Summary
Overview
Work History
Skills
Timeline
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Maria Hernandez

Gilbert,AZ

Summary

Motivated successful leader with 20+ years of medical billing experience in fields such as enteral therapy, oxygen and sleep therapy, and nebulizer therapy. Possess great interpersonal skills to incorporate in the daily operations. Work with leadership and business partners to identify problems, communicate company policy, procedures, and practices to ensure service and operational excellence that meets or exceeds business goals by focusing on providing superior patient services and adherence to company standards. Flexible with the ability to adapt readily to the demands of the job, including new challenges and work environment.

Overview

11
11
years of professional experience

Work History

A.R. Manager – Infusion Collections

04.2019 - 03.2025
  • Manage and monitor a collections team for Managed Medicaid’s and Medicaid’s, for collections effectiveness by leveraging lessons learned to drive process improvement with focus on insurance collections.
  • Monitor staff levels to ensure efficient operations and appropriate employee utilization.
  • Act as an enthusiastic coach and leader with demonstrated ability to recruit, mentor, train, and develop employees and monitor performance.
  • Experience in managing projects involving the collaboration, motivation, and cooperation of a wide variety of people with whom there is no direct reporting relationship.
  • Leveraged data and analytics to make informed decisions and drive business improvements.
  • Managed and motivated employees to be productive and engaged in work.

Reimbursement Operations Manager

McKesson Specialty Pharmacy
04.2017 - 04.2019
  • Responsible for managing several programs within the reimbursement hub that includes four Supervisors who each supervise up to 17 agents
  • Interact with pharmaceutical manufacturer partners to support their new enrollments, benefit investigations, prior authorization, appeals, copay assistance and adherence to therapy
  • Work with project managers, IT, client managers, and leadership to ensure successful launch of new business
  • Successful launch of three new manufacturer hub programs
  • Support programs utilizing different production systems
  • Ensure attrition is below company goals, allocation of staffing to meet work volume

Reimbursement Operation Supervisor

McKesson
04.2014 - 04.2017
  • Direct agents to achieve assignments using established guidelines, procedures and policies
  • Provide coaching and feedback through 1:1’s and team meetings
  • Update work instructions
  • Review reports, records and directives to provide status to Leadership
  • Assign work direction, resolve problems and set deadlines to ensure timely completion of work
  • Assist with launch of new reimbursement hub programs
  • Assist with implementation of new production systems
  • Adhere to all contracted and company service level agreements

Reimbursement Supervisor

RemX / McKesson
10.2013 - 04.2014
  • Support and co-supervise 50+ Reimbursement Specialists
  • Audit benefit investigation calls
  • Provide coaching and feedback
  • Monitor productivity
  • Calculate end of day results to determine productivity requirements for following day

Skills

  • Team leadership
  • Time management
  • Decision-making
  • Staff training and development
  • Staff management
  • Task delegation
  • Goal setting
  • Documentation and reporting
  • Strategic planning
  • Operations management
  • Key performance indicators
  • Customer service

Timeline

A.R. Manager – Infusion Collections

04.2019 - 03.2025

Reimbursement Operations Manager

McKesson Specialty Pharmacy
04.2017 - 04.2019

Reimbursement Operation Supervisor

McKesson
04.2014 - 04.2017

Reimbursement Supervisor

RemX / McKesson
10.2013 - 04.2014

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Maria Hernandez