Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverage resourcefulness, critical thinking skills and superior work ethic for top job performance. Skilled in building client and vendor rapport and managing accounts to reduce outstanding balances. Driven Billing Specialist collects, posts and manages account payments. Proven success building relationships and maintaining optimal billing efficiency. Excellent organizational and problem-solving skills with superior client service acumen.
Overview
15
15
years of professional experience
Work History
Office Administrator/Manager
South Florida Pulmonary and Critical Care Associates
Homestead, FL
04.2024 - Current
Managed patient records and files using CureMD software, prioritizing and maintaining patient confidentiality in compliance with HIPAA regulations.
Greeted visitors warmly, handled inquiries and provided general information about the company.
Greeted visitors warmly upon arrival at the office premises.
Developed strong relationships with clients through excellent customer service skills.
Monitored office equipment maintenance contracts ensuring all equipment is serviced regularly according to manufacturer's guidelines.
Reviewed employee time sheets for accuracy prior to submission for payroll processing.
Maintained supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
Maintained customer confidence and protected operations by keeping information confidential.
Prepared special reports by collecting, analyzing and summarizing information from various sources.
Answered incoming calls in a professional manner, directed callers to appropriate personnel or department, or took messages as needed.
Provided assistance with the planning of events such as staff meetings or conferences.
Coordinated and managed daily administrative operations of the office.
Performed clerical duties such as photocopying, faxing and scanning documents.
Organized and maintained filing systems, including electronic databases and records.
Reviewed documents and obtained additional information to complete accurate paperwork and avoid delays.
Replenished office supplies, placing new orders for restocking to maintain inventory.
Processed financial documents, contracts, expense reports and invoices.
BILLING DEPARTMENT SUPERVISOR
SOUTH FLORIDA PULMONARY AND CRITICAL CARE ASSOCIATES
Coral Gables, FL
12.2017 - Current
Use MDVita and CureMD software to manage patient records and files, reinforce and uphold patient confidentiality as required by HIPAA and clinic Spot for CM & Optum health plan knowledge and expertise navigation of Medicaid portal, Facilitated daily administrative functions, including customer service, patient scheduling, and inventory management, Collected patient co-payments and recorded payment transactions, obtained third-party payer authorization for services provided and communicated outstanding balances to insurance companies and patients, Greet and check-in patients, and collect personal, medical, and insurance information, Schedule, reschedule, and verify patient appointments, schedule appointments, Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays, Entered pertinent information in a timely manner while paying special attention to detail, Ensuring that all insurance information needed for billing and collection processes are appropriately obtained and recorded in the computer system, Informs patients of their financial responsibility for services to be rendered, Initiated the pre-authorizations/pre-determinations for insurance to get verified and processed correctly, Followed up with decisions from providers, Communicated with both patients and primary care physicians (PCPs) and/or specialists in regard to outstanding balances, Followed up with doctor's office with authorizations, Faxed and emailed LOMN (letter of medical necessity) with clinical notes to provider for Authorizations, Billing, Collections, Contracts, Credentialing, Insurance Verification, Appeals and Corrected Claims, Accounts Receivables, Posting Checks, Posting ACH, Posting ERA's, Patient Statements, Daily Reports for Billing, Monthly Insurance Reports and Pay, Cure md System, All Insurance Portals, Sleep Studies, Nurse Visits, Vitals, Collecting Payment Over Phone, Making Sure Everyone Is Knowledge Able as Well As Keeping All My Staff Up To Date With Our Department, Oversees Insurance Verification, Billing, And Collections
BILLING DEPARTMENT SUPERVISOR
GABLES MEDICAL CENTERS
Coral Gables, FL
09.2020 - 09.2023
Billing for Primary Care Physician at Gables Medical & Collections Posting Checks, Appeals and Corrected Claims, Making Payments Via telephone, Billing, Collections, Posting Checks, Posting Daily Check Deposits, Accounts Receivable, Credentialing, Contracts, MDVita Use, Customer Service, Contacted clients with past due accounts to formulate payment plans and discuss restructuring options, Generated and submitted invoices based upon established accounts receivable schedules and terms, Identified, researched and resolved billing variances to maintain system accuracy and currency, Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments, Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts, Delegated tasks to administrative support staff to organize and improve office efficiency.
