JUAN SOSA
Houston,TX
Summary
- Account Management
- Finance
- Collections/Payment Plans
- Account Resolution
- Data Collection
- Revenue Cycles
- Managed Care
- Supporting Documentation
- Reconciliation Processes
- Account Audits
- Attention to Detail
- Team Collaboration
- Report Generation
Overview
21
21
years of professional experience
Work History
Revenue Cycle Analyst – Global Services
Houston Methodist Hospital
Houston, TX
08.2005 - Current
- Complete an array of financial and patient service tasks within a 1,500+ bed hospital, including but not limited to registration, pre-certification and verification for services, cost estimates, billing and consolidation, claims follow-up, reporting, and account resolution.
- Analyzed revenue cycle data to identify trends and discrepancies.
- Developed and implemented process improvements to enhance billing accuracy.
- Collaborated with cross-functional teams to resolve claims denials effectively.
- Led initiatives to streamline workflows, reducing turnaround times for claim processing.
- Monitored daily reports, identifying trends or discrepancies that warranted further investigation or action from the revenue cycle team.
- Provided exceptional customer service when addressing patient inquiries or concerns, fostering trust and satisfaction in the billing process.
- Contributed to improved cash flow by monitoring and resolving aged account balances in a timely manner.
- Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
- Collaborated with cross-functional teams to develop strategies for optimizing the revenue cycle process.
- Supported timely claim submission by reviewing and validating all relevant billing information.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with stakeholders.
- Participated in regular audits, proactively addressing any issues identified to minimize financial risks to the organization.
- Balanced and reconciled accounts.
- Developed strong working relationships with payers, promoting collaboration in resolving complex reimbursement challenges.
- Contacted responsible parties for past due debts.
- Identified and resolved payment issues between patients and providers.
Education
Bachelor of Science - Interdisciplinary Studies
University of Houston – Downtown
Houston, TX12.2016
Associate of Arts - Business Administration
Houston Community College
Houston, TX2010
Skills
- Epic
- CISCO
- Patient Tracker
- Stratus
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Revenue Cycle Analyst – Global Services
Houston Methodist Hospital
08.2005 - Current
Bachelor of Science - Interdisciplinary Studies
University of Houston – Downtown
Associate of Arts - Business Administration
Houston Community College