Berenice Herrera
Belle Glade ,FL
Summary
I am looking to secure a full-time position as an RCM Specialist where I can apply my 13 years of extensive experience in revenue cycle management while also expanding my knowledge and seeking new opportunities for growth. I am a highly motivated and results-oriented Revenue Cycle Management professional with a strong work ethic, committed to ensuring accuracy and efficiency in all aspects of revenue cycle management.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Revenue Operations Coordinator I
Careabout
New York, NY
04.2022 - Current
- Charge capture
- Ensure accurate and timely submission of claims to insurance payers
- Verify insurance eligibility and coverage
- Collect and post patient invoice payments
- Handle patient billing inquiries
- Update the list of underwater drugs on a quarterly basis.
- Financial reporting.
- Accounts receivable management, ensuring outstanding balances are addressed through proactive follow-up.
- Prepare and process redetermination and appeal request for denied claims.
- Ensure compliance with relevant regulations and payer guidelines .
- Actively engage in process improvement initiatives, collaborating with either the billing manager or clinical staff.
- Process record requests from insurance payers.
Billing Specialist
Hematology Oncology Associates
Lake Worth, FL
04.2018 - 04.2022
- Ensure submission of accurate and error-free claims.
- Verify insurance eligibility
- Process Appeals
- Collect and post patient and insurance payments
- Submit medical records to insurance payers
- Handle patient billing inquiries
- Facilitated patient access to copay and free drug assistance programs.
- Calculated cost estimates for chemotherapy treatment plans.
- Submit hospital charges
Certified Medical Assistant
HCA
ATLANTIS, FL
04.2011 - 04.2018
- Obtain and record patient medical history and vital signs.
- Perform venipuncture and collect other laboratory specimens.
- Prepare and administer injections.
- Prepare treatment rooms for exams and procedures.
- Perform EKGs.
- Charge entry.
- Insurance verification.
- Obtain prior authorization for imaging orders and hospital procedures.
- Triage patient phone calls.
- Schedule appointments.
Education
Medical Assistant Certificate -
Florida Career College
04.2011
Skills
- Bilingual (Spanish/English)
- Detail-oriented and a quick learner
- Problem-solving
- Positive attitude
- Written and verbal communication skills
- People skills, and team player
- Adaptability
- Work ethic
- Interpersonal communication
- Time management
- Self-starter
- Multitasking
- EHR knowlede of G4, Aria, eClinical Works, Athena, CureMD
Certification
Certified Medical Assistant (CMA)
References
Upon Request
Timeline
Revenue Operations Coordinator I
Careabout
04.2022 - Current
Billing Specialist
Hematology Oncology Associates
04.2018 - 04.2022
Certified Medical Assistant
HCA
04.2011 - 04.2018
Medical Assistant Certificate -
Florida Career College
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