Caridad Maldonado
Hudson
Summary
Detail-oriented Billing Manager with expertise in medical coding and billing compliance. Proven ability to lead teams, resolve discrepancies, and enhance billing processes for improved efficiency.
Overview
6
6
years of professional experience
Work History
Billing Manager
Nashua Eye Associates
Nashua
12.2022 - Current
- Managed billing processes for patient accounts and insurance claims.
- Reviewed and ensured accuracy of medical coding for compliance and reimbursement.
- Coordinated with healthcare providers to resolve billing discrepancies.
- Analyzed billing reports to identify trends and improve operations.
- Facilitated communication between departments regarding billing inquiries and issues.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Resolved issues related to denied or rejected payments from insurance companies.
- Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
- Led the transition to electronic billing systems, significantly reducing paper use and contributing to sustainability goals.
- Established clear billing policies and procedures, ensuring consistent application across all client accounts.
- Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
Billing
Lumineyes Associates
Nashua
10.2019 - 12.2022
- Researched and resolved customer inquiries regarding billing issues.
- Resolved billing discrepancies with insurance companies and patients.
- Managed client accounts including billing inquiries, account updates.
- Answered customer questions regarding billing issues.
- Reviewed customer accounts and identified discrepancies in billing information.
- Reconciled discrepancies between customer records and billing statements.
- Resolved billing and service issues for customers.
- Managed administrative tasks related to scheduling appointments, billing.
- Assisted customers with inquiries regarding billing information, account status.
- Verified insurance coverage and managed billing processes.
- Researched and resolved customer disputes regarding billing issues.
- Researched discrepancies in order processing and billing issues.
- Analyzed customer accounts to ensure accuracy of billing information.
Education
High School Diploma -
Lawrence High School
Lawrence, MASkills
- Medical coding
- Billing compliance
- Accounts receivable
- Electronic billing
- Data analysis
- Healthcare billing
- Performance appraisal
- Team leadership
- Problem solving
- Attention to detail
- Payment posting
- Staff training and development
- Billing review
- Process improvement
- Audit support
- Project management
- HIPAA
- Insurance verification
- Claims processing
- Revenue cycle management
- Teamwork
- Multitasking Abilities
- Professionalism
Languages
Spanish
Professional
Timeline
Billing Manager
Nashua Eye Associates
12.2022 - Current
Billing
Lumineyes Associates
10.2019 - 12.2022
High School Diploma -
Lawrence High School