Jessica Ann Fuentes
Miami
Summary
Dynamic and results-driven healthcare professional with extensive experience in practice management and medical billing, dedicated to optimizing operational efficiency and elevating patient care. Proven ability to lead teams, streamline workflows, and implement strategic initiatives that align with healthcare compliance standards. Recognized for fostering a collaborative and innovative environment, driving continuous improvement, and achieving excellence in practice administration. Expertise in negotiating insurance contracts, enhancing reimbursement processes, and executing projects that improve organizational performance and patient satisfaction.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Billing Manager / Practice Administrator
Pedro P. Llaneza MD PA
09.2006 - Current
- Negotiated insurance contracts, increasing reimbursement
- Implemented streamlined financial procedures, improving accuracy and efficiency
- Handled human resources tasks such as hiring, onboarding, payroll management, and employee relations issues resolution.
- Managed hospital and insurance credentialing and CE broker processes
- Developed and executed marketing strategies for international and local concierge services
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Coordinated care for international patients, liaising with hospital international departments
- Oversaw HR and payroll operations, ensuring timely and precise processing
- Managed financial aspects of the practice, including budgeting, billing, collections and insurance claims processing.
Surgical Coordinator
Pedro P. Llaneza MD PA
07.2000 - 09.2006
- Scheduled over 70 surgical procedures weekly
- Medical records management
- Improved revenue cycle efficiency by managing charge posting and collections
- Provided exceptional patient care
- Verified insurances
- Secured prior authorizations for surgical procedures and radiology exams
- liaised with pharmaceutical representatives
- Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Education
Bachelor of Business Administration - Supervision and Management
Miami Dade College
Miami, FL12-2024
Skills
- MS Office Suite
- Cerner / Oracle EMR expert
- MIPS Reporting
- Healthcare Compliance
- Patient Relations
- Workflow Optimization
- Medical Coding
- Claims processing
- Revenue cycle management
- Willing to learn
- Problem-solving
- Team management
Certification
- OSHA Certified
- Microsoft Office Specialist (MOS) Certification
Languages
English
Spanish
Timeline
Billing Manager / Practice Administrator
Pedro P. Llaneza MD PA
09.2006 - Current
Surgical Coordinator
Pedro P. Llaneza MD PA
07.2000 - 09.2006
Bachelor of Business Administration - Supervision and Management
Miami Dade College
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