Karen Yasmina Ortiz
Valencia,CA
Summary
A dynamic, results-oriented legal professional, with exceptional track record in a variety of challenging competitive business sectors. Highly proficient, meticulous attention to detail, and organized with outstanding problem solving and oral and written communication skills. Enthusiastic, innovative and committed individual that offers acquired leadership qualities such as interpersonal communication, decision-making and agility coupled with inherent traits of self-motivation, optimism and integrity. "Can do" attitude.
Overview
21
21
years of professional experience
Work History
Workers' Compensation and EBD AR Specialist
Concentra Occupational Health
Valencia, CA
02.2017 - Current
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Performed targeted collections on past due accounts aged over 90-360 days.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Developed and executed targeted relationship and account development strategy.
- Sorted incoming mail and faxes and expedited urgent correspondence for immediate attention.
- Determined and recommended methods to address improvement opportunities.
- Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
Paraeducator SPED PIV/ Bilingual Interpreter
Lincoln Public Schools
Lincoln , Nebraska
12.2013 - 05.2016
- Provided instructional reinforcement and physical assistance to student under the supervision of a professional educator and or administrator
- Aided teacher in areas of instruction, recreation, classroom organization and maintenance, record-keeping, and physical care of students
- Assisted students with high special needs (autism, behavioral) in reading, math, and writing
- Translated at IEP meeting, parent teacher conferences and at School District meetings
Billing Associate
Eye Surgical Associates
Lincoln, NE
02.2010 - 07.2011
- Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals
- Provided thorough, courteous and professional assistance to patients, physicians offices, insurance companies and other clients on as needed basis while maintaining strictest confidence
- Researched and performed all primary and secondary billing claims status follow up and insurance appeals
Commercial Collector
Health Care Systems
Torrance, CA
10.2009 - 01.2010
- Responsible for performing billing, collections and reimbursement services of claims and duties to hospitals
- Ensured all claims billed and collected met government mandated procedures for Integrity and Compliance
- Performed billing, collections and reimbursement services in a prompt and efficient manner
- Provided thorough, courteous and professional assistance to patients, physician offices, insurance companies and other clients on an as needed basis while maintaining strictest confidence
- Effectively managed more than 60 percent client relationships
Billing Associate
BryanLGH Medical Center
Lincoln, NE
10.2006 - 06.2008
- Prepared and submitted clean claims to various insurance companies electronically or by paper in accordance with specific payer guidelines and/or contract requirements while maintaining goal collections on assigned plan account receivables
- Researched and performed all primary and secondary billing claim status follow up activities for assigned insurance plans
- Reviewed and processed Commercial and Liability Claims to include follow ups and insurance appeals
- Conducted analysis to address zero pay claims which led to 90 percent of claims submitted to Insurances getting processed and paid
Financial Counselor
St. Johns Medical Center
Oxnard, CA
09.2004 - 04.2006
Education
Medical Interpreting -
South East Community College
Skills
- Bilingual in Spanish and English
- WC and Private Insurance Knowledge
- Detailed & Goal Oriented
- Payment processing
- Closing processes
- Aging reports analysis
- Accurate payment posting
- Self-motivated professional
- Time management
- Invoice coding familiarity
- Delinquent account management
- Problem-solving
- Customer relations
- Strong communication skills
Timeline
Workers' Compensation and EBD AR Specialist
Concentra Occupational Health
02.2017 - Current
Paraeducator SPED PIV/ Bilingual Interpreter
Lincoln Public Schools
12.2013 - 05.2016
Billing Associate
Eye Surgical Associates
02.2010 - 07.2011
Commercial Collector
Health Care Systems
10.2009 - 01.2010
Billing Associate
BryanLGH Medical Center
10.2006 - 06.2008
Financial Counselor
St. Johns Medical Center
09.2004 - 04.2006
Medical Interpreting -
South East Community College
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