ELIZABETH ZAPATA VALENTIN
Lake Worth
Summary
Enthusiastic management professional with demonstrated success supervising staff and building teams. Proven history of achieving sales goals by monitoring employee performance and coaching staff on effective sales methods. Skilled in solving complicated issues and making proactive operational changes.
Billing professional prepared to drive results and optimize financial operations. Proven track record in managing billing systems, ensuring regulatory compliance, and implementing process improvements. Strong focus on team collaboration, adaptable to changing needs, and consistently reliable. Skilled in financial analysis, accounts receivable, and strategic planning, with leadership style that motivates and supports team success.
Overview
29
29
years of professional experience
Work History
Revenue Cycle Billing Director
Advanced Kidney Care MD PA
09.2018 - Current
- I currently work on E Clinical Works EMR and currently also work on Epic EMR also work closely with the clearinghouse Trizetto daily to make sure claims are paid in a timely manner
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Prepared billing statements for patients and verified correct diagnostic coding
- Researched and resolved billing discrepancies to enable accurate billing.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Communicated with insurance providers to resolve denied claims and resubmitted
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Delivered timely and accurate charge submissions
- Liaised between patients, insurance companies and billing office
- Gathered information from multiple sources to simplify billing and organize accounts
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections
- Managed billing calendar and scheduled claims for payments
- Prepared accounts with past due balances and transferred those cases to collection agency
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies
- Collected payments and applied to patient accounts
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable
Administrative Manager/Director of Medical Billing
Complete Local Specialty Care
08.2011 - 08.2018
- Worked on E Clinical Works EMR and trained new Managers/staff in office
- Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals
- Onboarded new employees, including training, mentoring and new hire documentation
- Established and administered annual budget with controls to prevent overages, minimize burn rate and support sustainability objectives
- Evaluated report data to proactively adjust and enhance operations
- Evaluated employees' strengths and assigned tasks based upon experience and training
- Maximized performance by monitoring daily activities and mentoring team members
- Directed staff and managed annual capital budget
Medical Insurance Biller
Healthcare Support Staffing
01.2008 - 01.2011
- Prepared billing statements for patients and verified correct diagnostic coding
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Communicated with insurance providers to resolve denied claims and resubmitted
- Set up and maintained new electronic billing system
- Posted payments and collections on regular basis
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
- Posted surgical charges for all practice providers
- Collected payments and applied to patient accounts
- Filed and updated patient information and medical records
- Delivered timely and accurate charge submissions
- Reviewed patient diagnosis codes to verify accuracy and completeness
- Managed billing calendar and scheduled claims for payments
- Liaised between patients, insurance companies and billing office
Medical Office Manager
Southgate Medical Center
01.2003 - 01.2008
- Assessed processes and procedures, complying with OSHA and HIPAA regulations
- Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures and financial reporting
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills
- Created and implemented organizational policies and procedures
- Developed close working relationships with front office and back office staff
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars
- Developed policies and procedures for effective practice management
- Built relationships with physicians to create steady referral pipeline
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable
- Consulted with healthcare professionals on business decisions
- Recruited, hired and educated staff on state and federal statutes on sleep service and independent diagnostic testing facility(IDTF) guidelines
- Developed and maintained electronic record management systems to analyze and process data
- Addressed and remedied all patient or team member issues
Store Manager/Area Sales Manager
Steve Madden Shoes
01.1996 - 01.1999
- Coached sales associates in product specifications, sales incentives and selling techniques, significantly increasing customer satisfaction ratings
- Reviewed and monitored scheduling, purchases and other expenses to maintain quarterly budget
- Managed inventory control, cash control and store opening and closing procedures
- Managed store employees successfully in fast-paced environment through proactive communication and positive feedback
- Supervised guests at front counter, answering questions regarding products
- Set effective store schedules based on forecasted customer levels, individual employee knowledge and service requirements
- Approved regular payroll submissions for employees
- Set, enforced and optimized internal policies to maintain responsiveness to demands
- Coached sales associates on product knowledge by using wide variety of training tools
- Reconciled daily sales transactions to balance and log day-to-day revenue
- Rotated merchandise and displays to feature new products and promotions
Education
Medical Billing And Coding -
Penn Foster Career School
Scranton, PAAssociate of Arts - Fashion Buying Merchandising
Fashion Institute of Technology
New York, NY01.1992
Skills
- Proficient in Epic EMR
- Proficiency in E Clinical Works EMR over 13 years experience
- Accounts receivable management
- Medicare and Medicaid process
- Medical coding knowledge
- Medical billing code accuracy
- Patient account analysis
- Revenue Projections
- Employee Training
- Quality Management
- Records review
- Medical billing
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Recommendation
Wiqar U. Sheikh, M.D., Diplomate American Board of Family Practice, Fellowship Trained Geriatric Medicine, Board Certified Family Medicine, 09/18/08, This letter is my personal recommendation for Elizabeth ZAPATA. I have been Liz's immediate supervisor for the past 5 years. I find her to be a consistently pleasant, dependable, and reliable employee tackling all tasks with dedication and a smile. She has served as my Medical Biller and Office Manager. She is extremely responsible, conscientious and dedicated with her work. She is well educated of numerous billing and coding policies. She productively accomplished all office, hospital, and nursing home billing, for which she was responsible. She has successfully contributed to various billing strategies that have resulted in increased revenue for our business. Besides being a joy to work with, Liz is a take-charge person who is able to present new creative ideas and communicate the benefits. Though she was an asset in our billing office, Liz was also extraordinarily helpful in other areas of our business. She has served as my Office Manager over the years. She tackled numerous duties, such as: Payroll, HR responsibilities, new employee training sessions, Supply orders, and especially Patient Relations. Her relation with the patients is indispensable. She handled the most unpleasant patient with patience and kindness, resulting in having patients asking only for her in regards to office matters. Though, we are awfully disheartened to see her go, I would highly recommend Liz for employment. She is a definite team player and would make a great asset to any organization.
Timeline
Revenue Cycle Billing Director
Advanced Kidney Care MD PA
09.2018 - Current
Administrative Manager/Director of Medical Billing
Complete Local Specialty Care
08.2011 - 08.2018
Medical Insurance Biller
Healthcare Support Staffing
01.2008 - 01.2011
Medical Office Manager
Southgate Medical Center
01.2003 - 01.2008
Store Manager/Area Sales Manager
Steve Madden Shoes
01.1996 - 01.1999
Associate of Arts - Fashion Buying Merchandising
Fashion Institute of Technology
Medical Billing And Coding -
Penn Foster Career School
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