Nelda Urbina
Tucson,Arizona
Summary
Accomplished Business Office Manager with a proven ability to learn new systems and processes, and adapt to changing environments with ease—strong track record of excelling in staff development and compliance. As an expert in insurance authorizations and patient relations, I implemented process improvements that enhanced service delivery and operational efficiency, fostering a culture of excellence and teamwork. Passionate about driving growth and optimizing patient care. A hardworking team player who pays attention to detail and is committed to delivering excellent results.
Overview
26
26
years of professional experience
Work History
Business Office Manager
ATLAS HEALTHCARE PARTNERS
Tucson, Arizona
01.2021 - Current
- Manage two facilities, overseeing operations and ensuring compliance with healthcare regulations.
- Directed CBO functions, including patient admissions, insurance verification, medical records, and scheduling across multiple centers.
- Implemented and monitored board-approved policies to uphold high standards of compliance and privacy.
- Led recruitment initiatives to attract physicians, enhancing stability and growth within the organization.
- Promoted service excellence by implementing process improvements for optimal patient care delivery.
- Mentored staff to strengthen critical thinking and problem-solving skills through goal-setting and evaluations.
- Analyzed surgical data to identify growth opportunities using proprietary tools and provided accurate estimates.
- Collaborated with executive leadership to maintain adherence to local, state, and federal requirements.
Reimbursement Analyst
CHILDREN’S CLINICS
Tucson, Arizona
08.2018 - 09.2021
- Reviewed admissions records for accuracy in financial and biographical data.
- Provided detailed information on patient accounts in response to inquiries.
- Applied payments and adjustments to patient accounts, processing refunds when necessary.
- Analyzed patient accounts for collectability, recommending bad debt or charity write-offs.
- Arranged payment methods and credit extensions with patients or their representatives.
- Explained charges, coordinated account collections, and contacted carriers regarding outstanding balances.
- Posted payments to accounts receivable while reviewing accounts with unusual balances.
- Batched daily deposits and prepared receipts for deposit.
Business Office Manager
N.W. Healthcare Home Health
Tucson, Arizona
08.2017 - 08.2018
- Executed onboarding processes for new hires, including health screenings and training.
- Evaluated clerical support staff alongside Executive Director and Clinical Director.
- Delivered customer service training to administrative support personnel.
- Procured goods and services while conducting monthly inventories of medical supplies.
- Performed technical billing audits, implementing necessary corrections.
- Managed incoming telephone traffic, directing calls to appropriate staff.
- Ensured completion and maintenance of HR and medical files for all employees.
- Coordinated Personal Emergency Response Program and distributed physician satisfaction surveys.
Patient Financial Services Supervisor
BANNER HEALTH
Tucson, Arizona
08.2015 - 08.2017
- Supervised staff to maintain optimal staff-to-workload ratios and ensure service quality.
- Conducted training, performance reviews, and disciplinary actions for assigned staff.
- Researched and appealed denied claims to maximize reimbursement outcomes.
- Served as liaison between patients, PFS department, and payers to improve account receivables.
- Calculated patient liabilities based on verification of insurance benefits.
Office Manager
DEPENDABLE NURSES
Tucson, Arizona
08.2013 - 08.2015
- Supervised office staff, managing performance appraisals and disciplinary actions.
- Maintained computerized schedules and monitored clinical staff availability.
- Collaborated with Clinical Supervisors and administrative teams to ensure effective assignments.
- Organized daily office operations and assessed procedural efficiency.
- Promoted staff development through training initiatives.
- Oversaw payroll functions, controlled correspondence, and approved supply requisitions.
- Provided reports on incoming referrals to Clinical Supervisor and Director of Nurses.
- Processed payroll for facility staff and temporary workers.
Billing Specialist
SIERRA VISTA REGIONAL HEALTH
Sierra Vista, Arizona
01.2013 - 08.2013
- Collaborated with case management to gather medical records for securing insurance authorizations; audited and refined final billed initial claims for precision before submission both electronically and in hardcopy, including necessary attachments.
Intake Coordinator/Scheduler
LEGACY HEALTHCARE
Sierra Vista, Arizona
05.2011 - 01.2013
- Managed admissions, re-certifications, resumptions of care, and discharges efficiently.
- Collaborated with theClinical Supervisor to assign appropriate clinical staff.
- Communicated with patients, hospital discharge offices, and payer sources to finalize referrals.
- Built and maintained relationships with outside agencies, vendors, field staff, and office personnel.
- Processed and distributed monthly non-provision of services reports to all Medicaid insurers.
Lead Eligibility & Billing Specialist
ADREIMA/SVRHC
Sierra Vista, Arizona
01.2005 - 05.2011
- Guided uninsured patients through application processes for governmental medical assistance programs, validated insurance benefits, processed payments, determined eligibility, organized pre-registrations for inpatient/outpatient and ER services, and thoroughly scrubbed final billed initial claims
Patient Scheduler
Sierra Vista Diagnostics
Sierra Vista, Arizona
01.2000 - 01.2005
- Assisted patients with scheduling, verified eligibility, and obtained insurance authorizations.
Education
BS - Business Management
Rasmussen University
Saint Paul, MN12-2020
AS - Health Information Technician
Rasmussen College
Saint Paul, MN06-2018
Certificate of Completion - Human Services Specialist
Rio Salado College
Phoenix, Arizona01.1998
Skills
- Front Office Management
- Onboarding New Employees
- Staff Development & Training
- Patient Relations
- Customer Satisfaction
- Liaison Work
- Interfacing with External Agencies
- Inventory Management
- Purchasing Medical and Office Supplies
- Supply Chain Billing
- Issuance of Purchase Orders
- Invoicing
- Accounts Receivable/Payable
- Payroll
- Scheduling & Workflow Management
- Data Analyses
- Records Management
- File Reviews
- Detailed Documentation
- Insurance Prior Authorizations
- Pre-Registrations
- Registrations
- ICD-9 / ICD-10 / CPT Coding
- HIPAA Rules
- Fair Debt Collection Practice Act
- Microsoft Office Suite of Tools
- NextGen
- EPIC
- Cerner
- Affinity
- Health Care First
- Carevoyant
- MAS90
- MS4
- HCHB
- HST
- Case Coordination
References
Excellent References & Recommendations
Software Proficiencies
- Microsoft Office Suite of Tools
- NextGen
- EPIC
- Cerner
- Affinity
- Health Care First
- Carevoyant
- MAS90
- MS4
- HCHB
- HST
- Case Coordination
Languages
English
Full Professional
Spanish
Professional
References
References available upon request.
Timeline
Business Office Manager
ATLAS HEALTHCARE PARTNERS
01.2021 - Current
Reimbursement Analyst
CHILDREN’S CLINICS
08.2018 - 09.2021
Business Office Manager
N.W. Healthcare Home Health
08.2017 - 08.2018
Patient Financial Services Supervisor
BANNER HEALTH
08.2015 - 08.2017
Office Manager
DEPENDABLE NURSES
08.2013 - 08.2015
Billing Specialist
SIERRA VISTA REGIONAL HEALTH
01.2013 - 08.2013
Intake Coordinator/Scheduler
LEGACY HEALTHCARE
05.2011 - 01.2013
Lead Eligibility & Billing Specialist
ADREIMA/SVRHC
01.2005 - 05.2011
Patient Scheduler
Sierra Vista Diagnostics
01.2000 - 01.2005
BS - Business Management
Rasmussen University
AS - Health Information Technician
Rasmussen College
Certificate of Completion - Human Services Specialist
Rio Salado College