GENEVA LUGO
ODESSA,Texas
Summary
I am very knowledgeable. I have strong people skills, organizational abilities, and business experience. I love working as a team and learning as much as I can. I love staying busy and looking for a place to retire. Knowledge is key to being successful and valuable!
Overview
9
9
years of professional experience
1
1
Certification
Work History
BILLING SPECIALIST
TRUBRIDGE
10.2022 - Current
- Working edit scrubbing which is billing on UB-04 forms and 1500 forms to send to insurances, private pay, or third-party payers
- I apply modifiers, send to the appropriate queues for review, and follow our process and procedures with being compliant with billing guidelines
- Working on the aged trial balance report, credit balance report, and statement preview
- I work follow up and denials which also consists of sending appeals
- Sending patient refunds for overpayments to the sites
- I am in charge of working Medicare DDE which consists of return to providers, auditing accounts for billing and follow up, work all correspondence, and send remits to receipting to post along with any other special projects
BUSINESS OFFICE MANGER
Artesia General Hospital
08.2021 - 05.2022
- Establishing policies and procedures
- Facilitating payroll to ensure that the staff is paid on time and the accurate date entry, processing hours, and distribution of checks are correct
- Overseeing staff to provide continuous coverage and excellent service in their areas along with scheduling interviews, hiring, training of any new staff along with auditing their work to check for accuracy and attending all meetings or speaking during orientation
- Monitoring and maintaining the accounts receivable collection process along with running numerous reports
- Maintaining compliancy with the state and federal regulations which includes financial ledgers according to the regulatory standards
- Ensuring that office staff have the necessary tools to perform their jobs by ordering and tracking office supplies
- Providing excellent customer service for our patients to help them with their financial needs
- Set all new prices for items and services, using knowledge of the organization and considering legacy charges that may be expired by CMS
- Auditing accounts for the billing specialists
- Trains leaders of charge generating departments in the proper management of respective section of the charge master
- Working the contract billing
- Take the deposit to the bank as needed
CHARGE MASTER COORDINATOR/PATIENT REP
Artesia General Hospital
08.2018 - 08.2021
- Collaborate with facility CFO as well as department managers to maintain Item Master/Charge Master including research and insurance payer contracts
- Append and maintain general ledgers, including updating price items and adding or deleting items
- Maintain CDM per quarterly AMA CPT/HCPC updates as well as review of revenue codes in relation to CPT/HCPC use
- Assisting management with meetings by gathering all information beforehand
- Obtaining reimbursements per payers of insurances for CFO
- Working contract billing reports
- Setting up payroll deduction accounts and applying employees' discounts and following up with employees
- Billing 1500s and UB-04 forms to insurances, private pay, or third-party payers and also assisting our billers and billing managers
- Reviewing revenue codes and CPT codes to make sure that they are being correctly applied
- Patient refunds and adjustments
- Appending the appropriate modifiers on the claims and reviewing coding documentation
- Working unpaid claims for denials, appeals, rejections, timely, wrong charges, etc
- Handling deadlines
- Being in charge of my cash drawer
- Sorting all the mail
CERTIFIED CODING SPECIALIST
Artesia General Hospital
01.2017 - 08.2018
- Abstract diagnosis and procedure codes to outpatient service encounters, including ER facility and professional coding, injections/infusions; ancillary IR
- Adhere to official ICD-10-CM coding and reporting conventions & guidelines as set forth governed by UHDDS, CMS, and AHIMA
- Adhere to AMA CPT/HCPC levels I-III for procedural coding
- Review and application of NCCI edit regulations, including appropriate modifiers and knowledge of MUE/OCE
- Coding ERs, ancillaries, rural health clinics, specialty clinics such as ortho, cardiology, endocrinology, pain management, behavioral, dietary, etc
- Following our guidelines and coding to the highest specificity and accuracy along with making sure we are timely
- Applying modifiers
- Working unpaid claims and audits charts
- Capturing charges which consist of leveling profiles, entering facility charges, procedures charges, infusion charges, intravenous injections, or working with the billing department for charge entry
- Supporting providers and nursing staff with education as well as department managers and other employees
BILLING SPECIALIST
Artesia General Hospital
09.2015 - 01.2017
- Billing 1500s and UB-04 forms to insurances, private pay, or third-party payers
- Being in charge of the Item master appending general ledgers and changing price items by adding or deleting them
- Running reports for the not on master
- Posting private pay payments or insurance payments
- Speaking to patients, insurance companies, employees, or consultants
- Being in charge of collections for patients
- Follow up
- Closing our charge days
- Working with the coders to append the appropriate modifiers on the claims
- Performed daily review of unbilled by working unpaid claims for denials, appeals, rejections, timely, wrong charges, etc
- Applied corrections based on UBE & CME billing guidelines
- Applied coding knowledge in this area as well
- Being in charge of expired patients to retrieve death certificates and adjustments
- Making sure that our discounts were being applied along with setting up payroll deductions
- Helping patients with our charity program
- Educating department managers and staff
Education
Associate of Applied Science - HEALTH INFORMATION TECHNOLOGY
Western Texas Colledge
Business Office Certification - Business Office Technology
Dona Ana Community College
Skills
- Strong people skills
- Organizational abilities
- Business experience
- Coding and Billing Ethics and Compliance
- Revenue Cycle Management
- Analytical thinking
- Customer service
- Accounting principles
- Computer skills
- Word
Certification
- Certified Coding Specialist through AHIMA
- Medical Office Specialist Certification
Timeline
BILLING SPECIALIST
TRUBRIDGE
10.2022 - Current
BUSINESS OFFICE MANGER
Artesia General Hospital
08.2021 - 05.2022
CHARGE MASTER COORDINATOR/PATIENT REP
Artesia General Hospital
08.2018 - 08.2021
CERTIFIED CODING SPECIALIST
Artesia General Hospital
01.2017 - 08.2018
BILLING SPECIALIST
Artesia General Hospital
09.2015 - 01.2017
Associate of Applied Science - HEALTH INFORMATION TECHNOLOGY
Western Texas Colledge
Business Office Certification - Business Office Technology
Dona Ana Community College
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