Nicole Velasco
Charles Town,WV
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
18
18
years of professional experience
Work History
Office/Medical Billing Manager
Dr Cameron Phipps
Lansdowne, VA
03.2024 - Current
- Oversaw billing operations, ensuring accuracy in claims submissions and reimbursements.
- Implemented process improvements to reduce billing discrepancies and enhance workflow efficiency.
- Collaborated with healthcare providers to resolve billing inquiries and optimize revenue cycle management.
- Analyzed financial reports to identify trends and inform strategic decision-making for department improvements.
- Managed relationships with insurance companies, negotiating terms to improve payment processes.
- Conducted regular audits of billing procedures to ensure adherence to regulatory standards and internal protocols.
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Collaborated with providers and staff to ensure accurate coding for billing purposes.
- Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
- Checked vendor payments, commissions and other accounting disbursements for accuracy and compliance.
- Reviewed cash flow projections, cost analysis and monthly, quarterly and annual reports.
- Scheduled, posted, and pre-authorized all surgical procedures at Inova Hospital and Loudoun Surgery Center
- Analyzed business processes to identify cost savings and operational efficiencies.
Medical Billing Specialist
Loudoun Medical Group
Leesburg, VA
03.2018 - 03.2024
- Processed medical claims efficiently, ensuring timely reimbursement and compliance with insurance guidelines.
- Collaborated with healthcare providers to resolve billing discrepancies and enhance revenue cycle management.
- Analyzed patient accounts for accuracy, identifying errors and implementing corrective measures.
- Mentored junior staff in billing procedures and regulatory requirements, fostering a knowledgeable team environment.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Liaised between patients, insurance companies, and billing office.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Prepared billing correspondence and maintained database to organize billing information.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Collaborated with customers to resolve disputes.
- Responded to customer concerns and questions on daily basis.
- Reconciled accounts receivable to general ledger.
Office/Billing Manager
Dr Mark Dollard
Sterling,VA
07.2008 - 03.2018
- Oversaw billing operations, ensuring timely and accurate invoicing processes.
- Managed accounts receivable, reducing outstanding balances through effective collections strategies.
- Developed and implemented billing procedures to enhance accuracy and efficiency.
- Trained and mentored staff on billing software and compliance regulations.
- Analyzed billing data to identify trends, driving improvements in revenue cycle management.
- Collaborated with cross-functional teams to streamline payment processes and resolve discrepancies.
- Led audits of billing records to ensure adherence to industry standards and best practices.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
- Enhanced client satisfaction levels by ensuring timely delivery of accurate invoices and addressing concerns professionally.
- Reviewed contracts for accuracy before finalization, ensuring that all agreed-upon terms were documented correctly per customer negotiations.
- Developed comprehensive training materials for new hires to quickly acclimate them to company procedures and software systems.
- Conducted periodic reviews of existing processes to identify areas of potential cost savings or efficiency improvements.
- Improved financial accuracy with meticulous auditing of accounts, ensuring compliance with financial standards and regulations.
- Fostered strong relationships with key clients by providing personalized billing support, ensuring their needs were met promptly and efficiently.
- Streamlined billing process, significantly reducing errors and enhancing client satisfaction by implementing automated system for invoice generation.
- Boosted cash flow with effective billing strategies, closely monitoring aging reports and prioritizing high-value accounts for collection efforts.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Resolved financial discrepancies and customer billing issues with timely attention.
Skills
- Team leadership qualities
- Staff training and development
- Financial reporting
- Audit support
- Operations monitoring
- Adaptability and flexibility
- Operations management
Timeline
Office/Medical Billing Manager
Dr Cameron Phipps
03.2024 - Current
Medical Billing Specialist
Loudoun Medical Group
03.2018 - 03.2024
Office/Billing Manager
Dr Mark Dollard
07.2008 - 03.2018