Martha (Marty) Luna
Summary
Experienced CBO Billing professional with over 8 years in managing billing processes and ensuring HIPAA compliance. Expertise in claims management and optimizing billing accuracy across multiple facilities. Background includes 20 years in Revenue Cycle operations, focusing on customer service, cash posting, and billing for commercial, Managed Care payers and Medicare/Medicaid.
Overview
14
14
years of professional experience
Work History
CBO Billing Manager
Prime Healthcare
Harlingen, TX
06.2018 - Current
- Manage billing operations for multiple healthcare facilities across the organization.
- Ensure compliance with healthcare regulations and billing standards consistently.
- Streamlined workflows to enhance efficiency in billing tasks.
- Supported audits by preparing documentation and reports.
- Resolve billing issues by applying knowledge and completing in-depth research.
- Developed standard operating procedures to enhance billing accuracy and cash flow.
- Prepare and report billing stats to administrators of each facility.
- Collaborate with IT department to troubleshoot and resolve billing system issues promptly.
- Manage and supervise billing department staff, including training, evaluation, and workflow distribution.
CBO Billing Specialist
Prime Healthcare
Harlingen, Tx
03.2012 - 06.2018
- Managed insurance claims for timely reimbursement and resolution.
- Maintained clean claim rate at or above organization standards.
- Maintained claim hold days at a minimum for prompt claims submission to payers, supporting timely reimbursements.
- Collaborated with healthcare staff and departments to resolve billing discrepancies, enhancing accuracy of claims.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Identified and reported recurring claim errors and rejections, contributing to improved claims processing.
- Assisted in training new staff on billing procedures and software use.
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Performed assigned tasks to support management operations.
Education
Business Office Certification -
South Texas Vocational Tech
Harlingen, TX06-1989
High School Diploma -
Raymondville High School
Raymondville, TX05-1983
Skills
- Claims management
- Billing operations
- Revenue cycle management
- Compliance adherence
- Workflow optimization
- Epic and Meditech EMR systems
- Medicare DDE
- Microsoft Offce
Timeline
CBO Billing Manager
Prime Healthcare
06.2018 - Current
CBO Billing Specialist
Prime Healthcare
03.2012 - 06.2018
Business Office Certification -
South Texas Vocational Tech
High School Diploma -
Raymondville High School