Cecilia Buzan

• Collection Specialist/Assisting with front desk for ASC and Pain Clinic
• Primary position working of A/R specializing with Anthem, UHC, and UMR follow up to include working of denials.
• Initiated and executed appeals for denied claims by thoroughly reviewing case details and promptly responding to insurer requests, improving claim recovery.
• Facilitated communication with patients and office on payment inquiries for overdue accounts, ensuring timely resolutions.
• Communicated with insurance companies to clarify coverage details and requirements.
• Collaborated with medical staff to resolve any discrepancies in patient information.
• Verified patients' insurance coverage prior to procedures or appointment scheduling, reducing potential service delays.
• Updated patient and insurance data and input changes into company computer system.
• Entered data in EMR database to record payer, authorization requirements and coverage limitations.
• Maintained accurate documentation on all pre-authorization requests, denials and appeals.
• Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
• Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
• Identified discrepancies in patients' insurance coverage or benefits, ensuring accuracy of data entered into system.
• Evaluated policies and procedures related to Insurance Verification activities.
• Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
• Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.

• Welcomed and supported patients at the front desk of the urology practice, ensuring a friendly atmosphere.
• Checked in patients, collected co-pays, and maintained up-to-date registrations with accurate insurance information in patient charts to support efficient patient flow.
• Coordinated patient appointments and addressed inquiries, streamlining office workflow and improving patient experience.
• Answered overflow calls and directed them to appropriate departments, enhancing communication and response times.
• Managed and organized medical records while upholding strict patient confidentiality standards in compliance with regulations.

Revised billing policies for Anthem, ensuring accurate claim submissions to optimize reimbursement processes.

Collaborated with Anthem to manage accounts receivable and address denials, ensuring adherence to Urology group collection policies.

Posted electronic funds transfers and manual payments for Anthem remits to ensure accurate account reconciliation.

• Coordinated with healthcare provider relations representatives to resolve contract issues and expedite payment on outstanding accounts.

Made billing calls to patients and healthcare offices to clarify and resolve issues related to unpaid claims.

• Assisted patients in understanding their insurance benefits and options.

• I worked all medical billing and Charge entry for the physicians to include patient billing, charge entry and posting of all receipts.
• Transmitted claims to insurance and working of A/R.
• Managed accounts receivable processes and ensured timely invoicing.
• Reconciled customer accounts to maintain accurate records.
• Communicated with clients regarding payment terms and collections.
• Processed customer payments and promptly updated account statuses to reflect accurate financial information.
• Reviewed and reconciled accounts receivable records to ensure accuracy of customer invoices.
• Assisted with month-end close process by preparing journal entries related to Accounts Receivable activity.
• Generated and sent statements or notices to customers with past due balances to facilitate timely collections.
• Followed up on past due accounts to ensure timely collection of funds.
• Established new accounts in accordance with company policies and procedures.
• Prepared monthly aging reports of all outstanding receivables for management review.
• Managed the collection of cash receipts from customers via ACH and wire transfers or check deposits into the bank account.
• Provided excellent customer service when responding to inquiries about invoicing or payment status.
• Maintained customer account information in the company's database, including current contact information and payment history.
• Resolved billing issues raised by customers in a timely manner.
• Documented all Accounts Receivable transactions accurately in the system according to established procedures.
• Generated, mailed and monitored invoices.
• Prepared and submitted accounting documents and reports for review, authorization and processing.
• Posted and verified entries to logs, spreadsheets or reports to update department records and accounting systems.
• Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
• Maintained detailed records of all accounts receivable transactions.
• Negotiated payment plans with delinquent accounts.
• Processed credit memos and adjustments according to company policy.
• Issued monthly statements to clients and followed up on outstanding payments.
• Utilized accounting software for efficient management of receivables.
• Reconciled customer accounts and resolved discrepancies.
• Ensured compliance with financial policies and regulations.
• Provided detailed reports and analyses to management regarding receivables status.
• Prepared bank deposits by verifying and balancing receipts and sending cash and checks to banks.
• Checked postings and documents for correctness, accuracy and proper coding.
• Reconciled or entered report discrepancies found in financial records.
• Managed client accounts, ensuring accurate billing and timely payments.
• Advised senior management on best practices for improving profitability.
• Managed accounts receivable processes for healthcare services in critical care settings.
• Reviewed patient invoices for accuracy and compliance with billing regulations.
• Coordinated with insurance companies to resolve payment discrepancies and claims issues.
• Communicated with patients regarding outstanding balances and payment arrangements.
• Tracked outstanding accounts and initiated follow-up actions to expedite collections and minimize delinquency.
• Assisted in training new staff on billing software and procedures for efficiency.
• Collaborated with medical staff to ensure timely submission of claims and documentation.
• Communicated regularly with sales representatives regarding customer accounts status updates.
• Researched discrepancies between customer payments and open invoices.

