Denise Mendez Gatica
San Antonio,TX
Summary
Dedicated professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Seasoned auditing professional knowledgeable about risk aversion strategies, cost reduction options and financial processes.
Overview
24
24
years of professional experience
Work History
Geographical Finance Billing Account Analyst
Accenture Federal Services
08.2018 - 04.2023
- Forecasted account needs and metrics based on market and project data.
- Partnered with Account Managers supporingt teams in preparation of client invoices, payments, rejections. Advocated project managers with incoming inquiries of existing and related services and self-administration tools.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations set appropriate expectations on timeline of deliverables.
- Interacted professionally with clear, intentional communication and set appropriate expectations on timeline of deliverables.
- Cooperated with senior leaders to create operating budgets and initiate financial planning.
- Collaborated with accounting manager to comply with governing bodies and limit regulatory risks.
Geographical Finance Billing Analyst Contractor
ManpowerGroup - Experis Public Sector
09.2017 - 08.2018
- Developed and maintained successful business partnerships to address and proactively manage client invoice issues.
- Participated in regularly scheduled feedback and information exchange sessions with key business partners.
- Interacted professionally with clear, intentional communication and set appropriate expectations on timeline of deliverables.
- Supported management by processing invoices and documents with consistent on-time delivery. Verified timekeeping records and handled any discrepancies with team management.
- Performed complex financial and budget analyses to determine requirements and justify requested funding.
Billing Team Lead
Deer Oaks Consulting Services
02.2013 - 07.2017
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Collaborated with Insurance provider relations department with CMS and commercial healthcare plan providers analyzing, implementation process improvement mythologies. Evaluated and negotiated contracts to procure favorable financial terms.
- Vendor payments, commissions and other accounting disbursements operations
- Submitted alternate billing for clients belonging to special demographics using Software software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
- Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Researched and resolved billing discrepancies to enable accurate billing.
Billing Supervisor
National Neuromonitoring Services
03.2008 - 02.2013
- Processed claim denials auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained and applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign CPT, ICD, HCPCS codes.
- Reviewed patient records and interpreted documentation to identify diagnoses and procedures. Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Reviewed documentation for compliance with requirements and accuracy of information.
AR Billing Specialist
Southwest Diagnostic Center
10.1999 - 02.2008
- Processed online and paper appeal submissions and refund requests. Account reconciling deposits and patient collections.
- Corrected completed and processed claims for multiple payer codes. Processed billing calls and answered questions from patients and third-party carriers.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification. Processed insurance vendor and supplier payments on weekly basis. Post and process insurance payments, managed claim appeals.
- Reconciled company bank, credit card and line of credit accounts, investigating and resolving discrepancies to keep accounts audit-ready.
- Handled day-to-day accounting processes to drive financial accuracy.
- Supported management by processing invoices and documents with consistent on-time delivery.
- Processed online and paper appeal submissions and refund requests.
- Reconciled accounts receivable to general ledger.
Education
Certified Coding Specialist - Medical Insurance Coding
PMI
Austin, TX01.2008
Dental Assistant - Dental Assisting
San Antonio Medical And Dental School
San Antonio, TX09.1997
High School Diploma -
Highlands High School
San Antonio, TX06.1989
Skills
- Health Information Policy and Procedure Development
- Sage 50 Accounting
- Oracle PeopleSoft
- Microsoft SharePoint
- Cognos Impromptu
- SAP Crystal Reports
- Financial Accounting Controls
- Financial Risk Management (FRM)
- Salesforce
- Employee Timesheet Processing
Timeline
Geographical Finance Billing Account Analyst
Accenture Federal Services
08.2018 - 04.2023
Geographical Finance Billing Analyst Contractor
ManpowerGroup - Experis Public Sector
09.2017 - 08.2018
Billing Team Lead
Deer Oaks Consulting Services
02.2013 - 07.2017
Billing Supervisor
National Neuromonitoring Services
03.2008 - 02.2013
AR Billing Specialist
Southwest Diagnostic Center
10.1999 - 02.2008
Certified Coding Specialist - Medical Insurance Coding
PMI
Dental Assistant - Dental Assisting
San Antonio Medical And Dental School
High School Diploma -
Highlands High School