Erika Cervantes

• Accurately post hospital billing insurance payments and self-pay (SBO) patient payments received via electronic funds transfer (EFT) or lockbox.
• Interpret complex payer adjudications, including payments, denials, and identifying the next responsible party for payment.
• Ensure daily deposits from banking partners (ACH and lockbox) are recorded accurately in monthly and daily tracking logs.
• Verify receipt of agency payments and ensure timely posting to patient accounts.
• Proficient in hospital billing (HB) insurance payment posting, both manual and via electronic 835/ERA remittance files.

• • Updated documentation, reports and spreadsheets with financial information.
  • Answered calls and in-person inquiries with friendly demeanor and full knowledge of billing department processes.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Organized accounts for financial audits.
  • Completed appeals of denied claims on patient's account.
  • Submit vision & medical claims based on timely filing limits.

• Verify patients' medical and vision insurance benefits/eligibility
• Track cash sales, exam copays and daily totals
• Oversee the front desk and technicians
• Post EOB payments from medical and vision insurance on open claims
• Oversee submitting and clearing insurance claims and benefits
• Oversee AR reports