Summary
Overview
Work History
Education
Skills
Websites
References
Languages
Timeline
Generic

Luz Maldonado

Sunrise,FL

Summary

Highly motivated, dedicated and goal oriented professional with solid and diverse experience in the field of medical billing, coding and customer service. Exceptionally well-organized with strong time management skills, able to manage and perform multiple and diverse tasks simultaneously and adjust to changing priorities. Possess in-depth knowledge of medical billing and coding process, guidelines and coding techniques. Proficient with Microsoft Excel, Microsoft Word and various recovery software such as Med-iSOFT, Visionary, BCRS, HIGLAS, CWF, and Nextgen. Proactive and result-oriented. Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.

Overview

16
16
years of professional experience

Work History

Billing Department Manager

F.I.R.S.T IVF
05.2022 - Current
  • Create a harmonious work environment for patients and staff
  • Working closely with surgeons, embryologist, staff and patients to ensure quality and a seamless process from the administrative end to actual patient interaction
  • Maintain accuracy in billing and coding
  • Ensuring all requirements are met per each respective insurance carrier.

Outreach Department Supervisor

Performant Corp.
07.2019 - 05.2022
  • Perform recovery efforts for Medicare payments paid as primary in error
  • Administrative tasks including but not limited to accounts receivables
  • Directly communicating with debtors, the department of treasury and other agencies facilitating the need to efficiently resolve items that are needing special attention
  • Keeping caseworkers aware of what items need to be processed possibly considering a different processing style
  • AR adjustments, payment posting, processing refunds, among other tasks.

Team Lead

Performant Corp.
01.2018 - 09.2018
  • Perform recovery efforts for Medicare payments paid in error
  • Administrative tasks including but not limited to accounts receivable
  • Guiding new hires / team members with the required, contract specific software involved with the recovery process.

Billing Supervisor (Physician & Ambulatory Surgical Center)

Fertility & Genetics / Plantation Surgical Center
01.2009 - 11.2017
  • Perform billing, coding and credentialing
  • Reorganize and set up the billing department for proper billing and customer relations/satisfaction
  • Provide daily oversight and management of billing and coding timeliness and queue workloads
  • Ensure timely billing and follow up for patient services
  • Prepare accurate reports of patient charges, payments and adjustments
  • Maintain an open communication with supervisor and all staff
  • Collect and record data accurately and maintain billing files
  • Promoted harmonious relationships, mutual respect and trust, and strong morale among employees.

Education

Associate of Science - Computer Programming

Florida National College
Hialeah, FL
01.2000

Skills

  • LUZ MALDONADO
  • RECOVERY SPECIALIST
  • EXPERIENCE
  • Organizational Leadership
  • Medical Billing, Coding & Credentialing
  • Coding Compliance
  • Customer Service
  • Problem resolution
  • Account Payables
  • Invoice & Payment Processing
  • Quality Control
  • Staff Supervision
  • Filing
  • Data Entry
  • Relationship Building
  • Revenue Recognition
  • Claims Processing
  • Training and mentoring
  • Collections experience
  • HIPAA knowledge
  • Staff Training and Development

References

References furnished upon request

Languages

Spanish
Native or Bilingual

Timeline

Billing Department Manager

F.I.R.S.T IVF
05.2022 - Current

Outreach Department Supervisor

Performant Corp.
07.2019 - 05.2022

Team Lead

Performant Corp.
01.2018 - 09.2018

Billing Supervisor (Physician & Ambulatory Surgical Center)

Fertility & Genetics / Plantation Surgical Center
01.2009 - 11.2017

Associate of Science - Computer Programming

Florida National College
Luz Maldonado