• Medical billing to include Medicare/Medicaid follow up working claim denials.
• Filed claims to the insurance companies.
• Entered charges for the physicians.
• Processed medical claims for various insurance providers, ensuring timely reimbursement and minimizing denials.
• Reviewed patient accounts for accuracy and completeness, contributing to a reduction in claim rejections.
• Communicated with healthcare providers to resolve billing discrepancies promptly.
• Utilized electronic health record systems for data entry and management tasks.
• Collaborated with team members to streamline billing workflows effectively.
• Assisted in training new staff on billing procedures and software usage.
• Maintained organized records of billing transactions and communications diligently.
• Submitted electronic claims to various insurance carriers.
• Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
• Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
• Applied HIPAA privacy and security regulations while handling patient information.
• Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
• Performed daily reconciliation of accounts receivable with payment postings on the computer system.
• Input details into accounts and tracked payments.
• Assisted with collection efforts by contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
• Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
• Maintained accurate records of all billing activity in accordance with departmental standards.
• Compiled and processed data for billing purposes utilizing billing software programs.
• Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
• Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
• Created monthly aging reports to identify delinquent accounts for review by management team.
• Provided training and support to new staff members regarding billing processes.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
• Organized information for past-due accounts and transferred to collection agency.
• Generated reports to track payments due from insurance companies, facilitating timely follow-up on outstanding claims.
• Collaborated with managers to develop strategies for improving revenue cycle processes.
• Prepared detailed financial reports as requested by management team.
• Collected, posted and managed patient account payments.
• Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
• Processed invoice payments and recorded information in account database.
• Monitored past due accounts and pursued collections on outstanding invoices.
• Managed all payments processing, invoicing and collections tasks.
• Developed strong professional rapport with vendors and clients.
• Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
• Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
• Weighed envelopes containing statements to determine correct postage and affix postage.
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• Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
• Maintained accounting ledgers by verifying and posting account transactions.
• Reviewed engine assigned codes and modifiers to update and verify accuracy.

• AR follow-up to include Medicaid/Workers Compensation and commercial insurance companies.
• Ensured timely posting of receipts to maintain up-to-date financial records.
• Working denials and collecting patient payments on outstanding accounts.
• Processed medical claims using electronic billing systems for timely submissions.
• Reviewed patient accounts to verify accurate coding and billing practices, reducing errors in claims submissions.
• Communicated with healthcare providers to resolve billing discrepancies efficiently.
• Maintained up-to-date knowledge of insurance policies and reimbursement guidelines.
• Collaborated with team members to streamline billing workflows and improve efficiency.
• Assisted patients with inquiries regarding their bills and payment options.
• Documented all billing activities in compliance with regulatory standards and policies.
• Submitted electronic claims to various insurance carriers.
• Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
• Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
• Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Performed daily reconciliation of accounts receivable with payment postings on the computer system.
• Assisted with collection efforts, including contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
• Maintained accurate records of all billing activity in accordance with departmental standards.
• Compiled and processed data for billing purposes utilizing billing software programs.
• Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
• Distributed or posted financial data to appropriate accounts and prepared simple reconciliations.
• Created monthly aging reports to identify delinquent accounts for review by management team.
• Provided training and support to new staff members regarding billing processes.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Organized information for past-due accounts and transferred to collection agency.
• Generated reports to track payments due from insurance companies and third-party payers, enhancing visibility of accounts receivable.
• Collaborated with managers to develop strategies for improving revenue cycle processes.
• Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.

