Marla Fonseca
Goodyear,AZ
Summary
A well-organized leader with strong critical thinking, planning, and problem-solving abilities focused on boosting team productivity and elevating financial objectives with over five years of experience in leadership. Familiar with medical terminology and account management. Results-driven billing and collecting professional with over six years of hands-on experience in working claim denials, account management, revenue generation, and medical billing and collecting. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Highly organized, efficient, able to multitask, and deliver clear communication.
Overview
20
20
years of professional experience
Work History
Insurance Collector
Dignity Health Yavapai Regional Medical Center
Prescott Valley , AZ
2020.04 - Current
- Work and investigate denied claims for payment.
- A/R
- Work Claim Rejections.
- Review claims for coding accuracy.
- Investigate billing discrepancies and implement effective solutions to resolve concerns and prevent future problems.
- Partner with the cash/posting team and credit/refund specialist on timely and accurate posting of remittances.
- Work closely with team members to deliver project requirements, develop solutions, and meet deadlines.
- Juggle multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrate self-reliance by meeting and exceeding workflow needs. Demonstrate leadership by making improvements to work processes and helping to train others.
Insurance Authorization Specialist
Dignity Health Yavapai Regional Medical Center
Prescott Valley , AZ
2019.02 - 2020.04
- Obtain Insurance Authorizations before Outpatient Imaging, Therapy, and Surgery Services.
- Verifying Insurance Eligibility
- Explain eligibility details and affordability options to patients with kindness and respect.
- Ensure payment for services by verifying benefits with various Insurance Carriers.
- Review and input insurance authorization and referrals before patient services.
Billing Manager
Kokopelli Eye Institute
Prescott Valley , AZ
2016.04 - 2019.02
- Insurance Credentialing
- Worked Rejected Claims
- A/R
- Payment Posting
- EFT/ERA Enrollment
- Business/Doctor Licensing
- Handled Patient Complaints
- Updated Patient Demographics
- Scheduling
- Schedule/Appointment Templating
- Patient Eligibility
- Translator for Spanish Speaking Patients
- Helped patients bring accounts into good standing by implementing payment plans.
- Developed improved standard operating procedures to increase billing accuracy and cash flow.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Managed a five-person billing team responsible for Billing and Collections for nine offices, two Surgery Centers, and seven physicians.
Lead Cook / Night Supervisor
Yavapai Regional Medical Center
Prescott , AZ
2008.07 - 2016.04
- Cooked for hospital staff and patients.
- Kept stations stocked and ready for use to maximize productivity.
- Washed, sliced, peeled, and cut various foods to prepare for cooking or serving.
- Inventoried kitchen sections and refilled supplies.
- Modified standard recipes to account for ingredient issues or customer requests, including allergen concerns.
- Maintained consistent quality and high accuracy when preparing identical dishes every day.
- Cooked food following specific measurements and recipes.
- Phone Operator
- Patient Care
- Food Tray Checker
- Cash Deposits
- Supervised a team of ten people responsible for preparing and delivering patient meals.
- Closing operations
- Food Runner
Food Server
Fremont Casino
Las Vegas , NV
2006.01 - 2007.02
- Assisted in preparing for special functions and banquets by setting up and taking down tables and chairs and decorating.
- Menu Planning
- Served Tables
- Greeted arriving guests, escorted each to assigned tables, took drink orders, and answered event questions.
- Addressed concerns or complaints quickly to improve service and escalated more advanced issues to management for resolution.
- Set up for events with up to 60 attendees, preparing serving and appetizer trays and setting tables.
- Cleaned and inspected food preparation areas for safe and sanitary food-handling practices.
- Arranged each place setting attractively and verified all items were clean and free from water spots and chips.
- Side work/Cleaning
Office Manager
Amazon Masonry
Las Vegas , NV
2004.06 - 2006.01
- Accounts Receivable
- Payroll
- Benefits Enrollment
- Maintained office supplies inventory by checking stock and ordering new supplies as needed.
- Improved operational efficiencies, managing work requests, new orders, pricing, and changes while coordinating logistics to verify delivery dates.
- Served as the primary point of contact for outside vendors.
- Created and managed electronic customer records, encompassing data entry and administrative functions related to billing and accounts receivable.
- Wrote professional business correspondence.
- Updated employee paperwork and records.
Education
Health Administration
Yavapai College
Prescott, AZSkills
- Medical Billing
- Insurance Collections
- Knowledge of CPT and ICD-10 coding
- Experience in EMR software
- Insurance Authorizations
- Staff development & coaching
- Attention to Detail
- Accounts Receivable
- Bilingual
- Credit and Collections
- Managing Delinquent Accounts
- Problem Identification
- Problem Investigation
- Analytical and Critical Thinking
- Correspondence Sorting and Filing
- Denial Appeals Process
- Time Management
- Work Planning and Prioritization
- Microsoft Office
- Clear Communication
- Insurance Company Communication
- Verbal and Written Communication
- Organizational Skills
- Creative Problem Solving
- Decision Making
Languages
English
Spanish
Timeline
Insurance Collector
Dignity Health Yavapai Regional Medical Center
2020.04 - Current
Insurance Authorization Specialist
Dignity Health Yavapai Regional Medical Center
2019.02 - 2020.04
Billing Manager
Kokopelli Eye Institute
2016.04 - 2019.02
Lead Cook / Night Supervisor
Yavapai Regional Medical Center
2008.07 - 2016.04
Food Server
Fremont Casino
2006.01 - 2007.02
Office Manager
Amazon Masonry
2004.06 - 2006.01
Health Administration
Yavapai College
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