Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

MARIA Flores

HOUSTON,TX

Summary

Seasoned Billing Specialist with a proven track record at Dr. G Martin Rossi, enhancing billing accuracy and collections efficiency. Expert in medical billing and insurance verification, coupled with exceptional customer service skills. Achieved significant improvements in billing cycle management and dispute resolution, ensuring compliance with HIPAA regulations and fostering patient trust.

Overview

16
16
years of professional experience

Work History

Billing Specialist

Dr. G Martin Rossi
Houston, TX
10.2014 - Current
  • Managed all payments processing, invoicing and collections tasks.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Maintained accurate records of collections, adjustments and denials in the system.
  • Maintained accounting ledgers by verifying and posting account transactions.
  • Reconciled daily cash receipts with total deposits on bank statement.

CSR

Maximus
Edinburg, TX
04.2014 - 08.2014
  • Enhanced productivity and customer service levels by anticipating needs and delivering outstanding support.
  • Presented existing and prospective customers with valuable service or product information to aid in decision-making.
  • Assisted in the development of customer service procedures and policies.
  • Consulted with customers regarding needs and addressed concerns.
  • Analyzed customer feedback data to identify areas of improvement.

Insurance Verification Specialist

Katy Pediatric Associates
Katy, TX
05.2011 - 05.2012
  • Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
  • Collaborated with healthcare providers to communicate insurance coverage and authorization details.
  • Entered data in EMR database to record payer, authorization requirements and coverage limitations.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained confidentiality of patient information in accordance with HIPAA regulations.
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.

Medical Billing Specialist

Vital Health Care
Edinburg, TX
08.2008 - 02.2010
  • Executed account updates and noted account information in company data systems.
  • Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Adhered to HIPAA regulations when handling confidential patient information.

Education

Medical Billing And Coding -

San Antonio College of Medical And Dental
San Antonio, TX
04-2002

GED -

Edinburg North High School
Edinburg, TX
05-2001

Skills

  • Statement processing
  • Payment posting
  • Billing cycle management
  • Data entry proficiency
  • Claims processing
  • Medical billing expertise
  • Deductible management
  • Insurance claim processing
  • Billing systems and software
  • Month-end closing procedures
  • Invoice processing
  • Billing dispute resolution
  • Audit procedures
  • Collections management
  • Claim submission
  • HIPAA compliance
  • Medical coding
  • Insurance verification
  • Customer service
  • Report generation

Languages

English
Professional
Spanish
Professional

Timeline

Billing Specialist

Dr. G Martin Rossi
10.2014 - Current

CSR

Maximus
04.2014 - 08.2014

Insurance Verification Specialist

Katy Pediatric Associates
05.2011 - 05.2012

Medical Billing Specialist

Vital Health Care
08.2008 - 02.2010

Medical Billing And Coding -

San Antonio College of Medical And Dental

GED -

Edinburg North High School
MARIA Flores