A dedicated and high-performing professional Healthcare Administrator with over twenty years of experience in medical claim billing/coding, serving in large private practices, trauma based hospitals and outpatient physician clinics.
Skilled in processing claims, and proven track record of using analytical skills, and attention to detail to ensure accurate documentation and claim resolution.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Certified Notary Public
Imperial Notary LLC
10.2024 - Current
Administered notarizations, ensuring compliance with state laws and regulations.
Verified identities through thorough documentation review and personal interaction.
Maintained accurate records of all notarized documents for client reference.
Facilitated efficient communication between clients and legal entities regarding notarial services.
Assisted clients with understanding notarial requirements, improving overall customer satisfaction.
Claim Assistant
Sedgwick CMS
09.2021 - 05.2024
Generated, posted and attached information to claim files.
Sets up and enters new claims into claims management system.
Inputs and reviews notes/diaries in claims management system as instructed.
Processes payments.
Processes mail; handles filing, faxing and photocopying.
Reviews, prepares, creates, and/or sends letters, reports, and forms.
Answers and initiates telephone calls, sets up medical appointments, and may provide customer service as required.
Other activities/projects as assigned including the preparation and distribution of computer reports.
Accounting/Healthcare Billing Specialist
Women's Health Texas
09.2019 - 03.2020
Responsible for coding of expenses to proper Great Plains account and correct site, department and physician class.
Send W9 statements to new vendors.
Oversaw 3-month project to revamp filing system, improving department productivity 92%.
Completed weekly check runs and maintained accounting ledgers by verifying and posting account transactions into accounting system.
Retrieve and verify invoices and requisitions, data entry invoices, process reports for data entry.
Maintain online portal for electronic copies of invoices.
Perform day-to-day processing of accounts payable transactions, including allocation of central office costs to all care centers.
Serve as point of contact for vendor inquiries.
Prepare, analyze, process, and upload HSA payments.
Reconcile benefits invoices to their proper general ledger accounts and departments and assist in Month End Close.
Maintain files and documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices.
Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
Utilized EPIC and Athena software to manage and confirm patient data, such as insurance, demographic and medical history information.
Provide administrative support including medical billing processing and insurance audits.
Business Office Specialist-Accounts Payable
HCA-CWT ASD CBO
10.2018 - 09.2019
Applied mathematical abilities on daily basis to calculate and check figures in all areas of accounting systems.
Applied proper GL codes to invoices, files and receipts to keep records organized and easily searchable.
Initiates new vendor set-ups and performs ongoing maintenance of vendor accounts in SMART and HOST.
Managed over 150 purchase orders and 35 vendor contracts weekly.
Processed daily bills, checks and vendor payments , maintaining detailed records and receipts.
Resolves all purchase order/invoice pricing, quantity and receiving discrepancies.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Prints daily vendor reports and submits for administrator approval, as determined through facility processes.
Charge Capture Analyst/ED Coder
Seton Family Of Hospitals-University Physician Women/ED Dept
01.2005 - 03.2016
Participates in special projects and audits to improve process related to revenue cycle, efficiency of charging, billing and collection efforts.
Abstracts pertinent information from OB/GYN and urology records. Assigns over 85-130 charts daily by applying International Classification of Diseases, Clinical Modification (ICD-10), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes.
Utilizes clinical and coding knowledge to ensure accurate and compliant charge items and to recognize and resolve billing inconsistencies.
Queries physicians when code assignments are not straightforward or documentation in record is inadequate, ambiguous, or unclear for coding purposes.
Reconcile clinical notes, patient encounters form, health information for compliance with HIPPA rules and JCAHO standards.
Provide coding and documentation advice to providers, clinical and professional staff or by participating in coding team's regular meetings.
Prepare statistical and narrative reports, or graphic presentations of information, such as ED trauma registry data, (LWBS/AMA) reports for use by hospital staff, researchers, or other users.
Accounting Associate
University Of Texas System Business Administration
07.2008 - 07.2014
Accomplished outstanding achievement in processing over 650 invoices per month for entertaining, catering expenses and UT employee out-of-pocket expenses.
Completed bi-weekly payroll for company employees.
Handled processing of daily cash and check deposits with creation of VC1 slips for 21 UT departments.
Reimbursed employees local and out of state travel vouchers and AVIS, Enterprise rental car invoice payments.
Reported financial data and updated financial records in ledgers and journals.
Performed debit, credit and total accounts on computer spreadsheets/databases, using specialized accounting software and Peoplesoft.
Processed contract payments and purchase orders for various vendors and UT departments.
Reconciled vendor statements and handled payment complaints or discrepancies.
Education
General Studies - Accounting And Business Management
Texas State University
San Marcos, TX
General Studies -
Austin Community College
Austin, TX
Skills
Organizing and prioritizing work
60 WPM, 12300 KPH
Problem solving and critical thinking skills
Microsoft office and medical terminology expert
File and database management, account reconciliation
ICD-10 (International Classification of Disease Systems) coding proficiency
CPT (Current Procedural Terminology), diagnostic codes and modifiers knowledge