Bessie Aranaydo
Jean,NV
Summary
Experienced with analyzing and rectifying revenue discrepancies to ensure accuracy and compliance. Utilizes analytical skills and industry knowledge to optimize billing processes and mitigate risks. Track record of effective communication and attention to detail in collaborative team environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Eligibility Specialist
Radiology Partners
Austin, Texas
06.2024 - Current
- Reviewed patient eligibility for radiology services, ensuring compliance with insurance requirements.
- Collaborated with other departments to resolve eligibility discrepancies.
- Trained junior staff on eligibility verification procedures and best practices for data accuracy.
- Identify system failures as it relates to payer mapping and build errors.
- Identify eligibility-related issues and trends. Communicates appropriately to the Supervisor regarding these and/or other departmental issues .
Revenue Integrity Analyst
Dignity Health
Henderson, Nevada
03.2016 - Current
- - Analyze, verify and adjust charges, monitor and trend gross revenue and maintain the bill hold process.
- - Work with unit staff on correcting charge entries.
- - Receive direction from Revenue Integrity Director on implementing new processes.
- Verified accuracy of accounts payable payments, resulting in 85% reduction in payment errors and check reissues.
Accounting Technician II
Southern Nevada Health District
Las Vegas, Nevada
01.2015 - 03.2016
- - Review and analyze billing and claims reports from billing company.
- - Assist the billing company with questions on claims and explanation of benefits claims dispute.
- - Review Medical Insurance Contracts (Medicaid, Medicare and Private Insurance), assist Materials Management Supervisor with amendments.
- - Communicate billing methods with the nursing program.
- - Create and implement forms in processing medical billing claims.
- - Participate in committees and meetings concerning medical billing.
- - Assist the IT department with changes/updates within Web IZ, ICD-Codes, CPT Codes, H: drive.
- - Work with the Budget Analyst in communicating established fees to the Nursing Division.
- - Answer questions related to medical billing from front office staff and nursing program managers.
- Managed accounts payable and receivable processes to ensure timely financial transactions.
- Reconciled monthly bank statements, identifying discrepancies and ensuring accuracy of financial records.
- Prepared detailed financial reports for management review, highlighting key trends and variances.
- Led initiatives to streamline accounting procedures, improving efficiency in month-end closing activities.
- Collaborated with internal departments to resolve billing inquiries and enhance customer service experience.
- Implemented new software systems for improved data management, enhancing reporting capabilities across the organization.
Accounting Technician II
Southern Nevada Health District
Las Vegas, Nevada
08.2012 - 12.2014
- - Post data to various ledgers, registers, journals in the payment of contracts vouchers and other documents.
- - Process medical billing claims electronically to Medicare, Medicaid and Private Insurance Companies
- - Ensure compliance with Medicare, Medicaid and private insurance carrier guidelines related to coding; and resolve billing problems.
- - Research medical billing explanation of benefits and resolve discrepancies.
Accounting Technician I
Southern Nevada Health District
Las Vegas, Nevada
01.2012 - 07.2012
- - Post medical billing charges to various ledgers, registers and journals.
- - Process medical billing claims on CMS1500 forms, ensure compliance with Medicaid, Medicare and private insurance carrier guidelines related to coding; and resolve billing problems.
- - Research medical billing explanation of benefits and resolve discrepancies.
Education
High School Diploma -
Baldwin High School
Wailuku, Hi05.1991
Certificate -
JTPA Hawaii
Kahului, Hawaii06.1991
Skills
- Revenue cycle optimization
- Efficient charge capture
- Knowledge of financial accounting principles
- Audit process management
- Data-driven trend analysis
- Cross-functional teamwork
- Effective time management
- Detail-oriented
- Analytical problem-solving
- Consistent reliability
- Effective organizational skills
Certification
- Medical Billing Certificate 2015
- QuickBooks Certificate 2015
Timeline
Eligibility Specialist
Radiology Partners
06.2024 - Current
Revenue Integrity Analyst
Dignity Health
03.2016 - Current
Accounting Technician II
Southern Nevada Health District
01.2015 - 03.2016
Accounting Technician II
Southern Nevada Health District
08.2012 - 12.2014
Accounting Technician I
Southern Nevada Health District
01.2012 - 07.2012
High School Diploma -
Baldwin High School
Certificate -
JTPA Hawaii