Aurora B. McDonald
Round Rock
Summary
Medical Billing & Revenue Cycle Specialist with extensive expertise in medical billing, claims processing, and insurance verification. Demonstrated success in optimizing revenue cycles through effective denials management and compliance assurance. Proven ability to collaborate with RCM teams to enhance reimbursement processes while minimizing claim denials.
Overview
17
17
years of professional experience
Work History
Clinic Manager
Accident Center of Texas
Austin
02.2024 - 10.2024
- Oversaw medical billing, insurance claims processing, and revenue cycle management for two clinic locations.
- Managed insurance verification, claim submissions, and follow-up on outstanding claims to ensure timely reimbursement.
- Resolved billing disputes, collaborated with insurance providers, and managed patient accounts for collections.
- Managed front- and back-office operations, ensuring compliance with HIPAA and insurance regulations.
Office Manager/Administrator
Katy Psychiatry
Katy
11.2020 - 09.2023
- Led insurance verification, prior authorizations, and claims processing for psychiatric services.
- Posted insurance payments, processed claims, and handled denials and appeals to maximize reimbursement.
- Managed provider credentialing and CAQH maintenance, ensuring compliance with payer requirements.
- Coordinated medical records requests and supervised provider scheduling for optimized workflow.
Office Manager
Houston Pediatric Clinic
Houston
09.2019 - 06.2020
- Managed two clinics, Ortega Medical Clinic and Houston Pediatric Clinic; these two offices are sisters.
- Managed insurance billing, claims adjudication, and AR follow-up to reduce outstanding claims.
- Conducted denial analysis and resolution, collaborating with payers for claim approvals.
- Oversaw patient eligibility verification, pre-authorizations, and referrals for pediatric services.
- Led workflow process improvements, enhancing operational efficiency, and billing accuracy.
Office Manager
Ortega Medical Clinic
Houston
01.2016 - 06.2020
- Managed a staff of 23 employees, including scheduling, performance monitoring, and training.
- Implemented billing and accounting procedures for accounts payable/receivable, ensuring timely payments.
- Processed biweekly payroll and prepared census reports for management review.
- Performed phlebotomy procedures and managed patient lab coordination to support clinical workflow.
Medical Billing Supervisor Call Center
Orion Heath Corporation
Houston
03.2014 - 12.2015
- Supervised a team of 14 billing specialists, ensuring compliance with insurance policies and claims processing standards.
- Investigated denied and rejected claims, initiating appeals and follow-ups with payers.
- Managed inbound calls from patients and providers, resolving billing inquiries and reimbursement issues.
- Processed insurance adjustments, account reconciliations, and refund requests.
Medical Assistant
Dr. Marcus D. Barnett, MD
Houston
07.2013 - 05.2014
- Assisted with front desk operations, including patient check-in, and medical records management.
- Recorded patients’ medical history and vital statistics for provider review.
- Translated (Spanish-English) for physicians to ensure clear communication with patients.
- Prepped and draped patients for procedures and facilitated lab specimen collection.
- Conducted phlebotomy, NST, urine tests, pregnancy tests, and EKGs.
- Administered medications as directed by the physician.
- Managed supply orders and coordinated medication refills.
Billing Manager and Medical Assistant
Roberto Villegas Jr. MD Pediatrics
Laredo
03.2008 - 07.2013
- Managed inpatient and outpatient billing for pediatric services, ensuring accurate claims submission.
- Verified patient insurance eligibility, processed claims, appeals, and denials resolution.
- Handled post-charges, post-payments, and account reconciliation.
- Processed referrals, immunization reports, and pre-authorizations.
- Administered immunizations, newborn screenings (NBS), and medication injections.
Education
Associate of Applied Science - Medical Billing and Coding
Ultimate Medical Academy
Clearwater, FL01.2014
Associate of Science - Medical Assistant and Phlebotomy
Houston Community College System Coalmen Health Science
Houston, TX01.2004
Certificate - General Secretary & BooKeeping
Career Point Business School
San Antonio, TX01.1991
Some College (No Degree) - Accounting
Laredo Community College
Laredo, TXSkills
- Bilingual (fluent in English and Spanish)
- Medical Billing and Coding (CPT, ICD-10, HCPCS)
- Claims processing and denial management
- Insurance Verification and Eligibility
- Revenue Cycle Management (RCM)
- Appeals and Reimbursement Optimization
- Accounts Receivable (AR) Follow-Up
- EMR/EHR Systems: eClinicalWorks, Valant, Greenway
- Effective Team Collaboration
- Excellent Multi-tasking ability
- Strong Organizational Abilities
Referrals
- Victoria Lazo, Estrella Provider Service, 210-504-4848
- Dr. Salit Nichole, Accident Center of Texas 817-371-3554
- Richard Escobedo, Ortega Medical Clinic, 832-640-0190
- Roberto Villegas, Villegas Pediatric Clinic, 956-220-4234
- Janet Flores, Ortega Medical Clinic, 281-608-5972
Timeline
Clinic Manager
Accident Center of Texas
02.2024 - 10.2024
Office Manager/Administrator
Katy Psychiatry
11.2020 - 09.2023
Office Manager
Houston Pediatric Clinic
09.2019 - 06.2020
Office Manager
Ortega Medical Clinic
01.2016 - 06.2020
Medical Billing Supervisor Call Center
Orion Heath Corporation
03.2014 - 12.2015
Medical Assistant
Dr. Marcus D. Barnett, MD
07.2013 - 05.2014
Billing Manager and Medical Assistant
Roberto Villegas Jr. MD Pediatrics
03.2008 - 07.2013
Associate of Applied Science - Medical Billing and Coding
Ultimate Medical Academy
Associate of Science - Medical Assistant and Phlebotomy
Houston Community College System Coalmen Health Science
Certificate - General Secretary & BooKeeping
Career Point Business School
Some College (No Degree) - Accounting
Laredo Community College
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