Erica Ortega
Robstown,TX
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
13
13
years of professional experience
Work History
Billing Supervisor
Saint Benedict’s Home Health
06.2010 - 03.2022
- Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems
- Monitored office supplies for department and made arrangements for restocking of low-stock items.
- Conduct regular meetings to update and present issues of third-party billing and ICD-9 and CPT changes that require management review
- Oversaw financial operations, producing invoices, processing payments and preparing deposits.
- Prepared and submitted monthly billing reports to management for financial overview.
- Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
- Review and resolve issues related to claim generations, clean claim ratios, rejected, denied billings.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Submit complete and detailed appeals, including all necessary follow up and regular review of medical documentation as required.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Researched and resolved billing discrepancies to enable accurate billing.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Worked with multiple departments to check proper billing information.
- Maintained communication with state/MCO Provider Representatives, Service Coordinators and Provider Relations Representative on resolving claim issues or projects.
CBA Clerk
Legacy Home Health
08.2009 - 06.2010
- Answered incoming telephone calls, faxing information, filing and general data entry
- Schedule all initial, post hospital and supervisory visits, etc
- For PHC field supervisor
- Document all information regarding client’s care; hours, tasks, concerns and/or complaints
- Communicate with caseworkers or service coordinators regarding changes in client care via communication sheet 2067.
- Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
- Interacted with customers by phone, email, or in-person to provide information.
- Maintained filing system and organized customer documents for easy retrieval of information.
Education
Associates Business - Administration
Del Mar College Del Mar College
12.2022
High School Diploma -
Robstown High School
Robstown, TX08.1997
Skills
- Minimum of ten (10) years of medical billing experience
- Microsoft Office, Including Outlook, Word, Power Point, Excel, and VESTA Software
- Working knowledge of CPT, ICD 9 and ICD 10 codes, HCFA 1500
- Billing Systems and Software
- Billing Dispute Resolution
- Office Organization
- Account Posting
- Healthcare Terminology
- Variance Reviewing
- Claim Processing
- Digital Filing
- Billing Best Practices
Timeline
Billing Supervisor
Saint Benedict’s Home Health
06.2010 - 03.2022
CBA Clerk
Legacy Home Health
08.2009 - 06.2010
Associates Business - Administration
Del Mar College Del Mar College
High School Diploma -
Robstown High School
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