Claudia Cruz
Santa Maria,CA
Summary
Adept at billing cycle optimization and team collaboration.
Professional with background in cash posting and revenue cycle management, prepared to enhance financial accuracy and efficiency. Strong focus on team collaboration and adaptability, ensuring seamless workflow integration and reliable outcomes. Skilled in payment reconciliation, account adjustments, and customer service, consistently delivering results that meet organizational goals. Known for reliability and proactive approach in dynamic environments.
Overview
20
20
years of professional experience
Work History
Cash Posting Collections
Lompoc Valley Medical Center
12.2022 - Current
- Enhances revenue by optimizing claims submission process, ensuring timely and accurate billing.
- Assisted in collecting revenue for Medicare Oncology accounts and reducing AR days.
- Completes assigned tasks on time through efficient task prioritization management skills.
- Performs Billing and Collections Process.
- Reduced denial claims through meticulous claims review and ensuring maximum revenue capture.
- Collaborates with clinical departments to optimize charge capture, documentation, and billing processes.
- Supports Revenue Cycle Director with special projects and additional job duties.
- Establishes and checks coding procedures, monitors Accounts Receivable reports.
- Played a key role in the successful implementation of our new Waystar electronic billing system, ensuring seamless enrollments for the 835 files and EFT payments.
- Supports revenue cycle management through efficient handling of billing-related tasks such as charge entry, payment posting, claim submission, denial management, and account followups.
- Provides training for new staff on Medicare Billing Procedures.
- Provides mentorship to other staff members, supporting their professional growth within the field.
- Participated in cross-functional projects for the Clinics and the Hospital focusing on improving revenue cycle performance, leveraging expertise in denial management.
- Prepares Credit Balance Report.
- Participates in efficient preparation of Refund Requests.
- Continues to provide support in the implementation of the current Altera health system.
Cash Posting Control
Lompoc Valley Medical Center
02.2014 - 02.2020
- Performed daily cash reconciliations to determine accuracy of financial reports.
- Post payments to patient's accounts and to appropriate general ledger accounts.
- Prepared bank deposits.
- Kept updated the Daily balance spreadsheet at the end of each day.
- Investigated and resolved discrepancies to keep accounts reflecting correct balances.
- Effectively communicated with patients about payment needs or the explanation of payments.
- Managed high-volume periods effectively by prioritizing tasks and working efficiently without sacrificing accuracy or patient service quality.
- Trained new employees on proper cash routines, procedures, and requirements.
- Assisted accountant with detail reports for daily reconciliation of all transactions.
Medical Billing
Lompoc Valley Medical Center
02.2005 - 02.2014
- Monitored changes in insurance policies, keeping abreast of updates affecting medical billing procedures.
- Understanding of Medicare medical billing and coding concepts.
- Increased accuracy in medical billing by thoroughly reviewing patient records and verifying insurance coverage.
- Maintained knowledge of standardized medical billing codes.
- Contacted insurance companies for patient medical billing operations.
- Ensured compliance with all federal regulations related to medical billing practices.
- Enhanced accuracy of medical billing by meticulously reviewing and updating patient insurance information.
Education
Associate of Science - Accounting And Finance
Allan Hancock College
800 South College Dr04-2006
Skills
- Billing cycle expertise
- Denial resolution
- Account monitoring
- Claims management
- Medical billing
- Teamwork and collaboration
- Problem-solving abilities
- Attention to detail
Timeline
Cash Posting Collections
Lompoc Valley Medical Center
12.2022 - Current
Cash Posting Control
Lompoc Valley Medical Center
02.2014 - 02.2020
Medical Billing
Lompoc Valley Medical Center
02.2005 - 02.2014
Associate of Science - Accounting And Finance
Allan Hancock College
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