• Reviewing and working outstanding insurance reports to include posting of receipts, patient and office phone calls to resolve insurance and outstanding balances on accounts.
• Processed medical claims using electronic billing systems for timely submissions.
• Reviewed patient accounts to ensure accurate coding and billing practices.
• Communicated with healthcare providers to resolve billing discrepancies efficiently.
• Maintained up-to-date knowledge of insurance policies and reimbursement guidelines.
• Documented all billing activities in compliance with regulatory standards and policies.
• Submitted electronic claims to various insurance carriers.
• Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-9 coding system.
• Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
• Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Performed daily reconciliation of accounts receivable with payment postings on the computer system.
• Assisted with collection efforts by contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
• Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
• Compiled and processed data for billing purposes utilizing billing software programs.
• Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
• Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
• Created monthly aging reports to identify delinquent accounts for review by management team.
• Provided training and support to new staff members regarding billing processes.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Monitored reimbursement from managed care networks and insurance carriers for consistency with contract rates, ensuring maximum allowable reimbursement.
• Organized information for past-due accounts and transferred to collection agency.
• Generated reports in order to track payments due from insurance companies or other third party payers.
• Collaborated with managers to develop strategies for improving revenue cycle processes.
• Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
• Prepared detailed financial reports as requested by management team.
• Collected, posted and managed patient account payments.
• Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
• Processed invoice payments and recorded information in account database.
• Monitored past due accounts and pursued collections on outstanding invoices.
• Developed strong professional rapport with vendors and clients.
• Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.

• Managed client accounts while fostering strong relationships with healthcare providers to enhance service delivery.
• Facilitated communication between clients and internal teams for effective service execution.
• Oversaw contract negotiations and managed renewal processes for client agreements.
• Developed and implemented strategies to maximize revenue from existing accounts.
• Managed multiple accounts simultaneously while meeting deadlines.
• Acted as main point of contact in matters relating to client concerns and needs.
• Resolved client issues and complaints in a timely and effective manner, ensuring client satisfaction.
• Resolved customer complaints in a timely manner.
• Created and presented comprehensive reports on account performance to senior management to inform strategic decisions.
• Ensured compliance with industry regulations when dealing with clients.
• Maintained accurate records of all customer interactions in the CRM system.
• Trained new staff on account management best practices and company policies.
• Oversee office billing procedures to include patient and insurance billing, posting of all accounts receivable, filing of claims and collections.

• Working of accounts receivable for all insurance companies to include posting of receipts and mailing claims to the insurance companies.
• Patient billing calls for settlement on their accounts.
• Processed medical claims using electronic billing systems for timely submissions.
• Reviewed patient accounts to ensure accurate coding and billing practices.
• Communicated with healthcare providers to resolve billing discrepancies efficiently.
• Maintained up-to-date knowledge of insurance policies and reimbursement guidelines.
• Collaborated with team members to streamline billing workflows and improve efficiency.
• Documented all billing activities in compliance with regulatory standards and policies.
• Conducted regular audits of claims, identifying opportunities for process improvement and enhancing overall billing accuracy.
• Submitted electronic claims to various insurance carriers.
• Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-9 coding system.
• Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
• Contacted insurance providers to verify insurance information and obtain billing authorization.
• Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Performed daily reconciliation of accounts receivable with payment postings on the computer system.
• Assisted with collection efforts by contacting patients via phone, mail, or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
• Audited submitted claim forms against documentation from physicians' offices to ensure accuracy and compliance.
• Compiled and processed data for billing purposes utilizing billing software programs.
• Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
• Created monthly aging reports to identify delinquent accounts for review by management team.
• Provided training and support to new staff members regarding billing processes.
• Coordinated communications between patients, billing personnel and insurance carriers.
• Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
• Organized information for past-due accounts and transferred to collection agency.
• Generated reports in order to track payments due from insurance companies or other third party payers.
• Collaborated with managers to develop strategies for improving revenue cycle processes.
• Prepared detailed financial reports for management to facilitate informed decision-making and strategic planning.
• Maintained accurate patient data in electronic health records system.
• Collected, posted and managed patient account payments.
• Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
• Processed invoice payments and recorded information in account database.
• Monitored past due accounts and pursued collections on outstanding invoices.
• Oversaw payment processing and invoicing tasks to ensure timely collections.
• Developed strong professional rapport with vendors and clients.
• Reconciled codes against services rendered.
• Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
• Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
• Maintained accounting ledgers by verifying and posting account transactions.
• Generated and distributed month-end statements for customers and resolved related concerns.
• Reviewed engine assigned codes and modifiers to update and verify accuracy.
• Gathered information to produce accounts payable reports for review.
• Enforced compliance with organizational policies and federal requirements regarding confidentiality.
• Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
• Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
• Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.