Summary
Skills
References
Work History
Websites
Timeline
Receptionist

Flora Rivera

Medical Billing Specialist

Summary

Medical Billing Specialist with proven experience in managing complex billing processes and reducing errors. Strong focus on team collaboration and achieving results, adaptable to changing environments. Reliable and efficient and skilled in claims processing.

Detail-oriented professional, a driven Medical Billing Specialist motivated to perform beyond expectations with 5+ years experience with billing and 5+ years experience in an office setting with a Medical Secretary Certificate.

Skills

Claims processing proficiency

Medical office software proficiency

Accounts receivable management

Payment posting

Billing and collection procedures

Multitasking and organization

Clerical support

Electronic health record software

References

References available upon request.

Work History

Medical Billing Coordinator

Regis University Health and Counseling Center
04.2018 - 04.2025
  • Expedited payment processing with timely follow-ups on outstanding insurance claims.
  • Provided exceptional customer service when addressing student/patient inquiries about bills or insurance coverage details, contributing to positive overall experiences with our students at our health clinic on campus.
  • Demonstrated leadership and communication skills by delegating tasks effectively and providing support to team for both the health and counseling departments to creased productivity and reduced miscommunications..
  • Reduced claim denials by meticulously reviewing and correcting billing errors before submission.
  • Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.

Billing Specialist

Mountain Sleep Diagnostics
10.2017 - 03.2018
  • Improved patient care by efficiently coordinating authorizations for sleep study test for multiple locations.
  • Accurately posted payments and adjustments both electronically and manually.
  • Contributed to the reduction of aged accounts receivable by prioritizing oldest outstanding balances for follow-up action.
  • Negotiated payment arrangements with customers to establish timely receipt of payments.
  • Strengthened client relationships through effective communication regarding billing issues and concerns.
  • Demonstrated adaptability by quickly learning new systems and processes as they were introduced within the organization.

Billing Specialist

Colorado Retina Associates
10.2016 - 10.2017
  • Handled account payments and provided information regarding outstanding balances for multiple offices.
  • Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
  • Maintained accurate records of customer payments.
  • Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
  • Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
  • Streamlined billing processes, reducing errors and enhancing efficiency in document management.

Patient Account Representative

ATD Resources
03.2007 - 10.2016
  • Maintained high levels of accuracy in data entry, minimizing discrepancies in billing and customer accounts.
  • Demonstrated excellent time management skills by prioritizing tasks and meeting deadlines in a fast-paced, high-volume work environment.
  • Handled insurance payments and provided information regarding outstanding balances for 49 ER Physicians, 17 Physicians Assistants for 5 hospitals.
  • Supported month-end closing procedures by reconciling accounts receivable ledgers and preparing aging reports for management review.
  • Partnered with cross-functional departments to resolve discrepancies in customer accounts, promoting a cohesive work environment with billing, coding and collections department within.
  • Reduced outstanding debts through consistent follow-up on overdue invoices and negotiating payment plans.

Timeline

Medical Billing Coordinator

Regis University Health and Counseling Center
04.2018 - 04.2025

Billing Specialist

Mountain Sleep Diagnostics
10.2017 - 03.2018

Billing Specialist

Colorado Retina Associates
10.2016 - 10.2017

Patient Account Representative

ATD Resources
03.2007 - 10.2016

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Flora RiveraMedical Billing Specialist