Elizabeth Morales
Miami
Summary
Dynamic Quality Assurance Specialist with extensive home health and hospice experience at SimiTree Healthcare, excelling in audits and compliance. Proven ability to enhance revenue cycle performance through effective training and collaboration. Bilingual and proficient in Microsoft Office, I leverage strong organizational and attention-to-detail skills to drive quality improvements and ensure accurate claim documentation.
Overview
11
11
years of professional experience
Work History
Quality Assurance Specialist
SimiTree Healthcare
07.2023 - Current
- Perform audits of billing, collections, and denial management processes to ensure accuracy and compliance with company and healthcare standards.
- Audit claim documentation and actions for accuracy.
- Collaborate with cross-functional teams (e.g., billing, collections, and cash posting) to resolve issues and enhance overall revenue cycle performance.
- Train and provide education to staff for quality improvements.
- Verify claim documentation accuracy prior to submitting it to the client(s) for their review.
Revenue Cycle Associate
Simitree Healthcare
03.2020 - 07.2023
- Accounts Receivable (AR)
- Medicare Billing (DDE/FISS)
- Monitor unpaid claims, and resubmit claims as necessary, including submitting appeals.
- Cash posting.
Billing and Collections Specialist
TEHC Healthcare
05.2017 - 03.2020
- Accounts Receivables (AR)
- Insurance Verification
- Work collections, which include mailing correspondence, working with patients to establish promissory notes for payment, and, if necessary, forwarding accounts to a collection agency.
Billing Clerk
Synergy Consulting
01.2015 - 09.2016
- Accounts Receivables (AR)
- Process billing to patients and home health agencies
- Monitor unpaid claims and resubmit claims as necessary
- Cash posting
- Answer and transfer phone calls accordingly
Education
Bachelor's Degree - Health Services Administration
UNIVERSITY OF CENTRAL FLORIDA
06.2023
Associate Degree - Social Work
MIAMI DADE COLLEGE
04.2020
Skills
- Bilingual
- Proficient in Microsoft Office
- Multi-tasking
- Strong organizational skills
- Detail-oriented
- Time management skills
- Training and development
Timeline
Quality Assurance Specialist
SimiTree Healthcare
07.2023 - Current
Revenue Cycle Associate
Simitree Healthcare
03.2020 - 07.2023
Billing and Collections Specialist
TEHC Healthcare
05.2017 - 03.2020
Billing Clerk
Synergy Consulting
01.2015 - 09.2016
Bachelor's Degree - Health Services Administration
UNIVERSITY OF CENTRAL FLORIDA
Associate Degree - Social Work
MIAMI DADE COLLEGE