Lisett Cruz

• Organizing team meetings
• Meet and complete time sensitive deadlines
• Medical billing
• Reconcile and refund families for monies owed
• Assist with financial auditing
• Assist with insurance contracts
• Contact families and collect admission fees
• Customer service
• Insurance collections
• Communicate with insurance providers to resolve denied claims and resubmit.
• Set up and maintain new electronic billing system.
• Deliver timely and accurate charge submissions.
• Orchestrate medical coding, payment posting, accounts receivables and collections.
• Review patient records, identify medical codes and created invoices for billing purposes.
• Prevent financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
• File and update patient information and medical records.
• Train new employees on multiple medical billing programs and data entry software.
• Adhered to established standards to safeguard patients' health information.
• Manage billing calendar and scheduled claims for payments.
• Gather information from multiple sources to simplify billing and organize accounts.
• Analyze complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Translate and interpret medical billing codes with strong accuracy to enable swift payment from insurance agencies.
• Prepare accounts with past due balances and transferred those cases to collection agency.
• Liaised between patients, insurance companies and billing office.

• Processing payments and posting onto account
• Surgery billing for multiple doctors and different procedures
• Insurance collections
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted payments and collections on regular basis.
• Filed and updated patient information and medical records.
• Collected payments and applied to patient accounts.
• Reviewed patient records, identified medical codes and created invoices for billing purposes.
• Prepared billing statements for patients and verified correct diagnostic coding.
• Delivered timely and accurate charge submissions.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Prepared accounts with past due balances and transferred those cases to collection agency.
• Liaised between patients, insurance companies and billing office.
• Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.

• Analyst
• Account adjustments , provide excellent customer service
• Guide clients with attention to detail on the cost of admitting into outpatient program
• Ensure all financial documents are set in place, to provide smooth process of starting program
• Respond to e-mails from clients with a priority turn around time
• Guide clients on percentages and coverages from health insurance companies
• Schedule team meetings to come up with strategic plannings , of ensuring clients receiving the upmost customer service
• Update and provide new rates of cost
• Answer phone calls
• Quickbooks
• Compose excel sheets to review monthly revenue
• Audit accounts
• Complete deadlines with efficiency and timely manner
• Work closely with CEO and CFO
• Accomplished multiple tasks within established timeframes.
• Onboarded new employees with training and new hire documentation.
• Cross-trained existing employees to maximize team agility and performance.
• Maximized performance by monitoring daily activities and mentoring team members.
• Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
• Applied customer feedback to develop process improvements and support long-term business needs.
• Prepared and recommended long-range plans for development of department personnel.

In school full-time taking classes

• Claim follow ups
• Medical billing for surgery center and professional
• Answer patient billing questions
• Obtain prior authorizations
• Insurance verification
• Run monthly reports, reflecting A/R
• Front desk
• Provide excellent customer service
• Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
• Collaborated with patient, referring physician and surgical specialist to coordinate pre- and post-operative care for surgical procedures.

• Contact patients daily to collect insurance payments
• Communicate with clinics regarding patient balances
• Follow up on unpaid claims
• Generate monthly statements, along with attaching collection letters
• Keep track of payment posting , update patient accounts
• Prepare demand letters
• Negotiate payment arrangements
• Answer billing questions
• Work A/R
• Provide excellent customer
• Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
• Negotiated to collect balance in full.
• Maintained high volume of calls and met demands of busy and productive group.
• Achieved performance goals on consistent basis.
• Monitored accounts for compliance with established payment plans and flagged non-compliances.

• Process claims daily for payment
• Post insurance payments
• Collections, insurance verification
• Answer billing questions
• Help manage remote offices
• Complete deadlines
• Training when needed for other employees
• Generate reports to track money and claims match
• Skills used: Medical Terminology, CPT & ICD
• 10 coding
• Translator for Spanish speaking patients
• Provide excellent customer service
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Filed and updated patient information and medical records.