Knowledgeable in Medical Billing and RCM with 30 years background in accounts receivable, ensuring accurate and timely billing and collections. Proven ability to resolve discrepancies and improve cash flow through effective reconciliation processes. Experience with medical terminology, procedure and diagnosis coding. Highly motivated and well-organized, attentive to time schedules and able to meet deadlines.
Overview
32
32
years of professional experience
Work History
AR Specialist
BMS/WebPT
08.2018 - 01.2025
Company Overview: Currently Remote
Currently Remote
Analyzed trends in payment patterns and customer behavior, identifying opportunities for process enhancements that would improve overall AR performance.
Increased customer satisfaction levels by promptly addressing inquiries regarding billing issues or adjustments needed on their accounts.
Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
Medical Biller
Bonita Surgical Medical Center
08.2011 - 08.2018
Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
Liaised between patients, insurance companies, and billing office.
Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
Office Manager
Johnson Chiropractic
02.1993 - 08.2014
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Supported department heads in accomplishing their goals through diligent administrative assistance such as report generation and data entry.
Managed scheduling and coordination of all office meetings to ensure smooth operations and minimal conflicts.
Owner/Manager
Access Billing
06.2002 - 08.2011
Managed day-to-day business operations.
Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
Managed financial aspects of the business, including budgeting, financial reporting, and tax preparation.
Established foundational processes for business operations.
Enhanced operational efficiency and productivity by managing budgets, accounts, and costs.
Generated revenues yearly and effectively capitalized on industry growth.
Streamlined operations to improve efficiency, enabling more time to be spent on strategic planning and decisionmaking.
Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
Education
Accounting And Finance
Mt. San Antonio College
Walnut, CA
High School -
Bonita High School
La Verne, CA
Skills
Payment tracking
Relationship building
Strong client relations skills
Client communication
Customer account reconciliation
Accurate payment posting
Accounts receivable management
Aging reports analysis
Collections management
AR aging reports
Billing dispute resolution
Accounts receivable expertise
Timeline
AR Specialist
BMS/WebPT
08.2018 - 01.2025
Medical Biller
Bonita Surgical Medical Center
08.2011 - 08.2018
Owner/Manager
Access Billing
06.2002 - 08.2011
Office Manager
Johnson Chiropractic
02.1993 - 08.2014
High School -
Bonita High School
Accounting And Finance
Mt. San Antonio College
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