Denise Vega
Davenport
Summary
Detail-oriented Accounts Receivable Specialist with strong skills in billing analysis and discrepancy resolution. Proven track record in enhancing customer relationships and improving collection rates.
Overview
19
19
years of professional experience
Work History
Accounts Receivable Specialist
Trajectory RCS LLC
Wichita
10.2023 - Current
- Assisted in resolving customer inquiries regarding billing discrepancies effectively.
- Reviewed aging reports to prioritize accounts for timely collection.
- Processed credit applications and assessed client creditworthiness efficiently.
- Processed payments, refunds and adjustments to customer accounts.
- Responded promptly to customer inquiries regarding their account status or payment history.
- Kept accounts receivable tracking database current with relevant client information, collection, and billing progress and program changes.
- Researched past due accounts and initiated collection efforts in a timely manner.
- Investigated billing discrepancies and resolved issues to enhance accuracy and prevent recurrence.
- Evaluated open accounts to look for past-due balances and pursue collection strategies.
- Implemented payment reminder system to improve collection rates on overdue accounts.
- Reviewed and resolved discrepancies in accounts receivable records.
- Conducted follow-ups on outstanding claims for timely resolution.
- Performed data entry functions for entering new patient information into the system.
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Verified accuracy of account information and processed adjustments.
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
- Maintained records of all billing activities in a timely manner.
Medical Billing and Collections Specialist
Central Tec Services
Orlando
01.2019 - 09.2023
- Managed patient billing inquiries and resolved account discrepancies.
- Processed insurance claims using electronic billing systems efficiently.
- Coordinated collections efforts for overdue accounts, improving recovery rates and client relationships.
- Reviewed and analyzed billing statements, ensuring accuracy and compliance with industry regulations.
- Communicated with healthcare providers to clarify billing issues promptly.
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
- Processed credit card payments from patients for medical services rendered.
- Responded promptly to customer inquiries regarding billing disputes or discrepancies.
- Followed up on unpaid or denied claims in a timely manner.
- Collaborated closely with other departments such as clinical staff and front desk personnel to ensure accurate coding of services provided.
- Analyzed account receivables aging report to identify and address delinquent accounts, enhancing overall cash flow.
- Maintained detailed records of all billing activities in compliance with company policies and procedures.
- Utilized various software programs to enter data into the system accurately.
- Verified patient insurance eligibility and coverage for medical services rendered.
- Tracked payments received from third-party payers such as Medicare and Medicaid providers.
- Reviewed, coded, and submitted claims to insurance companies and government payers.
- Evaluated current collections process and identified areas where improvement is needed.
- Took billing calls, questions and concerns from patients and third party carriers.
- Protected medical office operations and integrity by keeping patient information confidential.
- Entered patient charges and payments into electronic health records.
- Attended provider meetings and workshops when appropriate.
- Sent incomplete or incorrect claims to supervisors for proper adjudication.
- Processed refund requests and reconciled deposit and patient collections.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Submitted claims to insurance companies.
- Processed invoice payments and recorded information in account database.
- Collected, posted and managed patient account payments.
Front Office Team Leader
Professional Healthcare Of Pinellas
St. Petersburg
10.2016 - 04.2018
- Oversaw daily front office operations and staff scheduling.
- Trained new team members on office procedures and customer service standards.
- Managed patient inquiries and resolved issues in a timely manner.
- Developed workflows that enhanced front office productivity.
- Collaborated with healthcare providers to streamline patient care processes.
- Ensured compliance with healthcare regulations and policies at all times.
- Created reports on Front Desk activities for senior management review.
- Resolved customer complaints by identifying root causes and providing effective solutions.
- Monitored cash drawers at each shift changeover and ensured accurate balancing of accounts receivable records.
- Coordinated patient appointments and managed electronic health records.
- Assisted with day-to-day duties to meet deadlines.
- Responded to messages and emails to the office and transferred correspondence.
- Performed administrative support tasks, completing duties within required timeframes.
- Maintained patient records with strict adherence to confidentiality and privacy regulations.
- Conducted patient registration and data entry with attention to detail and accuracy.
- Processed incoming and outgoing mail, ensuring timely distribution and confidentiality.
- Processed insurance forms and verified patient coverage, reducing billing errors and delays.
- Managed multi-line telephone system, efficiently directing incoming calls to appropriate departments.
Business Office Manager
Lakeland Hills Rehab
Lakeland
10.2012 - 12.2014
- Managed daily operations of the business office at a rehabilitation center.
- Coordinated billing processes, ensuring timely submission to insurance providers for accurate payments.
- Reviewed patient accounts for accuracy and completeness of billing information.
