Maria Figueroa
Winter Haven,FL
Summary
Leveraged over 10 years of experience to assess credit risk, manage accounts receivable, and enhance customer education and insurance coordination.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Credit Analyst
AmerisourceBergen
Orlando, FL
01.2022 - 01.2024
- Evaluated customer creditworthiness by analyzing payment history, aging trends, credit limits, and overall risk exposure.
- Monitored accounts receivable portfolios to identify delinquency risk and recommend credit holds, releases, or limit adjustments.
- Reconciled customer accounts and resolved short pays, deductions, and billing disputes impacting credit exposure.
- Partnered with Sales, Collections, and Customer Service teams to balance risk mitigation with customer relationships.
- Prepared and maintained credit documentation in accordance with company policies, SOX controls, and audit requirements.
- Supported reporting on A/R metrics, DSO, and delinquency trends using Excel and internal credit systems.
Accounts Receivable Specialist / Collections
CVS Coram
Orlando, FL
01.2018 - 01.2022
- Managed full-cycle medical accounts receivable for high-volume specialty pharmacy accounts.
- Analyzed daily A/R and aging reports to prioritize collections and improve cash flow.
- Negotiated and established compliant payment plans with patients and guarantors.
- Conducted insurance follow-ups with carriers, adjusters, and physician offices to resolve unpaid and underpaid claims.
- Prepared and submitted appeals for denied, underpaid, or incorrectly reimbursed claims, including fee schedule appeals.
- Re-billed lost or rejected claims and submitted required documentation to support timely reimbursement.
- Ensured accurate coding and claim submission using ICD-9, ICD-10, and CPT codes.
- Maintained detailed documentation to support audit readiness and compliance standards.
- Systems used: CPR+, Sevora, HC360, Medi AR, ECM, Excel, RX Lookup, ERN.
Accounts Receivable Collector
Kroger Specialty Pharmacy
Lake Mary, FL
01.2015 - 01.2017
- Reviewed daily A/R and aging reports to ensure timely resolution of outstanding balances.
- Contacted insurance carriers, patients, and providers to determine claim status and secure payment.
- Reconciled balances and resolved billing discrepancies impacting account exposure.
- Established payment arrangements while maintaining compliance and customer satisfaction.
- Processed appeals and corrected billing errors to reduce denials and write-offs.
Credit Analyst / Accounts Receivable & Billing
RX Development
Oviedo, FL
01.2015 - 01.2016
- Analyzed PIP and insurance accounts to assess payment probability and financial risk.
- Maintained communication with insurance adjusters to secure timely reimbursement.
- Managed overdue accounts and implemented follow-up strategies to reduce aging balances.
- Prepared and submitted appeals for denied or delayed claims.
- Ensured accurate documentation, coding, and claim submission.
Member Specialist
Health First
Lake Mary, FL
01.2013 - 01.2015
- Served as primary point of contact for members regarding billing, coverage, and policy inquiries.
- Reviewed account issues, identified discrepancies, and coordinated resolutions across departments.
- Managed high-volume inbound calls while maintaining quality and compliance standards.
- Assisted with PCP changes, transportation coordination, and pharmacy access.
- Submitted appeals for procedures and authorization approvals.
Intake Specialist / Collections
FMA & Associates
Orlando, FL
01.2010 - 01.2012
- Collected on past-due accounts and resolved payment discrepancies.
- Posted credit card payments and investigated fraud or payment issues.
- Negotiated reasonable payment arrangements with clients.
- Utilized Excel and Microsoft Dynamics GP to manage accounts and reporting.
Front Desk / Receptionist
Pitney Bowes
01.2008 - 01.2011
Copy Technician / QA / Intake Specialist
Williams Lea
01.2006 - 01.2008
Copy Technician / QA
Document Technologies
01.2002 - 01.2006
Telemarketer / Call Center
Universal Survey
01.2001 - 01.2002
- Roles focused on administrative support, document management, quality assurance, customer service, and data entry.
Education
Associate of Arts (A.A.) - Human Services
Touro College
New York, NYSkills
Assisted in managing EMR and case management systems including Epic, CPR, Medi, AR, HC360, and Sevora ECM Supported teams in utilizing these systems effectively to enhance patient care Collaborated with staff to troubleshoot issues and improve system functionality
Utilized Microsoft Excel and Word to support data analysis and documentation tasks Assisted in managing Salesforce and NetSuite for customer relationship and financial tracking Provided support in QuickBooks and Microsoft Dynamics GP for accounting and reporting functions
Assisted in coding and billing processes for ICD-9 and ICD-10 codes Supported accurate documentation of medical records Aided in processing Medicare claims efficiently
Certification
Valid Driver’s License
Timeline
Credit Analyst
AmerisourceBergen
01.2022 - 01.2024
Accounts Receivable Specialist / Collections
CVS Coram
01.2018 - 01.2022
Accounts Receivable Collector
Kroger Specialty Pharmacy
01.2015 - 01.2017
Credit Analyst / Accounts Receivable & Billing
RX Development
01.2015 - 01.2016
Member Specialist
Health First
01.2013 - 01.2015
Intake Specialist / Collections
FMA & Associates
01.2010 - 01.2012
Front Desk / Receptionist
Pitney Bowes
01.2008 - 01.2011
Copy Technician / QA / Intake Specialist
Williams Lea
01.2006 - 01.2008
Copy Technician / QA
Document Technologies
01.2002 - 01.2006
Telemarketer / Call Center
Universal Survey
01.2001 - 01.2002
Associate of Arts (A.A.) - Human Services
Touro College