Gema Luna
Monrovia,CA
Summary
Recent graduate with extensive training in accounting, excited to secure rewarding role in collections as professional. Well versed in accounts receivable and accounts payable principles with expert data entry skills. Experienced in general ledger accounting, account reconciliation, financial analysis, and financial reporting. Proven to improve workflow efficiencies while maintaining high standards in customer service. Work well with or without direct supervision, assist superiors in the implementation of new work processes and brainstorming on new special projects before they are assigned to the entire staff.
Overview
21
21
years of professional experience
Work History
Collector
Kaiser Permanente
Pasadena
06.2003 - Current
- Utilized various software programs to track payments, denials or rejections, process appeals, submit electronic claims, send letters to patients, manage data entry tasks, generate reports when required
- Analyze payment histories to determine if issued reimbursement was based on fee schedule
- Initiate refund requests, send requests to proper department to apply missing payments or have those posted to correct accounts
- Review special projects, policies and or procedures with supervisors before tasks are assigned to the rest of the staff for brainstorming on how to work efficiently and effectively
- Review data on claims to make sure it was properly billed if not, send it back for corrections
- Adhered strictly to all applicable federal laws governing consumer protection rights during collection activities
- Participated in regular meetings with internal staff to discuss strategies for improving collections efforts
- Investigated disputed claims and made appropriate adjustments when necessary
- Improved existing collections processes by analyzing rejection patterns and denials
- Developed collection methods to achieve or exceed company financial goals
- Updated account status and maintained accurate records of all collection activities
- Monitored aging reports to prioritize collection efforts on overdue accounts
- Assisted in the creation and implementation of policies and procedures for the collections department
- Provided training and guidance to new collections staff on best practices and company policies
- Ensured compliance with federal and state collections laws and regulations
- Performed reconciliation of accounts to ensure accurate billing and collections records
- Conducted detailed account audits to identify discrepancies and resolve billing issues
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems
- Wrote appeal letters to insurance companies for denial of claims
- Recorded information about status of collection efforts.
Education
BBA Business Administration -
California Intercontinental University
02.2023
Skills
- Account Auditing
- Billing and collections best practices
- Aged account reporting
- Collections process improvement
- Account reviews
- Collections regulatory guidelines
- SOX Compliance
- Financial Reporting
- Account Management
- Performance improvement techniques
- Account Analysis
- Customer research
- Account Reconciliation
- Account Review
- Collections
- New Hire Training
- Billing practices
- Insurance policies
- Conflict resolution techniques
- Adjustment posting
- Account Monitoring
- Problem-solving abilities
- Account Investigation
- Assertiveness
- Investigation due diligence
Timeline
Collector
Kaiser Permanente
06.2003 - Current
BBA Business Administration -
California Intercontinental University
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