Janice Tolon

Office Manager with extensive experience in medical billing and revenue cycle management at Pediatric Therapy Specialists, Inc. Achievements include optimizing billing processes and improving customer service metrics. Proficient in ICD-10 coding and skilled in resolving billing disputes, showcasing strong analytical abilities and meticulous attention to detail.

UPON REQUEST

• Medical Billing
• Collections and Account Reconciliation
• Insurance Verification
• Customer Service
• Clerical and Data Entry
• Physician Credentialing
• 60WPM
• Filing, Scanning, Faxing
• Internet Literate and Research
• Collections
• Bilingual in English and Tagalog
• Bookkeeping
• Extensive knowledge of ICD-10 and CPT coding
• Account Payable and Receivable
• Appointment scheduling
• 10 Key
• Strong Communication and Written skills
• Human Resource

• PEDIATRIC THERAPY SPECIALISTS, INC., OFFICE MANAGER, 10/22, Current, Oversee financial aspects of the company which include accounts payable and accounts receivable., Prepare and process payroll., Manage office employees - assign duties, projects, tasks and establish sufficient workload., Implement and update company policies, procedures and employee handbook., Manage office inventory/supplies and make necessary purchases., Prepare correspondence, office memos and minutes.
• SELF EMPLOYED, NORTHRIDGE, CA, Medical Billing Management/Contractor, 02/22, 02/25, Managed Client Revenue Cycle
• MEDICAL OUTSOURCE SOLUTIONS, INC., SHERMAN OAKS, CA, MEDICAL BILLER/ACCOUNT MANAGER, 02/09, 02/22, Applied treatment charges, insurance and patient payments to Medisoft Billing software., Processed an average of 2,200 claims per month for accuracy with billing codes and diagnosis., Gathered documentation for billing records request and collection process., Provided customer service to insurance and patient phone calls., Patient payment collection via telephone and email., Data entry of patient demographics and insurance information using Medisoft software., Verified patient eligibility and benefits on the phone and online., Obtained treatment authorizations from insurances via phone and provider portal., Generated patient statements and sent via post., Provided Month End reports balancing of monthly collections and patient and physician statistics., Monthly A/R report management. Conducted follow up communications with insurance companies., Submitted insurance appeals resulting in recovery of past due payments., Assisted CEO with human resource tasks i.e. employee evaluations and employee interviews., Created reimbursement sample data for clients., Implemented additional office policies and forms for clients., Claims submission to OfficeAlly clearinghouse.
• ORCHID SURGERY CENTER, BEVERLY HILLS, CA, MEDICAL BILLER/CODER, 07/08, 01/09, Posted insurance payments, private payments, and charges., Entered patient demographics and insurance information using Medisoft software., Verified health insurance eligibility and benefits., Obtained procedure authorizations., Claim denial appeals and correction., Applied appropriate CPT codes on superbills., Monthly A/R report management., Generated patient statements.
• GGB MEDICAL MANAGEMENT, CHATSWORTH, CA, MEDICAL BILLER, 09/07, 03/08, Posted insurance payments, private payments, and charges., Provided customer service to heavy phone calls., Entered patient demographics and insurance information using Reflections software., Generated patient statements.
• BECHTEL PHYSICAL THERAPY, SHERMAN OAKS, CA, MEDICAL BILLER/CODER, 04/07, 08/07, Posted insurance payments, private payments, and charges., Entered patient demographics and insurance information using PTOS software., Claims and payment follow-up., Verification of health insurance eligibility and benefits., Balanced daily deposit, bank reconciliation and monthly A/R report management., Medical records submission for insurance appeals., Generated patient statements.
• METROMED BILLING (DERMATOLOGY AND PSYCHIATRY), WINNETKA, CA, MEDICAL BILLER, 02/04, 05/08, Posted private insurance and patient payments., Posted treatment charges., Entered patient demographics and insurance information using Medisoft software.
• PEDIATRIC ASSOCIATES MEDICAL GROUP, INC., SHERMAN OAKS, CA, MEDICAL BILLER/CODER/MEDICAL SECRETARY, 11/01, 02/07, Posted insurance payments, private payments, and charges., Entered patient demographics and insurance information using Westland software., Claims and payment follow-up., Verification of health insurance eligibility and benefits., Monthly A/R report management., Submission of insurance appeals., Transcribed medical necessity for physicians and excuse/absence letters for students., Patient scheduling and referral coordination., Provided customer service to heavy patient and insurance phone calls., Generated patient statements.
• CARE PLUS MEDICAL GROUP (PAIN MANAGEMENT/CHIRO), VAN NUYS, CA, MEDICAL BILLER/HR/SECRETARY, 06/99, 10/01, Posted insurance payments, private payments, and charges., Entered patient demographics and insurance information using Medisoft software., A/R follow-up., Patient scheduling and coordinated doctor and lawyer referrals and liens., Verification of health insurance eligibility and benefits., Accounts receivable and payable., Medical records and phone management.
• THINGS REMEMBERED, CONCORD, CA, ASSISTANT STORE MANAGER, 06/98, 01/99, Employee supervision and scheduling., Bank depository and cash register operation., Provided customer service to customers regarding custom orders, pricing, and product details., Inventory and supplies management.