Summary
Overview
Work History
Education
Skills
Timeline
Generic

Maricela Flores

Atascosa,TX

Summary

Professional with proven expertise in patient account management and revenue cycle operations. Adept at resolving billing issues, ensuring accurate financial records, and maintaining compliance with healthcare regulations. Strong focus on team collaboration and achieving results, with flexible approach to adapting to changing needs. Known for excellent communication, problem-solving skills, and commitment to patient satisfaction.

Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.

Overview

21
21
years of professional experience

Work History

Patient Account Representative

Ross Dermatology
08.2022 - 10.2024
  • Posted payments and processed refunds.
  • Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
  • Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
  • Daily phone calls for patient collections, weekly patient statements mailed, end of day report, a/r monthly reports plus other collection duties.

Reimbursement Specialist

Center For Orthopedics Sports Medicine
02.2016 - 05.2022
  • Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
  • Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
  • Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
  • Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.

Billing Clerk

Neurosurgical Clinic
01.2014 - 04.2015
  • Executed billing tasks and recorded information in company databases.
  • Verified accuracy of billing data and corrected discrepancies.
  • Improved billing accuracy by diligently reviewing invoices and reconciling discrepancies.
  • Managed high volume of invoices while maintaining attention to detail, resulting in improved financial accuracy.
  • Handled account payments and provided information regarding outstanding balances.
  • Assisted with month-end closing procedures, contributing to an organized and punctual financial reporting process.
  • Interacted with customers to resolve billing disputes and respond to inquiries.
  • Monitored outstanding invoices and performed collections duties.

Billing Supervisor

Rafael Parra, MD
01.2004 - 05.2012
  • Minimized errors in customer billing information through diligent verification practices and prompt issue resolution.
  • Routinely conducted internal audits of financial records to detect discrepancies or potential fraud risks, enabling timely intervention and issue resolution.
  • Managed the preparation and distribution of customer invoices within strict deadlines, upholding adherence to company policies and client agreements.
  • Created detailed reports for management reflecting key financial indicators such as receivables aging analysis, uncollected revenues breakdowns, write-offs statistics, among others contributing valuable insights into the department''s strengths and weaknesses.
  • Oversaw the proper allocation of payments received from various sources, ensuring accurate posting to relevant accounts and facilitating efficient reconciliations at monthend.
  • Facilitated monthly meetings with team members to discuss performance metrics, share best practices, and address any concerns or challenges faced during the billing cycle.
  • Boosted cash flow by identifying areas for improvement in payment terms enforcement and initiating corrective actions as needed.
  • Performed account reconciliations and resolved variances.
  • Oversaw financial operations, producing invoices, processing payments and preparing deposits.
  • Reviewed documentation for compliance with requirements and accuracy of information.
  • Negotiated with customers regarding payment arrangements when necessary, balancing firmness with empathy to maintain positive relationships without sacrificing revenue collection targets.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.

Education

High School Diploma -

Thomas Edison High School
San Antonio, TX
05-1980

Skills

  • Insurance Verification
  • Insurance Billing
  • Medical Billing
  • Administrative Support
  • Bilingual Spanish
  • Team Building & Staff Motivation
  • Software: Modmed, Kareo, AdvanceMd
  • Medical Billing Understanding
  • Follow-up skills
  • Medical terminology knowledge
  • Healthcare industry understanding
  • Verbal and written communication
  • Medical Terminology
  • Payment Processing
  • Insurance collaboration
  • Collections experience
  • Coding
  • Insurance Company Communication
  • Excellent judgment

Timeline

Patient Account Representative

Ross Dermatology
08.2022 - 10.2024

Reimbursement Specialist

Center For Orthopedics Sports Medicine
02.2016 - 05.2022

Billing Clerk

Neurosurgical Clinic
01.2014 - 04.2015

Billing Supervisor

Rafael Parra, MD
01.2004 - 05.2012

High School Diploma -

Thomas Edison High School

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Maricela Flores