Norma A. Mendiola
Des Plaines,IL
Summary
Accomplished professional with over 15 years of billing and collection experience in the healthcare industry. Strong leader with proven track record of meeting and exceeding collection goals. Team builder who fosters a collegial and motivated workforce to deliver the company objectives.
Billing professional prepared to drive results and optimize financial operations. Proven track record in managing billing systems, ensuring regulatory compliance, and implementing process improvements. Strong focus on team collaboration, adaptable to changing needs, and consistently reliable. Skilled in financial analysis, accounts receivable, and strategic planning, with leadership style that motivates and supports team success.
Overview
33
33
years of professional experience
Work History
Director of Billing
Lifescan Laboratory
01.2011 - Current
- Responsible for the management, counseling, and coaching of the billing department
- Initiated new structure and improved AR from an initial 4.2 million to 9.6 million in year 1
- Managed the AR/Collections transition of two laboratories acquired by Lifescan
- Utilize SEACOAST system tools to optimize employee throughput
- Promote an environment that fosters excellent teamwork and workforce productivity
- Prepare the Accounts Receivable end of month reports for owners and accountants
- Knowledge of provider contracting, benefit verifications, pre-authorizations, payroll preparation, financial audits, and HR responsibilities
- Responsible for deposits and bank reconciliation of EFT’s from various payor sources
- Participates in ongoing education related to reimbursement and financial industry related initiatives (ICP’s, PAMA, PDP)
- Strong understanding and experience with Medicaid and Medicare programs
- Experience with Medicare application submission related to new sites
- Responsible for the billing department employees continued education and rolling out new initiatives for the organization
Collection Manager
RxPerts Pharmacy
01.1999 - 01.2011
- Review all accounts and determine the action to take
- Created assignments, managed workflow and directed collections staff
- Responsible for maintaining, updating and processing accounts
- Contacted patients, family members, and LTC Billing personnel in the collection effort
- Called insurance companies, Medicaid, Medicare as needed
- Maintained and 'worked' aging reports on an ongoing basis
- Developed processes and policies for the Collection Department
- Coordinated collections with long-term care facility contacts
- Provide monthly reports to CFO and ownership related to collection status
- Answered patient/family queries, problems and complaints, and identify solutions
- Utilized tools to inquire as to patients payor status: Medicaid, Medicare, Insurance; rebilled and updated accounts as necessary
Reimbursement Coordinator Omnicare Renal Services
Omnicare, Inc
01.1999 - 12.1999
- Collect review and enter into the database all patient billing information
- Prepare and distribute weekly Census and Utilization Report
- Aggregate total treatments provided nationally and enter into the spreadsheet
- Maintain and update Renal Census all states
- Provide monthly report to Nephrologists for billing purposes
- Communicate patient pay status prior to admission into the program
- Communicate with Renal Network to verify patient ESRD status
- Extensive internal and external customer communication
Medical Records Representative
Lawrence-Weber Medical
01.1992 - 12.1999
- Processing physician orders: edit, enter and review medications and ancillary orders
- Print, prepare and send completed Medical Records to customers on a monthly and 'on-demand' basis
- Customer Representative duties for specifically assigned facilities to include problem-solving, ensuring data accuracy, providing support to other departments
Education
Medical Terminology Course -
Oakton College
Des Plaines, IL01.1998
Legal secretary courses - Computer Science courses
Robert Morris College
Chicago, IL01.1994
General Education Courses -
Carl Schurz High School
Chicago, IL01.1992
Skills
- Medical billing
- Collections management
Timeline
Director of Billing
Lifescan Laboratory
01.2011 - Current
Collection Manager
RxPerts Pharmacy
01.1999 - 01.2011
Reimbursement Coordinator Omnicare Renal Services
Omnicare, Inc
01.1999 - 12.1999
Medical Records Representative
Lawrence-Weber Medical
01.1992 - 12.1999
Legal secretary courses - Computer Science courses
Robert Morris College
General Education Courses -
Carl Schurz High School
Medical Terminology Course -
Oakton College
Similar Profiles
Tonie RogersTonie Rogers
Phlebotomy Technician at Quest Diagnostics LaboratoryPhlebotomy Technician at Quest Diagnostics Laboratory
Clarisse Li-Chin KwahClarisse Li-Chin Kwah
Radiographer at Lifescan ImagingRadiographer at Lifescan Imaging
Tandria Miles-CollinsTandria Miles-Collins
Human Resources Generalist at Lifescan Labs of IllinoisHuman Resources Generalist at Lifescan Labs of Illinois