LINA PEREZ
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
21
21
years of professional experience
Work History
Full Revenue Cycle Specialist
Heart and Vascular Partners
09.2023 - Current
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
- Provided regular updates on billing status to upper management through detailed reports.
- Balanced and reconciled accounts.
- Identified and resolved payment issues between patients and providers.
- Managed daily operations of the collection receivables, Full Revenue Cycle Management
- Payment posting
- Generated receivables reports and offered improvement recommendations.
- Participate in client meetings to discuss financial analysis.
- Prepare appeals and reconsiderations utilizing Availity
- Complete monthly AR reports.
- Payer portal and clearinghouse experience (Availity and Waystar)
- multi-task in fast-paced environment •
- Create monthly workflow
- Perform other duties assigned
Full Revenue Cycle Specialist
Regent Surgical Health
08.2022 - 09.2023
- Managed daily operations of the collection receivables, Full Revenue Cycle Management
- Payment posting
- Balance and reconcile accounts.
- Identify and resolve payment issues between patients and providers.
- Generated receivables reports and offered improvement recommendations.
- Contact responsible parties for past due debts.
- Participate in client meetings to discuss financial analysis.
- Upload payer contracts in GMED system
- Prepare appeals and reconsiderations
- Payer portal and clearinghouse experience
- multi-task in fast-paced environment
- Create monthly workflow
- Open and closed month end
- Reporting with Excel
- Perform other duties assigned
AR Specialist
Go Path Pathology Associates
11.2021 - 08.2022
- Answer client, patient, and carrier calls and resolve all incoming calls and requests in timely manner
- Collaborated with medical providers and office management to determine billing and documentation policies and ensure compliance
- Responsible for all monthly reports, AR, follow up, collections and refunds
- Timely management of unpaid claims as assigned, using aging reports; correspondence; Clearinghouse, rejections, and other notifications (EDI)
- Handle complex payer denials; responsible to ensure that secondary claims are sent and paid
- Monitor and reconcile claims including held claims, unbilled claims, client bills, denial trends, patient balance reports, credits, and refunds
- Complete revenue billing cycle-entering charges from super bills, primary and secondary billing electronically and paper claims, posting payments, adjustments follow up and collections
- Review accounts daily and initiate appropriate follow up action
- Prepare and submit appeals both paper and electronic on primary and secondary plans
- Post and enter charges as needed including corrections
- Manage and track information requests to client
- Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
AR Specialist/Commercial
Health Information Services
03.2013 - 11.2021
- Complete revenue billing cycle- entering charges from super bills, primary & secondary billing electronically and paper claims, posting payments, including electronic funds, adjustments and patient follow up and collections.
- Called and utilized online resources with insurance carriers to establish status of claims/appeals
- Strong financial and analytical skills of accounts receivable
- Responsible for all monthly reports, AR, follow up, collections and refunds
- Familiarity with rules and regulations of Medicaid, Medicare, Blue Cross
- Composed and processed own appeals for primary and secondary plans
- Handled phone calls from insurance companies and patients to resolve billing disputes
- Responding to and resolving patient and insurance written correspondence
- Audited daily
- Presented results to management, provided recommendations and conclusions of audit reviews.
- Participated in development of Best Practice
- Trained and provided support to Outsourced team
- Created training Documents
- Prepared Meeting agendas
AR Specialist
NOVAMED of Chicago Northshore
05.2003 - 03.2013
- Reviewed accounts daily and initiated appropriate follow up action maintained daily claim quota
- Resubmitted adjusted claims to primary and secondary insurance plans
- Checked claim status of accounts and documented all transactions
- Called and utilized online resources with insurance carriers to establish status of claims
- Handled phone calls from insurance companies and patients to resolve billing disputes
- Provided follow up, billing and all collection procedures
- Responding to and resolving patient and insurance written correspondence
Skills
- Commercial insurance websites
- Basic terminology, ICD-9 ICD-10 and CPT
- Microsoft Office/Word/Excel/PowerPoint Outlook
- Athena, Epic, Lytec, NextGen, Availity, Waystar, Kareo, Allscripts, Gmed, HST
- Problem-solving Productivity
- Flexibility Teamwork
- Reliability Leadership
- Organizational skills Adaptability
- Rapport building Communication
- Collaboration
- Time management
- Trend finder
Timeline
Full Revenue Cycle Specialist
Heart and Vascular Partners
09.2023 - Current
Full Revenue Cycle Specialist
Regent Surgical Health
08.2022 - 09.2023
AR Specialist
Go Path Pathology Associates
11.2021 - 08.2022
AR Specialist/Commercial
Health Information Services
03.2013 - 11.2021
AR Specialist
NOVAMED of Chicago Northshore
05.2003 - 03.2013