DALILA MERCEDEZ
New Carrollton,MD
Summary
Diligent Administrative Representative with a background in managing accounts payable operations. Proven track record in streamlining invoice processing and enhancing vendor relationships. Demonstrated ability to handle high-volume transactions and maintain precise financial records.
Overview
23
23
years of professional experience
Work History
Billing Analyst
Cogent Communications
04.2022 - 11.2025
- Handled clients’ billing inquiries by telephone, email, and hard copy (mail)
- Input/edit client’s information with Great Plains and Salesforce ticketing system
- Researched and prepared cash receipt, unloads for integration into Great Plans
- Provided billing operations support, to the Termination department, including maintenance and updates to clients contact data base
Information and Referral Specialist (remote) Bilingual
USAGING
05.2021 - 04.2022
- Responded to 60+ request for information about home and community-based services for older adults, people with disabilities, and caregivers
- Provided reliable and accurate referrals to approved agencies and programs
Clinical Externship
OMEGA FAMILY CLINIC
12.2019 - 01.2020
- Managed Electronic Medical records
- Registered and Schedule patient for visit
- Verified insurance coverage and process co-pays
Enrollment Representative
TRUSTED HEALTH PLAN
04.2016 - 12.2018
- Assisted all line of business (Medicaid/Alliance)
- Timely collection of pending/incomplete renewal applications for enrollment.
- Send weekly new changes notifications to supervisor and DC DHS
- Participated in projects aimed to attract hard to reach member for assistances
- Identified vulnerable members in need of case management services
- Verified Insurance eligibility for billing and payment reports
Administrative Assistant
PRINCE GEORGE’S COUNTY HEALTH DEPT
02.2015 - 09.2015
- Served as a direct administrative contact for providers, patients, and agencies
- Scheduled appointments in electronic health system
- Assisted, retrieved and prepared clinical documents and files
Early Periodic Screening & Treatment Coordinator
07.2013 - 05.2014
- Provided preventive healthcare services for children enrolled in Medicaid
- Scheduled appointments for children wellness visits
- Checked the DC government system for records and proof of immunization
- Mailed and tracked gift incentive for compliance members
Call Center Representative
D.C. CHARTERED HEALTH PLAN INC.
09.2006 - 06.2013
- Handled 50+ inquiries from members, and health care providers regarding benefits, claim status, eligibility, adjudication, and reimbursement
- Educated members on how to use the healthcare system and HIPPA protections
- Handled member issues and make necessary referrals for appropriate resolution
- Created certificate of coverage, print healthcare cards and update RX plan
- Bilingual
Social Service Representative- (Bilingual-Spanish)
D.C. DEPARTMENT OF HUMAN SERVICE
02.2005 - 10.2005
- Guided customers with enrollment in federal and state benefit programs
- Explained benefits enrollment process and their HIPPA protections to customers
- Translated benefits enrollment to Spanish speaking members
Medicaid Coordinator
DECO- MEDICAID CONTRACTOR
05.2003 - 02.2005
- Acted as liaison between Patient, Care Team, and Department of Social Service
- Followed up and insurance patient eligibility
Education
Diploma - Medical Billing and Coding
Fortis College
Landover, MD01.2020
Skills
- Accounts receivable
- Financial statements
- Dispute resolution
- Billing systems
- Adjustment posting
- Interpersonal and verbal communication
- Data entry
- Salesforce CRM
- Customer service
- Attention to detail
- Multitasking and organization
- Verbal and written communication
Timeline
Billing Analyst
Cogent Communications
04.2022 - 11.2025
Information and Referral Specialist (remote) Bilingual
USAGING
05.2021 - 04.2022
Clinical Externship
OMEGA FAMILY CLINIC
12.2019 - 01.2020
Enrollment Representative
TRUSTED HEALTH PLAN
04.2016 - 12.2018
Administrative Assistant
PRINCE GEORGE’S COUNTY HEALTH DEPT
02.2015 - 09.2015
Early Periodic Screening & Treatment Coordinator
07.2013 - 05.2014
Call Center Representative
D.C. CHARTERED HEALTH PLAN INC.
09.2006 - 06.2013
Social Service Representative- (Bilingual-Spanish)
D.C. DEPARTMENT OF HUMAN SERVICE
02.2005 - 10.2005
Medicaid Coordinator
DECO- MEDICAID CONTRACTOR
05.2003 - 02.2005
Diploma - Medical Billing and Coding
Fortis College