Dolores Belmontes
463 Ainsley Ave Yuba City,CA
Summary
Results-driven Medical Insurance Biller and Contracting Specialist with a strong background in contract negotiation and claims processing. Demonstrated success in achieving a 670% revenue increase as Executive Assistant at New Day Family Counseling Center. Expertise encompasses regulatory compliance, budget management, and optimizing operational efficiency to drive financial success. Committed to leveraging skills to enhance organizational performance in the medical billing sector.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Medical Insurance Contracting Specialist
Three Rivers Counseling Center
Yuba City, CA
09.2019 - Current
- Guided CEO and billing manager through PAVE contract setup.
- Facilitated contract management and billing operations within Medi-Cal workflows.
- Support the Lead Biller with insurance contracts and resolve complex billing issues.
Executive Assistant & Lead Medical Biller
New Day Family Counseling Center
Yuba City, CA
08.2017 - 09.2019
- Elevated monthly revenue by 670% in 25 months.
- Managed daily operations, financial aspects, accounts payable and receivable, tax reporting, human resources, payroll, and client satisfaction.
- Conducted training sessions for new hires on operating systems and business standards.
- Processed claims for Medi-Cal and medical insurance efficiently.
- Secured contracts at local, state, and federal levels.
- Created and presented budget plans and objectives.
- Electronic Health Record maintenance and compliance.
- Designed spreadsheets and data-tracking systems to enhance financial reporting.
Lead Medical Biller & Front Desk
Thomas W Sanders OD
Yuba City, CA
03.2013 - 05.2015
- Handled invoicing and insurance billing efficiently.
- Achievements in claims payments and billing received acknowledgment from employer.
- Excelled in the intricate processing of Medicare claims for Durable Medical Equipment.
- Conducted medical intake testing and support the front desk as needed.
Patient Financial Services Representative
Pullman Regional Hospital
Pullman, WA
08.2002 - 05.2005
- Dispatched and set reminders to track claim processing.
- Prepared monthly statistical reports for management review.
- Reviewed daily reports to identify any discrepancies or errors in patient account balances.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Wrote appeal letters to insurance companies for denial of claims.
- Dispatched corrected claims to insurance providers promptly.
Education
Associate of Science - Business
Yuba College
Marysville, CAEsthetics - Esthetics & Business
Butte College
Chico, CAAssociate of Arts - Massage Professional Licensing
Ashmead College
VancouverSkills
- Contract negotiation
- Claims processing
- Regulatory compliance
- Budget management
- Data analysis
- Medicaid and Medicare billing and contracting
- Secondary and Tertiary billing
- Victim Witness contract management, and billing
- Claim resolution
- CAQH System
- Group contracts
- NPI applications and CMSgov
- EHR expertise
- Workers' Compensation billing
- Prior authorizations
- Monthly eligibility verification
Accomplishments
- Received highest rating of, Excellent, as 1st time contracting provider for the United States Probation Office. Executed all aspects of reporting, management of clients schedules and therapists assignments at Family Health Institute in March 1999.
- Have been promoted at every business location from front desk or medical biller to management or executive assistant.
Certification
- Office Management Course, Healthcare Cash Management Seminar
- Insurance Billing and Collections Course, Healthcare Cash Management Seminar
Affiliations
Love natural hot springs, hiking, weightlifting, value personal & professional growth
Timeline
Medical Insurance Contracting Specialist
Three Rivers Counseling Center
09.2019 - Current
Executive Assistant & Lead Medical Biller
New Day Family Counseling Center
08.2017 - 09.2019
Lead Medical Biller & Front Desk
Thomas W Sanders OD
03.2013 - 05.2015
Patient Financial Services Representative
Pullman Regional Hospital
08.2002 - 05.2005
Associate of Science - Business
Yuba College
Esthetics - Esthetics & Business
Butte College
Associate of Arts - Massage Professional Licensing
Ashmead College
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