Dedicated Customer Service Professional with extensive experience in customer-facing roles. Enhanced operational efficiency through strong attention to detail and commitment to continuous improvement. Demonstrated adaptability and exceptional interpersonal skills while working independently and embracing new challenges.
Overview
1
1
Certification
2
2
years of post-secondary education
33
33
years of professional experience
Work History
PATIENT BILLING AND COLLECTION SUPV 2
UCSF Medical Group Business Services
Emeryville, California
10.2011 - 06.2025
Oversaw billing operations for CCMC 3 and CCMC 4, ensuring timely management of receivables to maximize reimbursement.
Monitored Apex work-queue through PB follow-up to identify and resolve bottlenecks in billing processes.
Analyzed reimbursement patterns and escalated discrepancies to Payor Provider Relations for resolution.
Implemented process changes that improved billing accuracy and efficiency.
Participated in departmental initiatives to enhance overall performance.
Prepared monthly accounts receivable reports, including aging analysis for management review.
Performed monthly quality checks to evaluate and improve performance standards of CCMC 4 staff.
Resolved aged high dollar accounts by escalating issues to payor claims supervisor.
Office Billing Manager
UCSF Neurosurgery
06.2004 - 09.2011
Oversaw billing operations for the Department and ensured timely management of receivables to maximize reimbursement.
Managed billing processes for neurosurgery department, ensuring timely and accurate invoicing.
Managed billing processes for Department of Neurological Surgery, ensuring timely and accurate invoicing.
Coordinated insurance claims and followed up on payer and patient payments to ensure timely resolution.
Developed and maintained billing policies to comply with healthcare regulations and standards.
Trained staff on billing software and best practices for efficient workflow management.
Monitored work-queue through PB follow-up to streamline operational processes.
Monitored billing activities, identifying trends to improve accuracy and reduce errors.
Collaborated with healthcare providers to resolve discrepancies in patient accounts.
Identified areas for improvement in billing cycle efficiency, contributing to cost reduction and profit increase.
Conducted regular meetings with staff to discuss performance goals and improvements in workflow processes.
Ensured compliance with federal, state, and local laws governing the billing process.
Provided support during audits, ensuring all documentation met compliance requirements.
Worked closely with the Department authorization team to ensure timely submissions.
SENIOR COLLECTION REPRESENTATIVE
UCSF
01.2001 - 06.2004
Reviewed accounts in IDX system for accuracy, securing comprehensive information for effective claims processing.
Submitted claims to payors in a timely manner, ensuring compliance with deadlines.
Processed medical claims using electronic billing software, maintaining accuracy in submissions.
Resolved billing discrepancies with insurance companies through professional communication.
Verified insurance coverage and benefits through Payor websites or telephone calls.
Updated demographic and medical insurance data for proper HCFA/CMS 1500 submission.
Escalated payor trends and issues to Supervisor for prompt resolution.
Attended training sessions to improve job performance and streamline processes.
PRE- REGISTRATION COUNSELOR
UCSF Medical Center
San Francisco
05.2000 - 01.2001
Registered patients for outpatient procedures and emergency services.
Handled insurance verification and resolved discrepancies with providers promptly.
Handled insurance verification and promptly resolved discrepancies with providers to ensure accurate patient coverage.
Assisted with patient registration and verification processes efficiently.
Assisted with patient registration and verification processes, enhancing overall efficiency of the registration workflow.
Managed accurate data entry of patient information into electronic health records system, contributing to seamless patient care.
Verified customer information in order to ensure accuracy of data entry into the system.
Maintained confidentiality of patient information in compliance with regulations.
Ensured compliance with HIPAA regulations by maintaining confidentiality of patient information.
Assisted other departments with tasks related to the registration process.
Inquired with clients to gather necessary information for accurate paperwork completion.
ELIGIBILITY SPECIALIST
Brown and Toland Medical Group
09.1999 - 05.2000
Assessed eligibility for diverse health programs and services, ensuring clients received appropriate support.
Verified insurance eligibility through payor portal, facilitating timely access to necessary care.
Maintained accurate records of client interactions and eligibility determinations to support compliance and inform program improvements.
Trained new staff on policies and procedures governing eligibility assessments.
Organized and prioritized daily workload while managing multiple responsibilities under pressure.
PRE- REGISTRATION COUNSELOR
Healthcare Financial Staffing
San Francisco, California
10.1998 - 09.1999
Assisted patients at UCSF Pre-Registration Unit.
Provided excellent customer service to patients and families during registration.
Assisted with patient registration and verification processes efficiently.
Registered patients for outpatient procedures and emergency services.
Resolved discrepancies with providers during insurance verification to ensure accurate patient registrations.
Carefully checked insurance information for benefits coverage and input pre-authorization documents into system.
Verified customer information in order to ensure accuracy of data entry into the system.
Maintained confidentiality of patient information in compliance with regulations.
Ensured confidentiality of patient information, complying with all relevant regulations and enhancing trust.
Managed data entry for patient information into electronic health records system.
Collaborated with departments to streamline registration processes, improving overall service delivery.
Asked clients questions to gather necessary paperwork information.
SEASONAL POSTAL WORKER
USPS
San Francisco, California
08.1992 - 09.1999
Sorted and delivered mail across designated routes, ensuring timely delivery to customers.
Organized bulk mailings by sorting letters into zip codes and bundling for efficient distribution.
Sorted and organized mail for efficient distribution and delivery.
Operated postal vehicles to transport mail between facilities and routes.
Assisted customers at service counters with inquiries and package shipping.
Education
Some College - Business Administration And Management
Baguio Central University
Baguio City, Philippines
06.1978 - 05.1980
Medical Assistant -
Provident Vocational School
Daly City, CA
Skills
Claims management
Reimbursement analysis
Electronic billing software
Process optimization
Quality assurance
Practice management
Patient registration
HIPAA compliance
Staff training programs
Microsoft Office proficiency
Problem solving and analytical thinking
Attention to detail
Time management
Certification
Leadership Training
Technical Skills:
Epic System
IDX System
Microsoft Team
Huntington Business System for Tine keeping
Excel
Word
Power point
Timeline
PATIENT BILLING AND COLLECTION SUPV 2
UCSF Medical Group Business Services
10.2011 - 06.2025
Office Billing Manager
UCSF Neurosurgery
06.2004 - 09.2011
SENIOR COLLECTION REPRESENTATIVE
UCSF
01.2001 - 06.2004
PRE- REGISTRATION COUNSELOR
UCSF Medical Center
05.2000 - 01.2001
ELIGIBILITY SPECIALIST
Brown and Toland Medical Group
09.1999 - 05.2000
PRE- REGISTRATION COUNSELOR
Healthcare Financial Staffing
10.1998 - 09.1999
SEASONAL POSTAL WORKER
USPS
08.1992 - 09.1999
Some College - Business Administration And Management
Patient Billing and Collection Supv 2 at UCSF Medical Group Business ServicesPatient Billing and Collection Supv 2 at UCSF Medical Group Business Services
Account Receivable Specialist (Billing & Collection) - Contract at Medical City Dallas HospitalAccount Receivable Specialist (Billing & Collection) - Contract at Medical City Dallas Hospital