Mercedes Palacios
Mesa,AZ
Summary
Enthusiastic Payment Poster experienced with reporting batch totals and identifying incomplete payments. Consistently observes data confidentiality and privacy rules in workflows and promotes dynamic communication skills. Achieves high levels of accuracy in data entry and account management with 29 years experience in healthcare.
Overview
30
30
years of professional experience
Work History
Medical Payment Poster
Billing WRX/Metasolutions Inc -Present
10.2011 - Current
- Maintained compliance with HIPAA regulations while handling sensitive patient information during payment posting tasks.
- Managed large volumes of data efficiently and with great care on daily basis.
- Accurately posted payments and adjustments both electronically and manually.
- Verify that payments from insurance companies were accurate and according to contract guidelines to ensure correct reimbursement.
- Answer billing questions for Spanish speaking customers.
- Billing of secondary and tertiary insurance claims after primary payment with COB's.
- Consistently maintained high levels of productivity, exceeding departmental goals each month.
- Leveraged software tools to automate certain aspects of payment posting process, increasing overall efficiency.
- Optimized payment allocation processes, resulting in decreased time spent on manual adjustments.
- Enhanced payment processing efficiency by implementing streamlined posting system.
- Contributed to improving departmental workflows by regularly sharing insights and feedback on processes with management
- Contributed to reduction of aged accounts receivable by prioritizing oldest outstanding balances for follow-up action.
- Assisted in development of training materials for new Payment Poster hires, improving onboarding success rates.
- Stayed informed of industry changes and updates by participating in relevant training sessions, utilizing new knowledge to enhance job performance.
- Collaborated with billing team to resolve outstanding invoices and improve cash flow.
- Assisted colleagues with complex or challenging cases, fostering collaborative work environment focused on problem-solving and continuous improvement.
- Played integral role in maintaining clean claims submission rate above industry standards through diligent posting practices and collaboration with other departments.
- Reduced payment discrepancies through meticulous attention to detail in data entry and reconciliation.
- Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
- Proactively identified potential underpayments from insurers and took appropriate actions to rectify discrepancies swiftly.
- Identified trends in recurring payment errors and proposed solutions for long-term resolution.
- Served as key liaison between billing and collections departments, facilitating timely communication around patient account issues.
- Identified overpayments and processed refunds for insurance carriers and patients.
- Communicated effectively with others through active listening and dynamic interpersonal skills.
- Developed and maintained positive relationships with clients to maximize collections.
Medical Payment Poster
Adaptive Health Billing Service
03.2006 - 05.2011
- Supported audits by providing detailed records of all posted payments and adjustments upon request
- Optimized payment allocation processes, resulting in decreased time spent on manual adjustments
- Proactively identified potential underpayments from insurers and took appropriate actions to rectify discrepancies swiftly
- Identified trends in recurring payment errors and proposed solutions for long-term resolution
- Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines
- Managed large volumes of data efficiently and with great care on daily basis
- Identified overpayments and processed refunds for insurance carriers and patients
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
Surgery Scheduler
Panda OB/GYN
06.2002 - 03.2006
- Organized all necessary documentation for successful completion of medical audits related to surgery scheduling practices.
- Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Prepared and processed patient referrals and transfer requests.
- Conducted patient intake interviews, recording and documenting relevant information.
- Developed relationships with referring physicians'' offices, fostering strong communication channels that benefitted both parties in coordinating patient care
Medical Receptionist
Joseph Lindstrom, M.D.
05.1994 - 05.2002
- Provide wide range of administrative support and patient services as required.
- Scheduled appointments, answered multi-line phones, patient check in and out, posting of charges, in charge of all front office duties.
- Med Voice, called in prescriptions.
- Assisted in back office as needed.
- Medical records.
- Data entry.
Medical Receptionist
Mesa Family Physicians
1984 - 1994
- Provide wide range of administrative support and patient services as required. Scheduled appointments, answered multi-line phones, patient check in and out, posting of charges, in charge of all front office duties.
- Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage
Education
Associate of Science - Nursing
Mesa Community College
Mesa, AZ1984
High School Diploma - Secondary education
Bitburg American High School
Bitburg, Bitburg1978
Skills
- HIPAA regulation observance
- Bilingual - English/Spanish
- Microsoft Office, Outlook
- 20 years experience in fast-paced, deadline-driven environment
- Expertise in Medical payment posting
- High-volume transaction posting
- 10 key by touch
- Highly organized with superior attention to details
- CMS-1500 billing forms
- Creative problem solving
- Data entry
- Energetic and organized
- Self-starter with professional manner
- Experience with several Medical software programs: Medical Manager, Prime Suite, Greenway, QCMD-Quality Connect, Source, Centricity
- Strong medical ethic
Affiliations
References upon request.
Timeline
Medical Payment Poster
Billing WRX/Metasolutions Inc -Present
10.2011 - Current
Medical Payment Poster
Adaptive Health Billing Service
03.2006 - 05.2011
Surgery Scheduler
Panda OB/GYN
06.2002 - 03.2006
Medical Receptionist
Joseph Lindstrom, M.D.
05.1994 - 05.2002
Medical Receptionist
Mesa Family Physicians
1984 - 1994
Associate of Science - Nursing
Mesa Community College
High School Diploma - Secondary education
Bitburg American High School
Similar Profiles
Jordan GranberryJordan Granberry
Lead Technician/ Acting Service Manager at Wastequip WrxLead Technician/ Acting Service Manager at Wastequip Wrx
Mario McWhorterMario McWhorter
Entry Solar Sales Representative at Solar WRXEntry Solar Sales Representative at Solar WRX
Jerry GnanapragasamJerry Gnanapragasam
Associate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt LtdAssociate Director at ALN Billing Pvt Ltd (Health prime company) formerly known as Nexus Billing Pvt Ltd
Angel AdamsAngel Adams
Director of Operations at Enturo Medical Billing/Crescent Medical BillingDirector of Operations at Enturo Medical Billing/Crescent Medical Billing
Valeria HernandezValeria Hernandez
Volunteer at Feed My Starving ChildrenVolunteer at Feed My Starving Children