Claudia Munguia Walls
Ridgefield,NJ
Summary
To obtain an opportunity in a prestigious organization where I would be able to utilize my 28 progressive experience and skills within the field of medical billing and collection.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Director of Operations
NBW CONSULTANT, LLC
04.2014 - Current
- Company Overview: Verifications, Authorizations, Billing Company, Collections
- Supervise 12 staff members and delegate work detail on verification, authorizations, billing and collection for the different specialties
- Coordinate all lunch schedules, time off requests and approve all time sheets
- Hire, train and evaluate all staff members
- Assist employees with all employment related issues
- Maintain and review staffs daily progress reports
- Enter, review and process all encounters for all firms
- Responsible for the daily processing of all billing claims, and resolving all conflicts
- Supervise all electronic submissions of bills; follow up all denials and resubmissions / appeal all the non-payments, poor insurance payments etc
- Supervised and approved the preparing of the PIP Arbitration files
- Supervised the maintence and accurate keep records of all billing claims
- Handle all appeals and payment settlements in order to keep increasing revenue
- Negotiate all payments with patients, surgical centers and legal representatives
- Manage all patient calls, handle complaints and provide support when needed
- Insure that all patients receive account balances and updates on a timely fashion
- Supervise all the posting of charges and payments daily
- Review and maintain daily reports for transactions and cash flow
- Schedule outpatient surgeries and follow appointment, (patient transportation, prescriptions, staying hospitals, medical clearance etc.)
- Maintain the Doctors file for participation and non-participation with insurance
- Handle paper work and phone disability for patients
- Promoted from medical assistant to office billings and collections manager within a year
- Planned and coordinated all facets of the billing and collections department
- Follow up for past due open claims
- Claim appeal for W/C and Major Medical
- Attended basic training of the New Jersey Charity Care
- Verifications, Authorizations, Billing Company, Collections
Client Liaison/Field Supervisor North Region
The Callagy Group/Sean R. Callagy Esq.
09.2008 - 04.2014
- Company Overview: Verifications, Authorizations, Billing & Collections
- Supervise 12 staff members and delegate work detail on verification, authorizations, billing and collection for the different specialties
- Coordinate all lunch schedules, time off requests and approve all time sheets
- Hire, train and evaluate all staff members
- Assist employees with all employment related issues
- Maintain and review staffs daily progress reports
- Enter, review and process all encounters for all firms
- Responsible for the daily processing of all billing claims, and resolving all conflicts
- Supervise all electronic submissions of bills; follow up all denials and resubmissions / appeal all the non-payments, poor insurance payments etc
- Supervised and approved the preparing of the PIP Arbitration files
- Supervised the maintence and accurate keep records of all billing claims
- Handle all appeals and payment settlements in order to keep increasing revenue
- Negotiate all payments with patients, surgical centers and legal representatives
- Manage all patient calls, handle complaints and provide support when needed
- Insure that all patients receive account balances and updates on a timely fashion
- Supervise all the posting of charges and payments daily
- Review and maintain daily reports for transactions and cash flow
- Schedule outpatient surgeries and follow appointment, (patient transportation, prescriptions, staying hospitals, medical clearance etc.)
- Maintain the Doctors file for participation and non-participation with insurance
- Handle paper work and phone disability for patients
- Promoted from medical assistant to office billings and collections manager within a year
- Planned and coordinated all facets of the billing and collections department
- Follow up for past due open claims
- Claim appeal for W/C and Major Medical
- Attended basic training of the New Jersey Charity Care
- Verifications, Authorizations, Billing Company, Collections
Education
Certificate In Automated Office Assistant - Office Automation
Associate in Education
Honduras 05.1992
Skills
- Microsoft Word
- Excel
- Outlook
- Various Billing Software
- Bilingual English/Spanish
Certification
Education, automated offices assistant, CPR,
Languages
Spanish
Full Professional
Timeline
Director of Operations
NBW CONSULTANT, LLC
04.2014 - Current
Client Liaison/Field Supervisor North Region
The Callagy Group/Sean R. Callagy Esq.
09.2008 - 04.2014
Certificate In Automated Office Assistant - Office Automation
Associate in Education
Similar Profiles
Francisco SilerioFrancisco Silerio
Boilermaker at NBW southBoilermaker at NBW south
M NOUMAN RAMZANM NOUMAN RAMZAN
Team Lead at ICS Consultant LLCTeam Lead at ICS Consultant LLC
Sadeeda MehjabinSadeeda Mehjabin
Accounts cum Admin Assistant at FMJ Accounting and Tax Consultant LLCAccounts cum Admin Assistant at FMJ Accounting and Tax Consultant LLC
Liset MurilloLiset Murillo
Medical Assistant at Holy Name Medical CenterMedical Assistant at Holy Name Medical Center
Tuana OncuTuana Oncu
Childcare Provider at Donmez HouseholdChildcare Provider at Donmez Household