Monique Romero
Forney,TX
Summary
Competent Accounts Receivable Specialist bringing 4 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, and resolving billing issues. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance.
Overview
15
15
years of professional experience
Work History
Accounts Receivable Specialists
US Anesthesia Partners of Texas
04.2019 - Current
- Contacted Medicare/Oklahoma Medicaid/Medicaid Replacement/Commercial insurance companies for additional claim denial information
- Processed and followed up on Medicare/Oklahoma Medicaid/Medicaid Replacement/ Commercial appeals/reconsiderations submitted via insurance provider portals/calling provider line
- Printed or demanded and re-filed claims as needed
- Took adjustments on accounts
- Work correspondence daily/completed assigned payer specific projects in a timely fashion
- Maintained basic proficiency with using spreadsheets
- Worked outstanding Medicare/ Oklahoma Medicaid /Medicaid Replacement/Commercial rejected/invoice no activity claims from assigned work queues
- Responsible for working 40 invoices daily
- Maintained accuracy rating of 97% or greater on audited accounts
- Met productivity standards as set by the department
- Maintained strictest confidentiality.
Physician Office Representative
BSW Health -HTPN Orthopaedic Consults of NTX
07.2015 - 04.2019
- Review clinic schedule to coordinate pre-visit planning, clinic preparation
- Provide excellent customer service
- Posted Day End Close for OCNT Practice
- Surgery scheduling: Scheduling of procedures with Anesthesia, confirming line up
- Help to coordinate and resolve patient concerns
- Answer practice phones
- Arrive/Depart patients, collect co-pays/explaining and collecting balances/documents needed
- Oversee patient scheduling
- Submit check requests through BSW Accounts Payable for OCNT and BSW Neurology of Dallas office invoices
- Create team building opportunities to help boost morale
- Maintain daily huddle board to help with open communication/suggestions/improvements in daily clinic flow, staying current with all BSW updates by discussing weekly “Take 5” handouts.
Case Worker/Dispatcher
American Red Cross
12.2014 - 05.2015
- Reviewed and maintained client cases
- Ensured data entry was accurate and complete
- Preformed follow-up calls to clients that received ARC assistance
- Issued referrals and client assistance cards when appropriate
- 356 hours required practicum for AAS Social Work Generalists Degree Program.
Pharmacy Help-Desk Agent
WellCare
12.2008 - 07.2010
- Answered and logged 80-90 inbound calls daily
- Adjudicated claims for members to obtain their medications when appropriate
- Escalated phone calls to higher level pharmacy if unable to assist
- Explained member benefits to improve understanding
- Faxed PA forms to physician offices
- Evaluated phone logs for quality and efficiency.
Education
Associates in Applied Science- Social Work Generalist -
Eastfield Community College
05.2015
Skills
- EMR: EPIC
- Centricity
- AthenaIDX
- Vision
- CAS 20
- Paradigm software
- PC7
- Health Logic
- TMHP
- Availity
- EDI
- Novitas
- UHC Optum
- OHCA portal
Awards
Health Texas Provider Network/Dr. Anil Koganti - Achieved HTPN Service Excellence Top Performing office HTPN BSW Neurology of Dallas, Operations Manager II with EnCore Thank You Award For Willing to Help
Timeline
Accounts Receivable Specialists
US Anesthesia Partners of Texas
04.2019 - Current
Physician Office Representative
BSW Health -HTPN Orthopaedic Consults of NTX
07.2015 - 04.2019
Case Worker/Dispatcher
American Red Cross
12.2014 - 05.2015
Pharmacy Help-Desk Agent
WellCare
12.2008 - 07.2010
Associates in Applied Science- Social Work Generalist -
Eastfield Community College
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