Mayra Aguilar
Bradenton,FL
Summary
Detail- oriented credit services manager with experience in managing patient and governmental credit balances, driving automation and ensuring regulatory compliance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Credit Services Manager
Ensemble Health Partners
08.2022 - Current
- Ensure timely resolution of credit inventory in accordance with guidelines and escalate as needed.
- Identify liquidation opportunities in the daily reports.
- Collaborate with various departments to streamline and enhance credit reduction processes.
- Resolved escalated customer complaints professionally, turning potentially negative experiences into opportunities for continued patronage.
- Mitigate risks related to patient and government credit balances, ensuring ongoing compliance with regulatory standards and internal policies.
- Hired, trained and supervised team of service staff members to meet business goals.
- Monitored staff performance and provided feedback for improvement.
Manager of Refunds
Shared Services Center Sarasota
11.2021 - 08.2022
- Oversee the Refunds and Research team. Ensure compliance with the state is following when refunding insurance and/or patients.
- Complete assigned report to clean up credits across all facilities.
- Manage staffing needs, conduct hiring interviews, take disciplinary actions, and perform yearly evaluations.
- Analyzing accounts and trends to solve aged credits for government and non-government payers as patient credit.
- Direct weekly meetings with the team and one on one meetings to review weekly productivity.
Supervisor of Refunds
Shared Services Center Sarasota
06.2019 - 11.2021
- Supervise the Insurance & Patient refunds team, review and approve daily refund packets/spreadsheet.
- Train new employees and create process documents.
- Assist the Cash Department in correcting out-of-balance GLs due to manual transfers.
- Provide assistance to the team in solving refunds and clearing credit accounts.
- Direct weekly meetings with the refunds team, and assist the post-pay team with questions and month-end reports.
- Approve refunds through Obsidian and keep track of daily productivity.
Team Lead
Shared Services Center Sarasota
02.2018 - 06.2019
- Oversee the DTP/Logs team.
- Create previous day reports for the team to work daily.
- Train new and current team members.
- Hold biweekly meetings with each of the sub-teams under the post-transaction team.
- Work daily reports alongside the team on credit and debit accounts.
Refund Specialist
Shared Services Center Sarasota
11.2014 - 02.2018
- Solve debit and credit balance accounts due to contractual posting errors, retractions, overpayment due by Health insurance and/or patient payments.
- Identify patient employee accounts and apply correct contractual adjustments.
- Validate debit balance account to expedite bill to patient or insurance carrier.
- Review and validate possible refunds due Insurance carrier, prepare insurance refund packages with supporting documents.
Education
Associate of Arts -
State College of Florida
Bradenton, FL08-2022
Medical Administrative Assistant -
Manatee Technical College
Bradenton, FL01.2015
Accountant Assistant -
Manatee Technical College
Bradenton, FL06.2008
Skills
- Microsoft Programs
- Cerner, HMS, DAR, Pulse, EPIC Systems
- Public Notary
- Problem-solving
- Customer service
- Reliable and responsible
Certification
CRCR, Exp. 11/2025
Languages
English
Spanish
Timeline
Credit Services Manager
Ensemble Health Partners
08.2022 - Current
Manager of Refunds
Shared Services Center Sarasota
11.2021 - 08.2022
Supervisor of Refunds
Shared Services Center Sarasota
06.2019 - 11.2021
Team Lead
Shared Services Center Sarasota
02.2018 - 06.2019
Refund Specialist
Shared Services Center Sarasota
11.2014 - 02.2018
Associate of Arts -
State College of Florida
Medical Administrative Assistant -
Manatee Technical College
Accountant Assistant -
Manatee Technical College
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