- Processed medical claims using electronic and paper submission methods.
- Communicated with insurance providers to resolve billing discrepancies.
- Maintained patient confidentiality while handling sensitive financial data.
- Supervised administrative staff and delegated tasks for efficiency.
- Collaborated with healthcare providers to ensure timely claim submissions.
- Conducted audits of billing processes to identify areas for improvement.
- Assisted patients with billing inquiries and payment plan options effectively.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Adhered to HIPAA regulations when handling confidential patient information.
- Managed the completion and submission of appeals and claims to insurance providers.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Entered payments, adjustments, and denials accurately into the medical management system.
- Analyzed rejected claims, correcting errors prior to resubmission to optimize payment recovery.
- Submitted appeals for denied claims based on insurance company criteria.
- Provided customer service support to patients who had questions about their bills or payments due.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Resolved discrepancies between insurance companies and patients, facilitating prompt payment resolution.
Medical Billing and Collections Specialist
LaVie Management Services
Tampa
02.2011 - 10.2012
- Processed insurance claims using electronic billing systems efficiently.
- Reviewed and analyzed billing statements for accuracy and compliance, reducing errors and enhancing financial integrity.
- Coordinated collections efforts for overdue accounts, ensuring timely payment and minimizing losses.
- Resolved billing discrepancies with insurance companies and patients, facilitating prompt payments and maintaining positive relationships.
- Communicated with patients regarding payment plans, overdue balances, and collections issues.
- Communicated with healthcare providers to clarify billing issues promptly.
- Maintained up-to-date knowledge of healthcare regulations and coding changes.
- Followed up on unpaid or denied claims in a timely manner.
- Analyzed account receivables aging report to identify delinquent accounts.
- Tracked payments received from third-party payers such as Medicare and Medicaid providers.
- Processed credit card payments from patients for medical services rendered.
- Managed patient billing inquiries and resolved account discrepancies.
- Reviewed, coded, and submitted claims to insurance companies and government payers.
- Entered patient charges and payments into electronic health records.
- Processed refund requests and reconciled deposit and patient collections.
- Responded promptly to customer inquiries regarding billing disputes or discrepancies.
- Took billing calls, questions and concerns from patients and third party carriers.
- Collaborated closely with other departments such as clinical staff and front desk personnel to ensure accurate coding of services provided.
- Verified patient insurance eligibility and coverage for medical services rendered.
Medical Biller, Accounts Receivable
Professional Claims Bureau
Garden City
09.2007 - 12.2010
- Processed medical claims using advanced billing software.
- Reviewed and resolved discrepancies in accounts receivable records to ensure accurate financial reporting.
- Communicated with healthcare providers regarding billing inquiries.
- Maintained accurate patient account information in electronic systems.
- Collaborated with team members to improve billing processes.
- Conducted follow-ups on outstanding claims to expedite resolution and maintain cash flow.
- Processed credit card payments and other forms of payment received from patients or insurance companies.
- Performed data entry functions for entering new patient information into the system.
- Provided customer service to both internal and external customers regarding billing inquiries.
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Reviewed patient accounts for accuracy and completeness, and submitted claims to insurance companies.
- Verified accuracy of account information and processed adjustments.
- Analyzed medical coding issues, identified errors, corrected them, and followed up with insurance providers on denied claims to secure reimbursements.
- Maintained records of all billing activities in a timely manner.
- Completed and submitted appeals for denied claims.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Performed insurance verification, pre-certification and pre-authorization.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
Education
GED -
Ross High School
Brentwood, NY01-1999
Certificate of Technical Studies - Computer Office Technology
Suburban Technical School
Ronkonkoma, NY01-1997
Skills
- Billing analysis
- Payment processing
- Claims submission
- Cash application
- Collections
- Discrepancy resolution
- Accounts management
- Month-end closing procedures
- Information gathering and analysis
- Problem solving
- Attention to detail
- Team collaboration
- Effective communication
- Customer relationship management
Languages
Spanish
Native/ Bilingual
Timeline
Accounts Receivable Specialist
Trajectory RCS LLC
10.2023 - Current
Medical Billing and Collections Specialist
Central Tec Services
01.2019 - 09.2023
Front Office Team Leader
Professional Healthcare Of Pinellas
10.2016 - 04.2018
Business Office Manager
Lakeland Hills Rehab
10.2012 - 12.2014
Medical Billing and Collections Specialist
LaVie Management Services
02.2011 - 10.2012
Medical Biller, Accounts Receivable
Professional Claims Bureau
09.2007 - 12.2010
GED -
Ross High School
Certificate of Technical Studies - Computer Office Technology
Suburban Technical School