Liliana Hewlett
Mansfield,TX
Summary
Professional with 12 years of experience translating Medicare documents into Spanish, developing educational material in Spanish, and educating Medicare suppliers and providers.
Overview
18
18
years of professional experience
Work History
Provider Outreach Education Bilingual Analyst (English & Spanish)
CGS ADMINISTRATORS LLC (DME Medicare Jurisdiction C)
11.2011 - Current
- Developing and promoting customer education products in Spanish (presentations, tools, forms, completion guides, webpage content) to assist Medicare DME suppliers and providers in complying with policies and procedures
- Explaining the current Medicare DME policies (National and Local Coverage Determinations, and Medicare regulations) to Medicare DME suppliers, pharmacists, physicians, and providers of health care services in Spanish, to assist them in complying with policies and procedures
- Organizing and implementing outreach activities that address the unique needs of DME suppliers and health care providers in Puerto Rico, U.S, Virgin Islands, Florida, Georgia, and Texas (1-2 workshops per year in Spanish, 65-70 webinars per year in Spanish)
- Verifying the compliance with Section 508 of the Rehabilitation Act of 1973, of all material developed in Spanish
- Translating educational material into Spanish
- Supporting other departments in their document review process, appeals, administrative processes, etc. in Spanish
Billing and Collections Manager (DME Supplier)
MEDENVIOS HEALTHCARE
06.2006 - 10.2011
- Oversaw daily billing and collection operations
- Resolved and interpreted denials, transaction errors, and payment reports from Medicare and private insurances
- Prepared and processed appeals based on individual payer guidelines
- Developed and implemented mechanisms and controls to ensure appropriate billing and collection cycles and accurate billing time in accordance with established internal and third-party payer requirements
- Established and implemented appropriate billing policies and procedures for all billing activities
- Monitored billing, collection, and posted operations for the compliance of the established policies, regulations, procedures, and standards
- Maintained up to date expertise and knowledge on healthcare billing laws, rules, and regulations to make informed business decisions
- Billed Medicare, private insurances, or appropriate third-party payers for the services provided
- Reviewed medical documentation
Education
Bachelor of Science in Nursing (BSN) -
PONTIFICIA UNIVERSIDAD JAVERIANA
01.1990
Skills
- 25 years of experience in educating adults in Spanish and English
- Microsoft Office (Word, Excel, Power Point), Adobe Acrobat
- Six Sigma Green Belt
- Public speaking
- Training, designing, and delivering educational materials in Spanish
- Excellent planning, communication, and organizational skills
- Able to work independently with minimal supervision and as part of a team
- Able to prioritize workload, and meet deadlines
- Superior interpersonal skills, vendor relations, client services, and conflict resolution
- Effective problem-solving skills, tact, and good judgment in critical situations with attention to detail
- Languages: English, Spanish (Native)
Accomplishments
- 2016 THIRD QUARTER CGS WALL OF FAME
- 2017 THIRD QUARTER CGS WALL OF FAME
- 2018 THIRD QUARTER CGS WALL OF FAME
Others
American Citizen
Timeline
Provider Outreach Education Bilingual Analyst (English & Spanish)
CGS ADMINISTRATORS LLC (DME Medicare Jurisdiction C)
11.2011 - Current
Billing and Collections Manager (DME Supplier)
MEDENVIOS HEALTHCARE
06.2006 - 10.2011
Bachelor of Science in Nursing (BSN) -
PONTIFICIA UNIVERSIDAD JAVERIANA
Similar Profiles
Sarah MontgomerySarah Montgomery
Medical reviewer III at CGS administratorsMedical reviewer III at CGS administrators
Trecia HollowayTrecia Holloway
Claims Processor II at CGS AdministratorsClaims Processor II at CGS Administrators
Yolanda MercerYolanda Mercer
Medicare Administrative Contractor at CGS AdministratorsMedicare Administrative Contractor at CGS Administrators