Marlene Tovar
Bakersfield,CA
Summary
Experienced Credit Balance Analyst with 12+ years in healthcare revenue cycle management, credit balance review, and payment reconciliation. Strong attention to detail, research, and problem-solving support accurate resolution of complex account discrepancies.
Overview
1
1
Language
12
12
years of professional experience
Work History
Credit Balance Analyst
Conduent Credit Balance Solutions
Bakersfield, California
07.2014 - Current
- Reviewed healthcare credit balance accounts in Conduent Credit Balance Solutions work queues.
- Processed refund workflows for overpaid accounts in compliance with client and payer guidelines, ensuring timely reimbursements.
- Resolved duplicate credits by researching claims adjustments and refund requests to ensure accurate account balances.
- Matched patient and payer payments using account histories and billing records.
- Analyzed customer credit balances to identify and rectify discrepancies and errors, enhancing account accuracy.
- Researched and resolved customer inquiries regarding account balances and payments.
- Reconciled vendor statements and identified any outstanding or incorrect items on a timely basis.
Education
Graduate Certificate - Medical Assistant
Kaplan College
Bakersfield, CA08-2011
Associate of Arts - Health Managment
University of Phoenix
Bakersfield, CASkills
- Credit balance analysis
- Payment reconciliation
- Refund processing
- Claims adjustment review
- Account research
- Revenue cycle management
Languages
Spanish
Professional
Timeline
Credit Balance Analyst
Conduent Credit Balance Solutions
07.2014 - Current
Graduate Certificate - Medical Assistant
Kaplan College
Associate of Arts - Health Managment
University of Phoenix