Esther Aguilar
Wichita Falls
Summary
Accomplished Billing-Claims Analyst Manager with a proven track record at Golden Valley Health Centers, enhancing revenue cycle efficiency and patient satisfaction. Expert in Epic systems and claims analysis, coupled with exceptional problem-solving abilities. Achieved significant reductions in accounts receivable balances, demonstrating steadfast reliability and attention to detail. Providing support to operational front end and Billing Department workflows. Hands on system build and knowledge as well as instructing and overseeing an analyst team of three as well as the Billing Department trainer. Establish and promote a professional and enjoyable work environment, with encouragement for collaboration and motivation for productivity.
Overview
12
12
years of professional experience
Work History
Billing-Claims Analyst Manager
Golden Valley Health Centers
1910 Customer Care Way Atwater, CA 95301
04.2022 - Current
- Management oversight for projects and efforts including prioritization, resource utilization, timeline development and task completion.
- Maintain Knowledge of assigned Epic and other professional billing and claims configuration management and act as a subject matter expert on application(s) functionality.
- Manage professional billing and claims request. Prioritize, track and resolve end-user support requests with a sense of urgency, problem solve escalated tasks.
- Managed the planning, design, development, build and/or configuration of applications and Epic's Resolute Professional Billing applications which include Resolute PB, Charge Router, General Ledger and other related Epic and third party applications.
- Review status of projects and issues on ongoing basis with organization leadership;ensure project timelines are adhered to and implemented plans of action as necessary.
- Analyze, oversee analyst team testing and build to ensure quality standards are met.
- support all billing department staff as well as support to front end operations in training and direction in workflows.
- Partner with billing management, CFO, Billing Director, and provide financial analysis of revenue. opportunities for improvement or compliance updates to system workflows.
- Manage Analyst team for System upgrades.
- Conduct research and interpret regulations and other requirements to determine charging and billing alternatives and compliance issues in conjunction with operational and billing management.
- Oversee and or perform updates, including but not limited to charge master, sliding fee, contracts, billing edits,
- run,review, interpret, analyze and validated Revenue Cycle reports . Ensure integrity of data provided to all areas of the revenue cycle.
Patient Accounts Manager
Golden Valley Health Center
1910 Customer Care Way , Atwater CA 95301
10.2018 - 04.2022
- Reduced outstanding accounts receivable balances by diligently monitoring payment statuses and following up on overdue payments.
- Improved patient satisfaction by streamlining billing processes and implementing efficient account management strategies.
- Boosted patient satisfaction levels through prompt responses to inquiries about billing issues or concerns, providing clear explanations of charges when necessary.
- Managed a high volume of patient accounts effectively, prioritizing tasks and allocating resources based on the urgency of each case.
- Monitor, Claim 837 files and paper submissions, work closely with staff on all areas of customer service, charge entry, and accounts receivable staff workflows.
Lead Patients Accounts Collector
Golden Valley Health Centers
1910 Customer Care Way Atwater, CA 95301
10.2012 - 10.2018
- Collaborated with team members to achieve monthly targets, promoting a positive work environment and boosting overall productivity.
- Contacted customers to discuss payment schedules and set up or immediately process payments.
- Reduced outstanding debts by implementing strategic collections tactics and maintaining open lines of communication with customers.
- Streamlined debt collection processes for increased efficiency in the workplace.
Education
No Degree - Business Management
DeVry University
Fremont, CAFront Office Specialist - Medical Front Office And Coding
Kaplan College
Salida, CA 02-2010
High School Diploma -
Golden Valley High School
Merced, CA 06-2005
Skills
- Epic Certified in Professional Revenue Cycle Operations, Resolute Professional Billing Administration, Resolute Professional Billing Claims and Electronic Remittance Administration, Data Courier Mover Badge
- Claims analysis
- Strong Verbal and Written Communication
- Policy Analysis
- Data Analysis
- Proficient in Excel, Word, Power Point
- Customer Service Excellence
- Analytical Problem-Solving
- Software Competence
- Skill Development Guidance
- Denial Claims Evaluation
- Steadfast Reliability
- Attention to detail
- Deadline Management Expertise
- Analytical Problem-Solving
- Service Excellence
- Insurance Policy Expertise
Languages
Spanish
Native or Bilingual
Timeline
Billing-Claims Analyst Manager
Golden Valley Health Centers
04.2022 - Current
Patient Accounts Manager
Golden Valley Health Center
10.2018 - 04.2022
Lead Patients Accounts Collector
Golden Valley Health Centers
10.2012 - 10.2018
No Degree - Business Management
DeVry University
Front Office Specialist - Medical Front Office And Coding
Kaplan College
High School Diploma -
Golden Valley High School