Jennifer Rivera
Land O' Lakes,FL
Summary
Revenue cycle management professional prepared to leverage robust experience in optimizing financial operations and enhancing revenue streams. Known for strong team collaboration and results-driven approach, ensuring adaptable solutions to evolving challenges. Possesses key skills in healthcare finance, process improvement, and leadership, valued by employers for reliability and flexibility.
Overview
21
21
years of professional experience
Work History
Senior Rev Cycle and Auth Specialists Radiation
Tampa General Hospital
Tampa
08.2024 - Current
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
- Trained new staff on revenue cycle processes, improving onboarding efficiency.
Accounts Receivable Specialist
Southern HVAC
Maitland, FL
05.2023 - 04.2024
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Monitored accounts to verify compliance with payment terms and schedules.
- Negotiated payment arrangements with customers to establish timely receipt of payments.
- Contributed to a positive work environment by working closely with colleagues across departments to ensure efficient information exchange and collaboration on financial matters.
- Improved customer satisfaction by providing prompt, courteous service when addressing billing concerns or inquiries.
Assistant Office Administrator
Diabetes Care Center
02.2022 - 03.2023
- Utilized Microsoft Excel, QuickBooks and Oracle software to manage invoices and payments
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds
- Developed and maintained positive relationships with clients to maximize collections
- Reconciled accounts receivable ledger to verify payments and resolve variances
- Generated monthly accounts receivable reports to submit developments for management review
- Monitored and tracked performance of employees, identifying and targeting areas in need of improvement and further training
- Facilitated office productivity, coordinating personnel schedules, quality assurance and procedural improvements
- Reconciled account files and produced monthly reports to keep the physicians informed about office operations
- Verified salaried and hourly employee time cards to prepare accurate biweekly payroll
- Trained new employees on administrative procedures, company policies and performance standards
- Evaluated office documentation to check accuracy and complete missing pieces, avoiding delays and maximizing team productivity
Financial Counselor
Florida Cancer Specialists
11.2016 - 06.2021
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Strengthened client understanding of complex financial concepts using clear explanations and real-life examples.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Managed caseload effectively, ensuring timely follow-up appointments and communication with clients.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Improved client financial stability by assessing their financial situations and developing tailored plans.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
Office Manager
Angels Screening And Contracting
01.2005 - 01.2017
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
- Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
- Increased customer satisfaction by developing effective client feedback system that led to service improvements.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Account Receivable Manager
Physician Revenue Solutions
08.2015 - 11.2016
- Ensured timely payments from clients through effective communication and proactive followups.
- Posted customer payments by recording cash, checks, and credit card transactions.
- Verified discrepancies and resolved clients' billing issues
- Analyzed aging reports and provided recommendations for improving collections efforts.
- Prepared bills receivable, invoices, and bank deposits.
- Developed and maintained strong client relationships, fostering trust and open communication.
- Completed daily process adjustments to maintain accuracy.
- Reduced outstanding account balances through diligent follow-up on past due invoices.
- Managed a team of accounts receivable specialists, providing guidance and support for optimal performance.
Billing Specialist
Arthritis Center
04.2013 - 03.2014
- Managed all the Dr's schedules as well dealing with all employees call outs and making sure we have coverage where needed
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts
- Liaised between patient, doctor and insurance provider to smooth claims processes
- Monitored patients account made sure payment plans are current and there is no lapse in coverage
- Monitored the AR
- Spoke to patients about balances and set up payment plans
- Sent out all monthly statements and monitored all claims made sure they were paid and made any necessary adjustments
Billing Manager
Coastal Orthopedic
01.2011 - 08.2013
- Provided excellent customer service, developing and maintaining client relationships
- Worked with multiple departments to check proper billing information
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
- Prepared and submitted monthly billing reports to management for financial overview
- Reviewed billing problems, researched issues and resolved concerns
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies
- Worked with customers to develop payment plans and bring accounts current
- Trained and mentored staff on procedures, compliance requirements and collections techniques
- Established and checked coding procedures, monitored reports and updated internal files
- Posted all insurance money
Education
No Degree - Finance And Management
MindLab TGH
Medical Billing And Coding Certificate -
Career Institute of Florida
New Port Richey, FL08-2005
High School Diploma -
Ridgewood
Port Richey, FL06-2000
Skills
- Insurance verification
- Medical billing expertise
- Team management
- Analytical problem solving
- Multitasking
- Financial counseling
- Clinical team guidance
- Revenue cycle management
- Teamwork
- Customer service
- Time management
- Problem-solving
- Denial resolution
- Billing cycle expertise
Timeline
Senior Rev Cycle and Auth Specialists Radiation
Tampa General Hospital
08.2024 - Current
Accounts Receivable Specialist
Southern HVAC
05.2023 - 04.2024
Assistant Office Administrator
Diabetes Care Center
02.2022 - 03.2023
Financial Counselor
Florida Cancer Specialists
11.2016 - 06.2021
Account Receivable Manager
Physician Revenue Solutions
08.2015 - 11.2016
Billing Specialist
Arthritis Center
04.2013 - 03.2014
Billing Manager
Coastal Orthopedic
01.2011 - 08.2013
Office Manager
Angels Screening And Contracting
01.2005 - 01.2017
No Degree - Finance And Management
MindLab TGH
Medical Billing And Coding Certificate -
Career Institute of Florida
High School Diploma -
Ridgewood