Evelyn Puente De La Vega
Medical Billing And Coding Specialist
Elizabeth,NJ
Summary
Proven Revenue Operations Specialist with a track record of enhancing financial stability and operational efficiency at JLA Healthcare Management. Expert in ICD, CPT, HCPCS coding, and HIPAA compliance, coupled with exceptional project management and team collaboration skills. Achieved a significant reduction in AR days, boosting cash flow.
Overview
1824
1824
years of professional experience
1
1
year of post-secondary education
Work History
Revenue Operations Specialist
JLA Healthcare Management
East Orange, New Jersey
11.2021 - 02.2024
- Oversee end-to-end billing processes, ensuring accuracy and efficiency in the submission of claims for medical services.
- Implemented changes to denial management processes, reducing "first touch" timeframes from 24 to 16 days, significantly improving claim resolution speed.
- Enhanced AR management by reducing days from 180 to 42.5, resulting in increased cash flow and financial stability for the organization.
- Conducted financial audits and reported on billing activities, fostering a culture of accountability and control.
- Trained and mentored staff on billing procedures, policies, and denial management strategies, leading to improved departmental performance
Medical Billing Account Representative
May Street Surgi Center
Edison, NJ
02.201 - 11.2021
- Managed daily operations of the billing department within an Ambulatory Surgical Center, overseeing the processing of over 1,000 claims per month and ensuring 98% accuracy in the billing of medical services.
- Reviewed and abstracted clinical data from EMRs to assign appropriate procedural codes, ensuring 100% compliance with regulatory standards across more than 400 patient records monthly.
- Performed accounts receivable functions, including posting cash receipts, resolving chargebacks, and updating cash flow reports, contributing to a 15% reduction in outstanding receivables within six months.
- Improved collections processes by identifying and addressing bottlenecks, resulting in a 20% acceleration in payment cycles and increased cash flow.
Medical Coder
Origin Healthcare Solutions
Rutherford, NJ
11.2015 - 02.2016
- Accurately coded over 500 patient treatments, diagnoses, and procedures for Pain Management monthly, ensuring 100% compliance with documentation and coding standards.
- Collaborated with billing teams to review and process an average of 200 claims per week, reducing coding errors by 30% and ensuring accurate claim submission.
Account Receivables Specialist
Oral Cdx Laboratory
Suffern, NY
08.2013 - 11.2015
- Managed delinquent accounts by initiating contact with account holders, successfully reducing outstanding balances over 90 days past due.
- Reconciled accounts and coordinated with internal departments to resolve discrepancies, maintaining accuracy in financial records.
Education
Diploma - Medical Billing And Coding
08.2012 - 08.2013
Skills
ICD, CPT, HCPCS Diagnostic & Insurance Coding,Accounts Receivable Collections Financial Reporting
Operational Efficiency Project Management Process Improvement
HIPAA Compliance Medical Terminology Process Documentation
ICD, CPT, HCPCS Diagnostic & Insurance Coding,Accounts Receivable Collections Financial Reporting
Timeline
Revenue Operations Specialist - JLA Healthcare Management
11.2021 - 02.2024
Medical Coder - Origin Healthcare Solutions
11.2015 - 02.2016
Account Receivables Specialist - Oral Cdx Laboratory
08.2013 - 11.2015
Eastwick College - Diploma, Medical Billing And Coding
08.2012 - 08.2013
Medical Billing Account Representative - May Street Surgi Center
02.201 - 11.2021