Margarita Avila
North Las Vegas
Summary
Organized Analysts bringing strengths in handling work independently and solving routine problems without oversight. Offers expertise in Underpayments and Authorization and ability to quickly learn new processes.
Overview
25
25
years of professional experience
Work History
Site Teacher
KinderCare
Las Vegas
12.2018 - Current
- Assist with distance learning
- Create a safe, nurturing environment where children can play and learn.
- Partner and communicate with parents, with a shared desire to provide the best care and education for their children.
- Support center's success; partner with center staff and leadership to achieve goals around enrollment, accreditation, and engagement.
- Cultivate positive relationships with families, teachers, state licensing authorities, community contacts and corporate partners.
Account Manager Underpayment Analysts
Steinberg Diagnostic
Las Vegas
11.2008 - 12.2013
- Research and Resolved contract issues.
- Review UB-92 and EOR to confirm contract Reimbursement.
- Contact payer and initiate request for payment.
- Perform appropriate follow up with payer for payment as appropriate.
- Escalate contract issues to the Supervisor.
- Assist as a mentor to new team members.
- Other duties as assigned.
Underpayment Analysts
HCA- Las Vegas Pas
Las Vegas
11.2004 - 06.2007
- Research and Resolved contract issues.
- Review UB-92 and EOR to confirm contract Reimbursement.
- Contact payer and initiate request for payment.
- Perform appropriate follow up with payer for payment as appropriate.
- Escalate contract issues to the Supervisor.
- Assist as a mentor to new team members.
- Other duties as assigned.
Prior Authorization Scheduler
Steinberg Diagnostic
Las Vegas
09.2001 - 11.2004
- Answered multiple phone lines.
- Verify HealthCare & Work Comp coverage and obtain authorization.
- Schedule patients for Radiology Test.
- Confirm insurance coverage with p
Education
Account Payable/ Receivable Certification - Account Level 1
Southeast Regional Occupational Program
Cerritos, CAHigh School Diploma - High School
Norwalk / La Mirada Adult School
Norwalk, CAMedical Assistant Diploma - Medical
Bryman National Education Center
Long Beach, CASkills
- Account resolution
- Update accounts
- Accounting management
- Customer account updates
- Manage customer accounts
- Inspect accounting records
- Balance accounts
- Analyze accounting data
Timeline
Site Teacher
KinderCare
12.2018 - Current
Account Manager Underpayment Analysts
Steinberg Diagnostic
11.2008 - 12.2013
Underpayment Analysts
HCA- Las Vegas Pas
11.2004 - 06.2007
Prior Authorization Scheduler
Steinberg Diagnostic
09.2001 - 11.2004
Account Payable/ Receivable Certification - Account Level 1
Southeast Regional Occupational Program
High School Diploma - High School
Norwalk / La Mirada Adult School
Medical Assistant Diploma - Medical
Bryman National Education Center