Kimberly Torres
VA
Summary
Seasoned Revenue Cycle Representative with vast experience in managing patient accounts and ensuring accuracy of billing procedures. Strengths lie in maintaining efficient revenue cycle processes, reducing errors, and enhancing customer satisfaction. Skilled at streamlining operations, training team members on financial guidelines, and contributing to organizational profitability. Proven record of improving operational workflows while supporting financial health of previous employers.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Representative
Virginia Eye Institute
Richmond, VA
04.2022 - Current
- Reviewed patient accounts for accuracy and completeness of information.
- Conducted follow-up on unpaid or partially paid claims.
- Performed data entry into revenue cycle systems such as EMRs and practice management software.
- Verified patient eligibility for coverage prior to submitting claims for payment.
- Handled accounts payable and receivable, including invoicing and payment processing.
Insurance Verification Specialist
Virginia Eye Institute
Richmond, VA
03.2020 - 04.2022
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Surgical Coordinator
Virginia Eye Institute
Richmond, VA
06.2016 - 04.2022
- Organized patient charts for surgical procedures and ensured accuracy of all documents.
- Scheduled pre-operative appointments with patients, obtained consent forms and collected necessary insurance information.
- Managed scheduling of multiple surgeries on a daily basis, coordinating availability of surgeons and anesthesiologists.
Education
Bachelor of Science -
Virginia Commonwealth University
Richmond, VASkills
- Financial Counseling
- HIPAA Compliance
- Patient Registration
- Claim submission
- Payment posting
- Insurance Verification
References
References available upon request.
Timeline
Revenue Cycle Representative
Virginia Eye Institute
04.2022 - Current
Insurance Verification Specialist
Virginia Eye Institute
03.2020 - 04.2022
Surgical Coordinator
Virginia Eye Institute
06.2016 - 04.2022
Bachelor of Science -
Virginia Commonwealth University
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