Carla Naranjo
Fontana,CA
Summary
At MedAmerica Billing Services, I spearheaded operations, enhancing team efficiency and workflow organization. My leadership and problem-solving skills. Expert in HIPAA compliance and insurance billing, I excel in operational efficiency and customer service, fostering professional relationships and streamlining billing processes.
Overview
10
10
years of professional experience
Work History
Operations Lead
MedAmerica Billing Services
2014.09 - Current
- Planned operations and activities, and led projects.
- Managed and allocated staff and material resources to meet production goals.
- Recruited and trained 5 new employees in 2024.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Developed effective improvement plans in alignment with goals and specifications.
- Supported Supervisor by preparing production reports and collating quality documentation.
- Set overall vision and provided team leadership.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Filed and updated patient information and medical records.
- Adhered to established standards to safeguard patients' health information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Utilized various software programs to process customer payments.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Collaborated with customers to resolve disputes.
- Verified accuracy of accounts payable payments, resulting in 10% reduction in payment errors and check reissues.
- Monitored outstanding invoices and performed collections duties.
- Responded to customer concerns and questions on daily basis.
- Generated monthly billing and posting reports for management review.
- Developed professional relationships with internal and external clients to encourage open communication and feedback.
- Identified, recommended and executed opportunities to enhance accounts receivable and billing processes to meet finance requirements.
- Contacted internal and external customers to obtain documentation to support invoices and claims.
- Analyzed aging reports to identify trends and patterns causing missed collections.
- Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
- Entered figures using 10-key calculator to compute data quickly.
- Responded proactively and positively to rapid change.
- Investigated and resolved customer inquiries and complaints quickly.
- Met customer call guidelines for service levels, handle time and productivity.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Education
Medical Billing And Insurance Coding Diploma - Medical Billing
UEI College - Riverside
Riverside, CA04.2014
High School Diploma -
Rubidoux High School
Jurupa Valley, CA06.1999
Skills
- Motivational attitude
- Business negotiation knowledge
- Operational Efficiency
- Bill payment
- Medicare and Medicaid process
- HIPAA Compliance
- Claim submission
- Patient Billing
- Collections Management
- Insurance Verification
- Accounts Payable
- Records Management
- Teamwork and Collaboration
- HIPAA Compliance Certification
- Claims review
- Billing and Collection Procedures
- Commercial and Private Insurance
- Clerical Support
- Multitasking and Organization
- Claims Processing
- Medical Transcription
- Account Reconciliation
- Electronic Health Record Software
- Operations Support
- Payer Contracts
- Records Maintenance
- Patient Collections
- Medical record security
- Data Entry
- Insurance Billing
- Medicaid and Medicare Knowledge
- Worker's Compensation Knowledge
- Account Management
- CMS-1500 Billing Forms
- Invoice Processing
- Accounts Receivable
- Customer Service
- Electronic Claims
- Insurance Claims
- Data security procedures
- Work Prioritization
- Medical claims submission
- Medical Billing
- Medical Terminology
- Data Analysis
- Collection calls
- Insurance claims processing
- Critical Thinking
Languages
Spanish
Native or Bilingual
Timeline
Operations Lead
MedAmerica Billing Services
2014.09 - Current
Medical Billing And Insurance Coding Diploma - Medical Billing
UEI College - Riverside
High School Diploma -
Rubidoux High School
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