ASSISTANT STORE MANAGER
MILAM'S SUPERMARKET
Miami, FL
02.2010 - 12.2016
Suggest ways to improve store sales and performance of members of staff, Customer Interaction, Customer Service, Handling cash responsibly on daily basis, Providing leadership to members of staff, Retail administrative duties, Resolving customer complaints and disputes, Store management, Staff management, Staff recruitment, Staff disciplinary procedures, Supporting Store Manager in identifying opportunities for commercial advantage, Providing an exceptional in-store experience for customers, Managing staff training requirements, Delegate work and give tasks to individuals to do, Capable of understanding detailed business process and procedures, Ability to work under pressure and meet targets, Able to build a working atmosphere that has energy, vitality, and fun, Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings, Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities, Supervised and evaluated staff, enabling them to improve skills, achieve daily objectives, and attain advancement, Reconciled daily sales transactions to balance and log day-to-day revenue, Rotated merchandise and displays to feature new products and promotions, Interviewed, hired, and trained staff associates and equipped to comply with company policies and procedures, Met or surpassed business targets regularly through employee engagement and forward-thinking planning, Responded to customer concerns, working with manager to significantly raise customer satisfaction ratings, Approved regular payroll submissions for employees, Conducted weekly staff meetings to motivate staff members, address concerns and questions, plan improvements, and evaluate progress toward goals, Provided weekly work schedules to employees to accommodate business demands and vacation requests, Maintained positive customer relationships by responding quickly to customer service inquiries, Analyzed and interpreted store trends to facilitate planning, Processed payments for credit and debit cards and returned proper change for cash transactions, Walked through store areas to identify and proactively resolve issues negatively impacting operations, Promoted professional growth and facilitated talent development of each associate to drive performance excellence.
Bankruptcy Biller
The Law Offices of David J Stern PA
Miami, FL
04.2010 - 10.2010
Responsible for Bankruptcy department billing on a daily basis, Prepared hearing packages on a weekly basis, Position required the ability to multi-task, work quickly and efficiently, Responsible for delivery of files to correspondent department or teams once, Assisted billing department manager with any special projects, Executed billing tasks and recorded information in company databases, Contacted clients with past due accounts to formulate payment plans and discuss restructuring options, Determined proper codes for medical records and patient services, Followed up with appropriate parties to obtain prompt payments, Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered, Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts, Entered invoices requiring payment and disbursed amounts via check, electronic transfer, or bank draft, Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries, and accruals, Handled account payments and provided information regarding outstanding balances, Processed payment via telephone and in person with a focus on accuracy and efficiency.
Education
High School Diploma -
AMERICAN ACADEMY HIGH SCHOOL
FL, June 2004
Associate of Arts - Health Service Administration
Florida National University
FL
Skills
Collection practices
Billing experience
Records organization and review
Billing systems and software
Strategic planning
Staff Management
Documentation and control
Credit and collections
Policy and procedure modification
Scheduling
Claims Processing
Invoice Processing
Payment Posting
Accounts Receivable Expertise
Invoicing Proficiency
Collections
Billing Dispute Resolution
Medical Billing and Collections
Employee Supervision
Quickbooks
Multitasking and Organization
Coaching and Mentoring
Regulatory Compliance
Administrative Support
Operations Management
Customer Engagement
Database entry
Report Preparation
Business Administration
Office Supply Management
Schedule and calendar management
Supply Inventory
File Organization
Scheduling appointments
Office Management
Office Administration
Time Management
Strategic Planning
Timeline
Office Administrator/Manager
South Florida Pulmonary and Critical Care Associates
04.2024 - Current
BILLING DEPARTMENT SUPERVISOR
GABLES MEDICAL CENTERS
09.2020 - 09.2023
BILLING DEPARTMENT SUPERVISOR
SOUTH FLORIDA PULMONARY AND CRITICAL CARE ASSOCIATES
12.2017 - Current
Bankruptcy Biller
The Law Offices of David J Stern PA
04.2010 - 10.2010
ASSISTANT STORE MANAGER
MILAM'S SUPERMARKET
02.2010 - 12.2016
High School Diploma -
AMERICAN ACADEMY HIGH SCHOOL
Associate of Arts - Health Service Administration
Florida National University
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