ELIZABETH VELAZQUEZ
Poughkeepsie,NY
Summary
Detail-oriented Accounts Receivable Specialist with 14 years of experience in medical billing, insurance collections, and patient relations. Proven ability to manage high call volumes while delivering exceptional customer service. Strong negotiation skills and a commitment to accuracy and compliance in remote work settings.
Finance professional with extensive experience in accounts management and credit control. Known for streamlining payment processes, resolving discrepancies, and maintaining accurate financial records. Strong collaborator focused on team success and dependable in adapting to changing business needs, ensuring efficient operations.
Overview
14
14
years of professional experience
Work History
Accounts Receivable Specialist
Quality Billing Service
02.2021 - Current
- Manage medical billing and claims submission processes, including corrections of denied claims and payment plans for low-income patients
- Perform follow-ups on Medicaid and Medicare claims, ensuring compliance with regulations
- Cultivate strong customer relationships through effective communication and conflict resolution
- Optimized revenue recovery efforts by utilizing negotiation skills in resolving complex issues related to past due invoices or disputed charges.
- Contributed to a positive work environment by working closely with colleagues across departments to ensure efficient information exchange and collaboration on financial matters.
- Trained new team members on company policies, software systems, and effective accounts receivable practices for seamless integration into the role.
- Ensured the accuracy of customer records in internal systems by updating contact information, payment terms, and other relevant data as needed.
- Streamlined daily reporting information entry for efficient record keeping purposes.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Negotiated payment arrangements with customers to establish timely receipt of payments.
- Submitted cash and check deposits and generated cash receipts to record money received.
- Monitored accounts to verify compliance with payment terms and schedules.
- Ensured compliance with industry regulations and company guidelines through regular audits of financial documents and record-keeping practices.
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments.
- Exceeded departmental goals for cash collection through persistence, professionalism, and excellent interpersonal skills when dealing with clients or customers alike.
- Enhanced cash flow by ensuring timely invoicing, payment application, and account reconciliation.
- Improved customer satisfaction by providing prompt, courteous service when addressing billing concerns or inquiries.
Insurance Follow-Up / Patient Representative Float
Health Quest Primary Care
06.2019 - 02.2021
- Coordinated with front desk operations for accurate patient data entry and seamless workflow
- Multitasked across multiple offices, ensuring prompt resolution of insurance queries and patient accounts
- Managed medical billing for both high and low dollar accounts, including appeals and payment posting
- Verified any changes or data updates to patient records and checked insurance information at each appointment.
- Provided exceptional customer service to patients, creating a welcoming and supportive environment.
- Implemented effective problem-solving techniques to resolve diverse patient concerns promptly.
- Assisted patients with insurance claims, facilitating smooth transactions and proper coverage.
- Monitored patient flow throughout day to maintain appointment times and schedules.
- Resolved billing issues, resulting in increased patient trust and financial stability for the clinic.
- Improved patient retention rates by maintaining strong relationships through regular followups.
- Scheduled appointments for patients and placed reminder calls 48 hours before office visits
- Recommended service improvements to minimize recurring patient issues and complaints.
- Engaged with patients to provide critical information.
- Greeted and assisted patients with check-in procedures.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Trained new staff on filing, phone etiquette and other office duties.
- Followed document protocols to safeguard confidentiality of patient records.
- Answered incoming calls, scheduled appointments and filed medical records.
- Resolved customer complaints using established follow-up procedures.
- Provided excellent customer service to patients and medical staff.
Office Manager
Koala Sleep Center
10.2017 - 06.2019
- Provided daily training and coaching to staff on billing and coding practices
- Oversaw insurance and patient follow-ups, marketing efforts, and collections
- Developed and maintained daily income reports for providers while working remotely
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
- Set aggressive targets for employees to drive company success and strengthen motivation.
Insurance Team Lead
Care Mount Medical
10.2010 - 01.2017
- Led medical billing and coding operations, including patient collections and payment plan setups
- Up to 80 claims follow up daily
- Handled appeals for denials and adjustments for patient accounts, ensuring accuracy in electric and paper claim submissions
- Fostered strong relationships with patients and insurance representatives to facilitate claims resolution
- Developed strong relationships with clients and agents, resulting in improved customer satisfaction and retention rates.
- Managed a diverse portfolio of insurance products, ensuring timely service delivery and optimal coverage for clients.
- Cultivated relationships with clients to identify and meet insurance needs and establish trust and rapport.
- Generated quotes and proposals for clients to match individual needs.
- Educated clients on insurance policies and procedures.
- Improved team performance by implementing effective training programs and mentoring strategies.
- Coached team members on best practices for underwriting and policy administration, enhancing overall productivity.
- Analyzed customer needs to provide customized insurance solutions.
Education
Medical Billing and Coding -
Ridely Lowel Technical School
Poughkeepsie, NY01.2015
Skills
- ICD-9
- ICD-10
- Medicare
- Medicaid
- Claims submission
- Payment posting
- Denial resolution
- Verbal communication
- Conflict resolution
- Client relations
- Remote collaboration
- Communication tools
- NexGen
- Ditech
- Epic systems
- Analytical skills
- Billing discrepancies
- Microsoft Excel
- Accounts Receivable
- Aging reports analysis
- Accurate payment posting
- Account Reconciliation
- Month-end closing procedures
- Credit and collections
- Investigative research
- Payment Negotiations
- Process Improvements
- Invoicing proficiency
- Invoice Processing
- Collections
- Cash application
- Financial software
- Claims Processing
- Codes reviewing
- Invoice Preparation
- Dispute Resolution
- Payment management
- Accounts Receivable Software
- Bill Payment and Recordkeeping
- Analytical Reasoning
- Record Reconciliation
- Vendor relationships
Languages
English
Native or Bilingual
Timeline
Accounts Receivable Specialist
Quality Billing Service
02.2021 - Current
Insurance Follow-Up / Patient Representative Float
Health Quest Primary Care
06.2019 - 02.2021
Office Manager
Koala Sleep Center
10.2017 - 06.2019
Insurance Team Lead
Care Mount Medical
10.2010 - 01.2017
Medical Billing and Coding -
Ridely Lowel Technical School
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