Dana Calleja

• Determined credit approval based on financial standing, credit records and payment history researched and retrieved by Dun and Bradstreet.
• Set up New Accounts based on the contract criteria as outlined.
• Updated vendor files with new contact information or changes in payment terms upon request.
• Handled customer service requests from customers and other internal departments.
• Monitored customer accounts to identify overdue payments and initiate collections processes.

Practice Administrator

• Process Employee Payroll calculating wages, taxes and deductions.
• Set Up Employees with health insurance benefits and 401K.
• Accountant/Bookkeeper - Processed accounts receivable invoices, payments, and refunds. Prepared bank deposits and recorded cash receipts. Conducted monthly reconciliation of bank statements. Assisted in the preparation of financial reports including balance sheets, income statements, and statement of cash flows.
• Credentialed New and Maintained Physicians Professional Records and Board recertification requirements.

Billing Manager

• Post Electronic (EDI) and Manual payments and adjustments from Medicare, Medicaid, Commercial Insurance Companies, Patients and other Third Parties.
• Ensure proper Medical Coding based on the chart documentation and assign appropriate CPT/HCPCS and ICD-10 Codes.
• File Claims to insurance companies, follow up on claims submissions, collections of all past due accounts, attach appropriate EOB's and other required documentation.
• Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
• Maintained complete confidentiality in accordance with organization and legal requirements of HIPAA.

Other duties

• Provided IT support for computer systems.
• Cross trained on Surgery Scheduling.
• Training of new employees.
• Processed incoming Medical Record and Pathology Slide requests.

• Input Claims data into the system, maintaining accuracy of provider coding information and reported services such as ICD-10, CPT, and HCPCS to accurately process claims based on the guidelines set up by each state or jurisdiction.
• Maintained a daily requirement of 150 claims with 98-100%.
• Answered incoming calls providing customer support or assistance with questions regarding claims.

• Verified patient insurance coverage, including eligibility, benefits and obtained prior authorizations for Workers Compensation Appointments.
• Entered patient demographic and insurance information into computer system.
• Submitted claims to insurance companies.
• Prepared Medical Records to submit with claims.
• Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.