Julie E. Lozano
Ontario,California
Summary
Experienced Government Billing/Collections Specialist bringing over 20 years of success in expertise knowledge of Medicare and Medi-Cal Billing and follow up practices. Eager to take on new role with long-term growth and advancement potential. Dynamic problem solver with first-rate skills in building relationships and resolving problems.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
Work History
Government Biller/Collector Specialist
Beverly Community Hospital
05.2021 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, Managed Care Medi-Cal insurances to obtain timely and accurate payments.
- Generated and submitted bills based upon established accounts receivable schedules and terms.
- Audited and corrected billing and posting documents for accuracy.
- Monitored outstanding patient accounts and performed collections duties including insurance denials & appeals..
- Maintained accurate records of customer payments.
- Utilized various software programs to process customer payments.
- Reconciled accounts receivable
- Handled account payments and provided information regarding outstanding balances.
- Prepared and submitted monthly billing reports to management for financial overview.
- Worked with multiple departments to check proper billing information.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Revenue Recovery Collections Manager
Riverside University Health System
05.2016 - 10.2016
- Trained and mentored new employees on collection methods, documentation requirements and performance strategies.
- Supervised staff of billers & collectors, monitoring weekly productivity
- Contacted customers to discuss late payments and options for remitting amounts due.
- Researched accounts and completed due diligence to resolve claim denial problems.
- Reviewed, researched and corrected billing discrepancies and customer concerns.
- Established procedures for collection of past due amounts.
- Managed daily and weekly cash reports for management.
- Worked with legal resources and recovery teams to manage default issues.
- Documented interactions in computer database and updated information.
- Complied with established internal controls and policies.
- Supported financial director with special projects and additional job duties.
Medi-Cal Collections Supervisor
Kaiser Permanente
06.2010 - 05.2016
- Trained collectors and reviewed work to reach compliance with legal requirements and company policies.
- Prepared and delivered performance reviews of 24 collectors to support continuous improvement of department.
- Identified needs and provided training to clarify expectations of collectors.
- Researched accounts and completed due diligence to resolve claim denial problems..
- Collaborate with department managers, leadership to strategize process improvement
- Recommended and implemented techniques to improve productivity
- Interviewed and assisted in selection of candidates for collections positions on team of 24
- Achieved performance goals on consistent basis.
- Trained new team members Medi-Cal billing and follow-up process according to Medi-Cal guidelines.
Coordinator of Government Programs
White Memorial Hospital
12.2001 - 05.2007
- Oversee Medicare, Medi-Cal and other state/county funded hospital billing and reimbursement for acute inpatient, outpatient, SNF, inpatient rehabilitation, and inpatient psychiatric services
- Supervised a team of 14 Government Biller/Collectors, Tar Coordinators, Team Lead, and Support Representative
- Ensure billing and follow-up adhere to government payors Medicare, Medi-Cal & L.A. County Mental Health billing guidelines
- Provided coaching to team which boosted morale within department.
- Monitored EPREMIS Billing editor billing issues for improved billing exception rates
- Maintained quarterly Medicare and Medi-Cal Credit balance report
- Maintained Bad Debt tracking log
- Maintained Medicare Recovery Audit Control (RAC) log for appeal, audit and reimbursement recovery
- Stayed current on Medicare billing guidelines to maintain corporate compliance
- Attended professional meetings and conferences to maintain and improve professional competence.
- Skilled at working independently and collaboratively in a team environment.
- Passionate about learning and committed to continual improvement.
- Identified issues, analyzed information and provided solutions to problems.
Education
High School Diploma -
Charter Oak High School
Covina, CASkills
- EXPERIEN Claimsource
- EPIC Health Connect (HB/PB)
- EPREMIS
- Medicare DDE
- Noridian Medicare Portal
- CMS , Medi-Cal and DHCS websites
- Insurance Billing Procedures
- Billing Coding (CPT, HCPCS, ICD-9, ICD-10)
- Research and Due Diligence
- Billing Systems and Software
- Collections
- Audit Procedures
I enjoy going to festivals, traveling, and jewelry making.
Enjoy heading out to annual festivals such as the Strawberry, Date, and Tamale experiencing all creative recipes from the vendors. There are so many places in California that I have not visited. I look forward to visit all the beaches along the Pacific Coast Hwy as well as San Diego. I also have a hobby of jewelry making to give out as gifts on special occasions.
Timeline
Government Biller/Collector Specialist
Beverly Community Hospital
05.2021 - Current
Revenue Recovery Collections Manager
Riverside University Health System
05.2016 - 10.2016
Medi-Cal Collections Supervisor
Kaiser Permanente
06.2010 - 05.2016
Coordinator of Government Programs
White Memorial Hospital
12.2001 - 05.2007
High School Diploma -
Charter Oak High School
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