Jackielou Segundo
Cleveland,Texas
Summary
Competent Accounts Receivable Specialist experience in handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
14
14
years of professional experience
Work History
Patient Account Representative
Behavioral Hospital of Bellaire
10.2024 - Current
- Managed account receivable accounts for any outstanding insurance payments
- Produced appeals for underpayments, timely filing and Retro-Authorization
- Responded to patient, family, and external payer inquiries.
Business Office Manager
Medical Behavioral Healthcare of Clear Lake
03.2023 - 09.2024
- Manage Account Receivable accounts for any outstanding payments, contractual adjustments, inaccurate payment postings, and overpayments
- Ensure Inpatient bed counts are accurately reported on a daily basis to Chief Financial Officer
- Verify new admission benefits for various insurance payors such as Medi-care, TX Medicaid and Commercial insurance
- Billed, audit and resolved issues for all claims
- Negotiate single-case agreements and pre-authorizations
- Produce appeals for underpayments, timely filing and Retro-Authorizations
- Reviewed & approved outstanding accounts for bad debt write off
- Increased A/R cash goal by ensuring financial counseling is being communicated for new admissions and during patient discharges to collect front-end cash
- Received, posted and reconcile daily cash deposits
- Liaison between Gulf Coast center contract and facility
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Cross-trained existing employees to maximize team agility and performance.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Completed bi-weekly payroll for two employees.
Business Office Manager
Sacramento Behavioral Healthcare Hospital
04.2021 - 12.2022
- Assisted in start-up of a brand new psychiatric hospital, including assisting in staying in compliance with California Department of Public Health (CDPH) requirements to open
- Managed business office operations such as Accounts Receivable report, admissions, cash collections and single case agreement (SCA)
- Verified benefit coverage for various insurance payors such as commercial, Medi-care and Medi-Cal
- Followed-up with insurance carriers on outstanding unpaid accounts
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Defined clear targets and objectives and communicated to other team members.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Human Resource Generalist
Heritage Oaks Hospital
08.2020 - 03.2021
- Implemented and managed pre-employment, on-boarding and orientation procedures for new hires
- Directed orientation week for all new employees
- Met with employees for position transfers and separations
- Managed Workers’ Compensation program
- Updated key human resource metrics on turnover and terminations using reporting tool through an excel worksheet
- Liaised with HR and payroll to coordinate and manage employee leaves of absence.
- Collaborated with payroll to complete and upload pay data and worked with managers to support proper wage and hour compliance.
- Met with staff to resolve difficult situations related to performance and conflict management.
- Facilitated criminal background check process for new hires.
- Improved operational processes resulting in productivity increase in HR department.
- Maintained personnel records and statistical data to establish accuracy and compliance with applicable regulations.
- Partnered with departmental managers to ascertain hiring needs and subsequently provide candidate recommendations.
Nursing Staffing Coordinator
Heritage Oaks Hospital
06.2016 - 08.2020
- Ensured adequate scheduled staff and monitored changes
- Reviewed time cards daily for accuracy and over-time
- Ordered and maintained inventory of patient supplies
- Assisted with personnel records management to support recordkeeping accuracy.
- Verified payroll, vacation and sick time hours to support accounting processes.
- Partnered with Director of Nursing to ascertain hiring needs and subsequently provide candidate recommendations.
- Established team priorities, maintained schedules and monitored performance.
- Developed and monitored employee recognition programs.
- Completed human resource operational requirements by scheduling and assigning employees.
- Developed and implemented onboarding and orientation programs for new employees.
- Improved office efficiency by effectively managing internal communications and correspondence.
Business Office Medical Lead Biller/Collector
Heritage Oaks Hospital
11.2011 - 06.2016
- Accurately billed patient accounts by maintaining knowledge of all payors, billing and payment practices and collection procedures and schedules
- Maintained Medicare & Commercial billing to ensure accurate claims were submitted in timely
Outpatient Program Coodinator
Heritage Oaks Hospital
10.2010 - 10.2011
- Implemented program and maintenance plan.
- Identified risks and developed mitigation plans.
- Collaborated with various teams to uncover issues, identify applicable solutions, and offer guidance.
- Scheduled and monitored programming to air content as planned.
- Facilitated programming by coordinating resources and deliverables between departments.
- Created and enforced programming standards to maintain compliance with regulatory requirements.
- Developed and recommended policies and procedures for evaluating programs.
- Promptly responded to inquiries and requests from prospective customers.
- Cross-trained and provided backup support for other Outpatient program location.
- Followed-through on all critical inter-departmental escalations to increase customer retention rates.
- Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
- Increased efficiency and team productivity by promoting operational best practices.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Education
High School Diploma -
Highland High School
North Highlands, CA06-1996
Skills
- File coordination
- Verbal and written communication
- HIPAA compliance
- Collections experience
- Payment processing
- Insurance verification
- Hospital operations
- Regulatory compliance
- Administrative support
- Insurance billing
- Detailed Oriented
- Payroll
Timeline
Patient Account Representative
Behavioral Hospital of Bellaire
10.2024 - Current
Business Office Manager
Medical Behavioral Healthcare of Clear Lake
03.2023 - 09.2024
Business Office Manager
Sacramento Behavioral Healthcare Hospital
04.2021 - 12.2022
Human Resource Generalist
Heritage Oaks Hospital
08.2020 - 03.2021
Nursing Staffing Coordinator
Heritage Oaks Hospital
06.2016 - 08.2020
Business Office Medical Lead Biller/Collector
Heritage Oaks Hospital
11.2011 - 06.2016
Outpatient Program Coodinator
Heritage Oaks Hospital
10.2010 - 10.2011
High School Diploma -
Highland High School
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