DONNA VELASCO
Swedish Providence Hospitals
Covina,CA
17
years of professional experience
Experienced with managing patient accounts and addressing billing inquiries. Utilizes strong communication skills to resolve account discrepancies and enhance patient satisfaction. Track record of maintaining compliance with healthcare regulations and improving financial processes.
Work History
Senior Patient Account Representative
4 Years 2 Months- Resolved patient account balances by researching claims, payments, and denial issues in billing systems.
- Communicated payment options and account status to patients with professionalism and empathy.
- Investigated unpaid balances, disputed claims, and correspondence to accelerate account follow-up.
- Ensured compliance with financial policies, HIPAA requirements, and revenue cycle procedures.
- Improved collections rate by proactively identifying trends within outstanding accounts and developing targeted solutions.
Medical Billing and Collections Specialist
3 Years 6 Months- Followed up and conducted collections on outstanding balances and receivables.
- Reviewed claim denials and payer requirements for corrective action.
- Revised patient bills for accuracy and completeness and obtained missing information.
- Investigated and resolved denials and rejections within standard billing cycle time frame.
- Managed collections by mailing correspondence and working with patients to establish promissory notes for payment.
- Identified account discrepancies and issues that hindered claim payments.
- Reviewed billing data to verify accuracy and resolve discrepancies.
Medical Billing and Collections Specialist
5 Years 1 Month- Communicated with customers to provide account information.
- Reviewed billing data to verify accuracy and resolve discrepancies.
- Updated company databases with customer information, including payments and credits.
- Drafted invoices or statements itemizing purchases and detailing service fees.
- Served customers by going above-and-beyond to offer exceptional support for all needs.
Medical Insurance Specialist
2 Years 7 Months- Followed up and conducted collections on outstanding balances and receivables.
- Researched and replied to insurance, patient, and internal customer inquiries.
- Managed collections, including mailing of correspondence, working with patients to establish promissory notes for payment, and forwarding accounts to collection agency as needed.
- Worked hand in hand with front office staff to ensure proper information was received for claims processing.
- Maintained and updated all files, including information on insurance companies, diagnosis, procedures, and fees.
Education
High School Diploma
Skills
Complaint investigation
Account update
Patient account management
Insurance verification
Denial management
Database research
Transaction processing
Call management
Complaint resolution
Customer relations
Order documentation
Claims processing
Timeline
Senior Patient Account Representative
Swedish Providence Hospitals
08.2022 - CurrentRead More
Medical Billing and Collections Specialist
Claremont Manor Care Center
02.2017 - 08.2020Read More
Medical Billing and Collections Specialist
Rescue Services International/ Medic One Ambulance
01.2012 - 02.2017Read More
Medical Insurance Specialist
Dr. Nadim Dagher M.D
06.2009 - 01.2012Read More
Chino High School
High School Diploma
Read More