JULIANA PEREZ-GOMEZ
Richmond,USA
Summary
Professional billing expert with strong expertise in financial analysis, invoicing, and account reconciliation. Proven track record in optimizing billing processes and resolving discrepancies efficiently. Known for collaborative teamwork, adaptability, and achieving organizational goals. Skilled in medical coding, insurance claims, and ERP systems.
Overview
7
7
years of professional experience
Work History
Billing Specialist
Transition Home Health Care
09.2024 - Current
- Generate and submit accurate daily claims, in accordance with payor guidelines.
- Monitor and track reimbursement claims to identify and resolve any discrepancies.
- Ensure proper coding of services according to ICD-10, CPT, and HCPCS coding standards.
- Provide clear and concise communication to clients and healthcare providers regarding billing matters.
- Assist with the month end closing reports
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
- Increased revenue retention by setting up follow-up system for outstanding payments.
Accounting Assistant
TAWL Healthcare Inc
10.2023 - 08.2024
- Contact insurance carriers or other responsible parties to confirm payment dates and details.
- Handle all claims, denials rejections and no response work queue and follow up. Review and document accordingly.
- Drafted invoices, research discrepancies.
- Enhanced vendor relations by promptly resolving invoice discrepancies.
- Organized and entered new billing in central database.
- AR and AP billing and reconciliation.
- Responsible for staff training and development
- Managed high-volume invoice processing tasks while consistently meeting tight deadlines for vendor payments.
- Expedited invoice processing with effective communication between internal departments and external vendors.
- Processed credit card payments and reconciled credit card statements for accuracy in accounting process.
- Improved cash flow management by closely monitoring accounts receivable, ensuring prompt collection of outstanding balances.
Intake Coordinator Supervisor
TAWL Healthcare Inc.
11.2017 - 10.2023
- Actively manage and direct use of resources to achieve the highest quality outcomes and patient experiences.
- Manage information/communication to effectively oversee healthcare delivery and facilitate interdisciplinary plan-of-care decisions.
- Monitor the discharge plan implementation while identifying/addressing the patient’s psychosocial and support-systems issues.
- Oversee the coordination of services and manage issues in the areas of admission/discharge, team conference/interdisciplinary plan-of-care communication, patient/family education, payor relations and total fiscal management.
- Ensure that cost-effective treatment is provided, and patient’s-rights regulations are followed.
- Provide continued staff training to new candidates.
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Maintained strict confidentiality of patient information, adhering to HIPAA guidelines and company policies.
Education
No Degree - Accounting
Houston Community College
Houston, TX07-2026
Bachelor’s degree - Business Administration, Finance and Economics
Metropolitan University of Puerto Rico (UMET)
San Juan, PR05-2016
Skills
- HIPAA compliance
- Claims processing
- Account reconciliation
- Invoice generation and processing
- Collections
- Billing systems and software: QuickBooks, Waystar, Kinnser, HCHB, DDE and AS 400
- Team collaboration
- MS Word, Excel, MS Office and Outlook
- Insurance verification
Languages
Spanish
Native or Bilingual
Timeline
Billing Specialist
Transition Home Health Care
09.2024 - Current
Accounting Assistant
TAWL Healthcare Inc
10.2023 - 08.2024
Intake Coordinator Supervisor
TAWL Healthcare Inc.
11.2017 - 10.2023
No Degree - Accounting
Houston Community College
Bachelor’s degree - Business Administration, Finance and Economics
Metropolitan University of Puerto Rico (UMET)
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