Destiny Osorio
Meriden,CT
Summary
Medical billing and accounts receivable professional with track record of ensuring accurate and timely billing processes. Known for focus on team collaboration and achieving results, while adapting to changing needs. Proficient in patient account management and resolving billing discrepancies with professionalism and precision.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Agency Coordinator
Willhite Benefit Solutions
07.2024 - Current
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
- Conducted regular account reviews to identify areas for improvement and ensure continued success.
- Negotiated contract terms with carrier, securing favorable agreements for clients.
- Implemented strategies to increase revenue from existing accounts through cross-selling initiatives.
- Develop and oversee all enrollment platforms.
- Fostered detailed understanding of product offerings, enabling effective communication of features and benefits to clients.
- Leveraged CRM tools to maintain accurate records of client interactions and transactions.
- Recorded accurate and efficient records in customer database.
- Enroll in supplemental insurance plans
- Medicare consultations
- Streamlined internal processes for better efficiency in account management tasks.
Medical Charge Entry and Payment Poster
Connecticut Orthopaedics
08.2018 - 07.2024
- Ensured accurate reimbursement rates were applied during the charge entry process through consistent review of payer contracts.
- Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
- Assisted in training new employees on charge entry procedures, promoting best practices for efficient workflow management.
- Verified insurance eligibility and information to update database.
- Supported the auditing process, thoroughly reviewing medical records to validate appropriate coding and charging practices.
- Expedited payment collection by submitting clean claims for reimbursement from insurance companies and patients promptly.
- Captured and entered professional charges.
- Maintained strict adherence to HIPAA regulations, protecting patient privacy and ensuring the confidentiality of sensitive information .
- Streamlined the charge entry process by collaborating closely with clinical staff to obtain necessary documentation.
- Participated in regular team meetings to stay informed on department goals, upcoming changes, and relevant updates affecting the charge entry process.
- Accurately posted payments and adjustments both electronically and manually.
- Enhanced payment processing efficiency by implementing a streamlined posting system.
- Processed payments that had been received from insurance companies and Medicare.
- Identified overpayments and processed refunds for insurance carriers and patients.
Billing Lead
OBGYN Group of Eastern CT
04.2017 - 02.2018
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Identified trends in denied claims, addressing root causes to prevent future issues and improve overall success rates.
- Maintained strict adherence to HIPAA privacy guidelines, protecting sensitive patient information at all times during the billing process.
- Updated internal policies as needed to remain current with changing healthcare regulations and industry best practices.
- Mentored junior staff members, fostering professional growth through skill development opportunities and constructive feedback.
- Demonstrated leadership skills by delegating tasks effectively and providing support to team members, contributing to a cohesive and high-performing billing department.
- Managed accounts receivable aging reports, prioritizing collections efforts for overdue balances.
- Implemented effective communication strategies among team members, resulting in increased productivity and reduced miscommunications.
- Expedited payment processing with timely follow-ups on outstanding insurance claims.
- Provided exceptional customer service when addressing patient inquiries about bills or insurance coverage details, contributing to positive overall experiences with the healthcare facility.
- Oversaw patient payment plans, ensuring timely remittance while maintaining compassionate customer service practices for those experiencing financial hardships.
- Assisted management in developing annual budgets based on historical data and projected growth in patient volume.
- Reduced claim denials by meticulously reviewing and correcting billing errors before submission.
- Maximized reimbursements, negotiating with insurance companies to ensure accurate payments for services rendered.
- Conducted regular audits of billing records to maintain compliance with industry standards and regulations.
Account Analyst
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
Appointment scheduling
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
- Reduced client wait times by streamlining appointment scheduling processes, improving overall client experience.
- Supported efficient operations by effectively managing appointment scheduling and maintaining accurate client records.
Medical Scribe
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
- Greet and check-out patients, fill out and fax patient referrals to other specialists, obtain insurance authorization for radiology services, and maintain physician’s schedule.
- Maintained patient confidentiality by adhering to HIPAA guidelines and other applicable privacy regulations throughout the documentation process.
- Kept up-to-date with evolving healthcare regulations to ensure compliance in all aspects of documentation and recordkeeping.
- Accompanied physicians through day in fast-paced, stressful environments.
- Assisted in the training of new scribe's, sharing best practices for efficient documentation and communication with medical staff.
- Reviewed records, paperwork, and orders for errors and resolved issues with minimal direction.
- Increased physician productivity by handling administrative tasks such as scheduling appointments and managing patient inquiries.
- Expedited patient care decisions by promptly providing physicians with relevant clinical data from previous encounters or test results.
- Contributed to a collaborative work environment by acting as a liaison between physicians, nursing staff, and ancillary personnel.
Receptionist
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
- Greet and check in patients, verify and correct patient registrations, collect insurance card and proper identification, collect copay and balances, balance out payments at the end of the day, scan patient registration forms into EMR system, prepare physician charts for next business day, maintain copy, fax and printer machines and smooth flow of office traffic
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Resolved customer problems and complaints.
- Handled cash transactions and maintained sales and payments records accurately.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
Education
Diploma -
Platt High School
Meriden, CT06.2004
Skills
- Proficient in building Enrollment technology portals
- Experienced with Microsoft products and various healthcare applications
- Well versed in Benefit presentations
- Effective multitasking
- Efficiently grasp new ideas
- Proficient in computer applications
Certification
Life and Health producer license
AHIP Certification
Languages
Spanish
Limited Working
Timeline
Agency Coordinator
Willhite Benefit Solutions
07.2024 - Current
Medical Charge Entry and Payment Poster
Connecticut Orthopaedics
08.2018 - 07.2024
Billing Lead
OBGYN Group of Eastern CT
04.2017 - 02.2018
Account Analyst
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
Appointment scheduling
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
Medical Scribe
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
Receptionist
Comprehensive Orthopaedics & Musculoskeletal Care LLC
11.2006 - 04.2017
Diploma -
Platt High School
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