Poster Specialist
Ventre Medical Associates
10.2022 - 09.2023
Administrative Assistant
Plantation Psychologist Associates
03.2018 - 08.2022
Medical Advocate Receptionist
Dr Parikh, Badresh Kumar
04.2014 - 03.2018
High School Diploma -
South Broward High School