EVELIN MALDONADO
San Diego,CA
Summary
Detailed-oriented Medical Billing specialist with 20+ years of experience managing medical insurance claims. Highly-motivated with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills.
Overview
21
21
years of professional experience
Work History
Account Analyst
Rady Children's Physicians Management Services
San DIego, CA
01.2024 - Current
- Managed accounts receivable and payables processes, including invoicing and payments.
- Reviewed customer accounts regularly to identify discrepancies in billing or payment history.
- Researched and resolved customer inquiries regarding account status and payment issues.
- Analyzed financial data to identify trends in accounts receivables and payables.
Client Operations Specialist
Ventra Health
San Diego, CA
12.2003 - 10.2023
- Coordinate workloads to ensure work is complete
- Serve as a resource to answer questions
- Work closely with managers to develop a strong unified team
- Communicate status of accounts and employee performance to client manager and make recommendations for improvement
- Account receivable follow-up
- Contact payer and resolve claim adjudication issues to get claims paid
- Contact responsible parties to collect outstanding balances
- Correspondence/Claims administration
- Management of phone inquiries
- Work credit balances/review and approve refund and collections list
- Payment reconciliations/post correction adjustments
- Insurance verification
- Extensive Medi-Cal and Medi-Cal managed care experience.
Education
Certified Medical Assistant -
Concorde Carrer Institute
San Diego, CA03.1997
High School Diploma -
Southwest High School
San Diego, CA06.1996
Skills
- Bilingual English and Spanish
- Billing and Collection
- Detailed oriented with the ability to handle multiple responsibilities -
- Outlook, word and excel knowledge
- Strong work ethic
- Multitasking and prioritization
- Customer service
- Organization and efficiency
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Account Analyst
Rady Children's Physicians Management Services
01.2024 - Current
Client Operations Specialist
Ventra Health
12.2003 - 10.2023
Certified Medical Assistant -
Concorde Carrer Institute
High School Diploma -
Southwest High School
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