NINA MEJIAS
Cooper City,FL
Summary
Competent Accounts Receivable Specialist bringing over 20 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing issues and preparing account statements. Recognized as dedicated professional driven to meet team targets and enhance bottom-line performance. Demonstrated record of organizational excellence, the ability to communicate clearly and succinctly verbally and in writing in both English and Spanish.
Overview
16
16
years of professional experience
Work History
Senior Accountant
GLOBAL MEDICAL MANAGEMENT, INC.
04.2017 - Current
- Created monthly reports that analyzed insurance receivables
- Fostered strong relationships with Executive Management to gain trust and improve relations between multi-site operations
- Led collections efforts helping the team reduce legacy AR by 4.4M
- Created and maintained several spreadsheets to track the collections efforts
- Created tracking spreadsheets for clients’ monthly and annual invoicing
- Reduced errors in financial statements through stringent review procedures and regular reconciliation of accounts.
- Spearheaded a team of junior accountants, providing mentorship and guidance to improve efficiency and accuracy in their work.
- Assisted in internal and external audits by preparing necessary documentation and responding to auditor inquiries.
- Prepared monthly journal entries and reconciliations.
- Reviewed documents and accounts for discrepancies and resolved variances.
- Updated general ledger with latest entries.
- Contributed to hiring, training and development of accounting teams.
- Oversaw accounting team in servicing diverse clients.
- Provided journal entries and performed accounting on accrual basis.
- Promoted from an Accounting Coordinator to Supervisor of Accounting in 2019
- Promoted from Supervisor of Accounting to Senior Accountant in 2020
A/R Account Specialist
SKYEMED PHARMACY & INFUSION SERVICES
10.2014 - 03.2017
- Responsible for timely and accurate billing activities, including interactions with third party payers and patients
- Apply understanding and knowledge of medical coding including ICD-10 and HCPCS, payer coverage criteria, and required documentation to produce payable claims
- Improved billing and cash flow by correcting faulty documentation and promptly responding to requests for additional information to support billing and verifying current coverage with third party payers, and obtain authorizations as needed
- Followed up on existing outstanding A/R of all payers and self-pay accounts and found resolution to several denials to obtain maximum payment on accounts and identified issues to achieve future profitability
- Correctly identified credit balances remaining on A/R that were belonging to patients and/or insurance and arranged for refunds of overpaid amounts.
- Enhanced client satisfaction by promptly resolving account issues and providing exceptional customer service.
- Resolved complex billing and payment issues for balanced, accurate accounts.
- Reconciled customer accounts and identified discrepancies for further investigation.
- Prepared and submitted timely invoices, statements and payment reminders for customers.
- Delivered accurate billing and timely payments across high-volume client accounts.
Reimbursement Specialist
WALGREENS INFUSION SERVICES
01.2012 - 10.2014
- Ensure the accurate and timely billing and collection of patient accounts for a leading provider of home infusion therapies
- Apply understanding and knowledge of medical coding including ICD-9 and HCPCS, payer coverage criteria, and required documentation to produce payable claims
- Correctly determine quantities and prices for drugs billed, verifying with a high degree of accuracy that services and products are correctly authorized, with required documentation
- Apply investigative skills to resolve payment issues by tracking outstanding accounts receivable, administering collections activity, researching discrepancies, resolve issues and prepare aging reports
- Streamlined reimbursement processes by implementing efficient filing and tracking systems.
- Established strong working relationships with insurance providers, fostering open communication channels for smoother claim resolutions.
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Created training materials and led sessions for new hires, ensuring they were equipped with the necessary skills to excel as Reimbursement Specialists.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Delivered timely information to insurance representatives to resolve common and complex issues.
Facility Administrator (Anesthesia)
SHERIDAN HEALTHCORP, INC.
01.2010 - 01.2012
- Integral part of operations and billing functions at multiple facilities, serving as the liaison between central office operations and hospitals on a daily basis
- Compiled and maintained anesthesia case records, demographics data, pre and post anesthesia evaluations, operative notes, and acute pain management records
- Maintained appropriate logs of batching, census, and deficiencies
- First facility administrator in Florida to use new software for electronic anesthesia records
- Trained employees on software use, resulting in efficiencies in work processes
- Accounted for records by reconciling charts against OR schedule, and Endo log, capturing information and accurate case count information
- Key contributor to Quality Assurance through review of anesthesia/OR documentation for clarity and consistency with diagnosis, conditions and procedures, communicating with clinical staff for revisions
- Improved billing and cash flow by correcting faulty documentation and promptly responding to requests for additional information to support billing.
- Audited and corrected billing and posting documents for accuracy.
- Employed clinical and billing codes expertise to correct billing inconsistencies.
- Demonstrated adaptability and a commitment to ongoing professional development, embracing new software systems and process changes with enthusiasm and ease.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
- Managed multiple priorities effectively under high-pressure deadlines without compromising accuracy or quality of work output.
Talent Acquisition Specialist
ACA TALENT
01.2008 - 01.2009
- Built networks, posted advertisements, and networked with professional organizations to identify and recruit qualified candidates for job openings for employment service agency
- Maintained strong relationships with managers and client representatives, achieving a high level of customer service
- Achieved goals by using internet sources, social media and professional networking sites
- Conducted prospecting and cold calling, interviewed potential candidates, and delivered qualified candidates to clients, meeting job requisition requests.
- Enhanced candidate experience by implementing a streamlined application process and timely communication.
- Developed strong talent pipelines by utilizing various sourcing techniques, including social media, job boards, and networking events.
Education
Certificate - Phlebotomy
H.C. Wilcox Tech
Meridian, CTCertificate - Computer Programming
I.B.C. Moca
High School Diploma -
Tennessee Technology Center
Murfreesboro, TNSkills
- Organizational Skills
- Word & Excel Proficiency
- Bilingual English/Spanish
- Payer and Patient Collections
- Grow/Nurture Relations
- Listening & Customer Service Skills
- Financial Reporting
- Cash Flow Management
- Bank Reconciliation
- Account Reconciliation
- Audit Support
- Staff Oversight
- Internet Research
Proficient With
- SAP
- VCC
- CPR+
- Emdeon
- Availity
- AS400
- EPIC
- ShareableInk
- MRO (Medical Record Online)
- FCO (Filing Cabinet Online)
- Meditech Magic Chart Control, Access and Storage
- Clinical Data Analysis and Extraction
- Patient Keeper
career note
Experience in the hospitality industry includes service as hostess, server and hotel receptionist.
References
References available upon request.
Timeline
Senior Accountant
GLOBAL MEDICAL MANAGEMENT, INC.
04.2017 - Current
A/R Account Specialist
SKYEMED PHARMACY & INFUSION SERVICES
10.2014 - 03.2017
Reimbursement Specialist
WALGREENS INFUSION SERVICES
01.2012 - 10.2014
Facility Administrator (Anesthesia)
SHERIDAN HEALTHCORP, INC.
01.2010 - 01.2012
Talent Acquisition Specialist
ACA TALENT
01.2008 - 01.2009
Certificate - Phlebotomy
H.C. Wilcox Tech
Certificate - Computer Programming
I.B.C. Moca
High School Diploma -
Tennessee Technology Center
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