Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
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Eliezer Carcache

216 N Fowler St

Summary

Accomplished Revenue Cycle Manager with a proven track record at The Auctus GRP, enhancing billing accuracy and maximizing reimbursement rates. Skilled in invoice processing and team collaboration, I led initiatives that significantly increased department productivity. My expertise in accounts receivable management and dedication to continuous improvement have driven substantial financial performance enhancements.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Insurance Revenue Cycle Manager

The Auctus GRP
02.2021 - 01.2025
  • Monitored and guided revenue cycle operations.
  • Implemented process improvements, ensuring accurate charge capture and coding compliance.
  • Provided staff training on revenue cycle management best practices, increasing productivity across the department.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Managed cross-functional teams to improve overall revenue cycle operations.
  • Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.

Insurance Claims Specialist

Connect International
02.2019 - 02.2021
  • Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Improved claims processing efficiency by meticulously reviewing and validating each claim for accuracy and completeness.
  • Expedited claim resolutions by adopting proactive approach to gathering necessary documentation and evidence.
  • Developed and conducted training sessions for new hires on best practices in claims processing, elevating team performance.
  • Posted payments to accounts and maintained records.
  • Prepared insurance claim forms or related documents and reviewed for completeness.

AR Billing Specialist

Accedo Technologies
12.2014 - 02.2019
  • Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patients accounts
  • Collaborated with interdisciplinary teams to resolve any discrepancies or concerns related to invoicing or payment collection processes.
  • Monitoring and resolving outstanding accounts receivable balances.
  • Reduced overdue payments by consistently following up on unpaid claims within standard billing cycle timeframe.
  • Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences.

Education

English As A Foreign Language -

Universities Centro Americana
Nicaragua

Certified Patient Account Representative - Patient Representative

Healthcare Financial Management Association
Atlanta, GA
01.2022

High School Diploma -

National Technology of Nicaragua
Nicaragua
12.2012

Skills

  • Invoice processing
  • Accounts receivable management
  • Cash application
  • Dispute resolution
  • Billing software
  • Collections management
  • Payment posting
  • Credit control
  • AR aging reports
  • Auditing support
  • Organization skills
  • Teamwork

Certification

Certified Patient Account Representative

Languages

Spanish
Professional Working

Timeline

Insurance Revenue Cycle Manager

The Auctus GRP
02.2021 - 01.2025

Insurance Claims Specialist

Connect International
02.2019 - 02.2021

AR Billing Specialist

Accedo Technologies
12.2014 - 02.2019

English As A Foreign Language -

Universities Centro Americana

Certified Patient Account Representative - Patient Representative

Healthcare Financial Management Association

High School Diploma -

National Technology of Nicaragua

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Eliezer Carcache