Hi, I’m
Vanessa Oceguera
San Diego,CA
Summary
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
23
years of professional experience
Work History
AMN healthcare
Billing Specialist
01.2015 - Current
Job overview
- Manually enter timecards for clinicians
- Send Invoices to our vendors for payment
- Follow-up on payment
- Reconcile Invoices
- Upload and post the revenue to Great Plains
- Run weekly reports for status of Active Engagements.
Stay home mom/ Student
07.2014 - 01.2015
Community Research Foundation
Billing/Claims Department- Claims & Billing Assistant
04.2013 - 07.2014
Job overview
- Run reports for all 12 locations and make sure that all Billing goes out for the week
- Submit Kaiser and VA claims weekly
- Appeals for any denied claims
- Run eligibility for all Medi-Cal patients
- Post payments in to QuickBooks
- Month end paperwork (Excel and Quickbooks)
- Work in collaborate with the Accounting Department
- EPIC trainer/SME.
Rady Children’s Hospital
Perinatal Department—Supervisor(EPIC)
10.2011 - 04.2013
Job overview
- Supervise 15 employees
- Accountable for Operations of Registration, Scheduling call center, Referrals and Authorizations, Medical Records and Transcription
- Manage physician templates and schedules
- Manage customer concerns/complaints
- Training of Staff New Hires or New Process
- Reconcile invoices for patients or vendors
- Employee coaching and write-up
- Schedule appointments/ request authorization for OBGYN
- Translate for Spanish speaking families.
Rady Children’s
Behavioral Crisis Center Psychiatry—Admin Assistant
10.2010 - 10.2011
Job overview
- Triage New patients
- Credentialing for physicians
- Physician schedules and templates
- Professional Billing for Outpatient Mental Health
- Assist in filling out paperwork for Admissions to the hospital
- Translate for Spanish speaking families.
PsyCare, Inc.
Credentialing/Billing Manager/Admin. Assistant
02.2001 - 10.2010
Job overview
- Supervise 6 Billers in Billing and coding
- Timely filing of all claims—including Electronic billing
- Receive EOBs and posting in to Raintree system
- Reconciling insurance and patient payments
- Successful track record in resolving account disputes and appeals
- In charge of schedules and templates for over 120 providers
- Credentialing and Re-Credentialing for 120 providers
- Orientation of new hires—staff and providers
- Assisted in provider payroll.
Education
Southwestern Community College
AA
05.2019
Chula Vista Senior High School
General Education
01.2000
Southwestern Community College
Business Administration
Skills
- ICD-9
- CPT-10
- Medical Terminology
- Bi-Lingual (English/Spanish)
- Various Practice Management Software
- Claim Entry & Payment Posting
- Records Organization & Management
- Insurance & Patient Aging
- HIPAA Compliance
- Online Claim Submission
- Claims Processing
- Invoice Processing
- Collections
- Billing dispute resolution
- Accounts receivable expertise
- Medical billing and collections
- Insurance Verification
- Customer Engagement
- Coding proficiency
- Research and due diligence
- Account updating
- Bank Statement Reconciliation
- Dispute Negotiation
- Data Analysis
- Administrative Support
- Customer Service
References
Available Upon Request
Languages
Spanish
Professional
Timeline
Billing Specialist
AMN healthcare
01.2015 - Current
Stay home mom/ Student
07.2014 - 01.2015
Billing/Claims Department- Claims & Billing Assistant
Community Research Foundation
04.2013 - 07.2014
Perinatal Department—Supervisor(EPIC)
Rady Children’s Hospital
10.2011 - 04.2013
Behavioral Crisis Center Psychiatry—Admin Assistant
Rady Children’s
10.2010 - 10.2011
Credentialing/Billing Manager/Admin. Assistant
PsyCare, Inc.
02.2001 - 10.2010
Southwestern Community College
AA
Chula Vista Senior High School
General Education
Southwestern Community College
Business Administration
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