Ofelia Flores
Spring Valley,CA
Summary
Dynamic DME/Medical Billing Manager with over 20 years of experience in billing operations and compliance. Skilled in leading teams, optimizing processes, and driving continuous improvement initiatives. Committed to delivering accurate claims and enhancing revenue cycle performance.
Overview
23
23
years of professional experience
Work History
Medical Billing Manager
Mobility Solutions Inc.
San Diego, CA
09.2003 - 03.2026
- Managed a team of billing specialists to enhance operational efficiency.
- Oversaw billing processes and ensured compliance with healthcare regulations.
- Reviewed claims for accuracy before submission to insurance companies.
- Resolved issues related to denied or rejected payments from insurance companies.
- Collaborated with healthcare providers to resolve billing inquiries and discrepancies.
- Oversaw daily activities related to the processing of electronic claims submissions.
- Provided support during audits by presenting documentation and addressing findings.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
- Developed strategies for improving collections performance across multiple sites.
Education
Medical Administration And Insurance Certificate - Medical Administration And Insurance
Valley Career College
San Diego 07-2003
Skills
- Claims management
- Billing management
- Electronic claims processing
- DME coding
- Healthcare compliance
- Medicare and medicaid regulations
- Payment posting
- Audit preparation
- Insurance verification
- Continuous improvement mindset
- Organizational skills
- Time management abilities
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Medical Billing Manager
Mobility Solutions Inc.
09.2003 - 03.2026
Medical Administration And Insurance Certificate - Medical Administration And Insurance
Valley Career College