Cynthia Montaque
Canandaigua,NY
Summary
Competent Medical Biller with 20+ years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Dynamic individual with hands-on experience in Medical Billing and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Medical Insurance Biller
Lattimore Physical Therapy
08.2019 - 09.2024
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Liaised between patients, insurance companies, and billing office.
- Communicated with insurance providers to resolve denied claims and resubmitted. 25-50 per day.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Expedited payment turnaround time with efficient follow-up on outstanding claims, addressing issues as necessary.
- Ensured timely reimbursement for services by submitting clean claims to insurance carriers promptly. Within in one week.
- Trained new employees on multiple medical billing programs and data entry software. Medent, Epic & Athelas.
- Supported team members in resolving complex or escalated billing issues, fostering a positive work environment focused on problem solving.
- Improved patient billing accuracy by diligently reviewing and editing medical insurance claims.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts. $50,000-$100,000 per day.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Office Coordinator
Lattimore Physical Therapy
12.2019 - 09.2024
- Answered and managed incoming and outgoing calls/emails while recording accurate messages for distribution to office staff. Approximately 50-100 per day.
- Interacted with customers by phone, email, or in-person to provide excellent customer service.
- Provided administrative support to staff members, assisting with daily tasks as needed to promote productivity as team lead.
- Increased efficiency by regularly evaluating office workflows and recommending improvements as necessary.
- Assisted with the hiring process, conducting interviews and onboarding new employees to promote company culture.
- Collaborated with various departments to streamline processes and improve interdepartmental communication.
- Organized team workload and prioritized tasks to streamline office functions in deadline-driven environment.
- Enhanced communication within the team through regular meetings and detailed reporting.
- Contributed to company growth by consistently looking for ways to improve office processes and maximize efficiency.
Workers' Compensation Coordinator
Lattimore Physical Therapy
07.2020 - 09.2024
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered, approximately 30-50 per day.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally.
- Conducted regular audits of billing records, identifying issues and implementing corrective actions.
- Followed up with appropriate parties to obtain prompt payments.
- Enhanced team productivity by providing training on new billing software and processes.
- Managed a high volume of invoices, prioritizing workload to meet deadlines and maintain cash flow.
- Increased revenue through timely processing of invoices and thorough follow-up on outstanding payments.
- Played an instrumental role in meeting company fiscal goals through diligent monitoring of accounts receivable balances.
- Minimized lost revenue by proactively identifying inaccuracies within invoicing records and taking necessary corrective actions.
- Researched and resolved billing discrepancies to enable accurate billing, approximately 15-20 per day.
- Developed and maintained billing procedures to make timely payments.
Administrative Coordinator
Canandaigua Orthopaedic Associates
04.2002 - 08.2019
- Answered phone calls and responded to inquiries from customers, vendors and other external contacts.
- Facilitated smooth day-to-day operations by anticipating needs, proactively addressing potential issues, and efficiently resolving problems as they arose.
- Monitored and directed incoming mail and prepared outgoing mail.
- Maintained a well-organized filing system to ensure easy access to important records and documents.
- Proactively identified opportunities for improving administrative processes, implementing changes that led to increased efficiency and effectiveness.
- Assisted in the recruitment process by screening resumes, scheduling interviews, and facilitating onboarding activities for new hires.
- Managed calendars, scheduled appointments, for senior staff members.
- Provided exceptional administrative support to executive staff members through meticulous organization skills and attention to detail.
- Contributed to a positive work environment by proactively addressing employee concerns and fostering open channels of communication among colleagues.
- Collaborated with cross-functional teams to achieve project objectives within tight timelines, less than 48 hours.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Built highly efficient administrative team through ongoing coaching and professional development opportunities.
Lead Medical Biller
Canandaigua Orthopaedic Associates
04.2002 - 08.2019
- Conducted periodic audits of billing records, identifying discrepancies and implementing corrective measures promptly.
- Enhanced revenue collection with consistent follow-ups on outstanding accounts and negotiating payment plans when necessary, keeping constant money coming in, $5000-$10,000 per day.
- Led a team of 8 billers, providing guidance and training to ensure timely completion of tasks.
- Monitored changes in insurance policies, keeping abreast of updates affecting medical billing procedures and informing staff accordingly.
- Developed comprehensive training materials for new hires, facilitating their smooth transition into the medical billing team.
- Provided ongoing support to junior staff members through mentorship and sharing best practices in medical billing operations.
- Secured timely reimbursements from insurers through persistent appeals of denied claims backed up with detailed evidence supporting each case made.
- Assisted patients in understanding their medical bills, addressing concerns and clarifying any confusion regarding charges or insurance coverage.
- Improved billing accuracy by diligently reviewing and updating patient information in the system, approximately 30-50 per day.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Education
Skills
- Worker's Compensation Proficiency
- No-Fault Proficiency
- Commercial Insurance proficiency
- Knowledgeable in EPIC
- Proficiency in Medent, Excel, Word, Outlook
- Problem-solving abilities
- Claims Processing Proficiency
- Denial Resolution Proficiency
- Continuous Learning Attitude
- Accounts receivable/payable
- Insurance Appeals Proficiency
- Teamwork and Collaboration
- Billing and Collection Procedures
- Multitasking/Organization/Critical Thinking
Timeline
Workers' Compensation Coordinator
Lattimore Physical Therapy
07.2020 - 09.2024
Office Coordinator
Lattimore Physical Therapy
12.2019 - 09.2024
Medical Insurance Biller
Lattimore Physical Therapy
08.2019 - 09.2024
Administrative Coordinator
Canandaigua Orthopaedic Associates
04.2002 - 08.2019
Lead Medical Biller
Canandaigua Orthopaedic Associates
04.2002 - 08.2019
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