Paloma Sanchez
Calexico,CA
Summary
Hardworking Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Offering 10 years of experience in healthcare and excellent analytical skills.
Overview
9
9
years of professional experience
Work History
Medical Billing Manager
All Valley Urgent Care
2022.07 - Current
- Perform daily medical billing, including medical coding, charge entry, payment posting, and reimbursement management
- Manage day to day activities including task assignments, goal setting, and training for 6 employees
- Monitor and evaluate clearinghouse rejection reports Reduced first-time claim submission errors to zero Accurate postings of paid claims
- Analysis of daily revenue report for the practice Responsible for accounts receivable Credentialing Insurance posting and balancing
- Responsible for contract set-up and implementation with new insurance carriers Responsible
Medical Biller III
Southern California Physician Services
2014.12 - 2022.07
- Handle all medical billing for three locations
- Process and enter payments from insurance companies and patients
- Perform and analyze A/R Follow up to maximize revenue
- Develop reports and analyze data in order to provide recommendation for improvement
- Credential new clients and re-credential existing clients
- Performs special project audits and reviews as requested and provide feedback on trends
- Assisted patient with any financial and billing question
Patient Care Coordinator
La Maestra Community Health Center
2015.06 - 2016.09
- Worked as part of a cohesive and innovative medical referrals team to provide support for medical providers and link patients with needed medical referrals
- Obtained insurance eligibility and authorization for medical procedures, filled out and requested necessary referrals
- Maintained ongoing tracking and appropriate documentation on referral tracking and ensure that referrals are addressed in a timely manner
- Follow-up with patients, including reminding them of referral appointments, addressing barriers, and providing information and support; Worked together with providers on patient follow-up and trouble-shooting
Medical Assistant
Neurology Clinic
2014.06 - 2015.06
- Established, updating and organizing patient files and medical records
- Interviewed incoming patients prior to admission to gather demographic, insurance and emergency information
- Obtained insurance eligibility and authorization for medical procedures, filled out and requested necessary referrals
- Escorted patients to exam rooms; took and recording vitals; temperatures, height and weight measurements; took and recorded medical histories
Education
High School Diploma -
Calexico High School
Calexico, CABachelor of Science - Health Information Management
San Diego Mesa College
San Diego, CA2022
Associates - Health Information Technology
San Diego Mesa College
San Diego, CA2020
Certified Medical Assistant (CMA) - undefined
2013
Skills
- Revenue cycle
- Medical Billing
- A/R management
- Data Analyst
- Oversight Auditing
- Patient Education
- Accurately filling insurance forms
- Medical Insurance knowledge (HMO, PPO, Medical, Medicare)
Affiliations
Heffernan Memorial Healthcare District-Board Member
Timeline
Medical Billing Manager
All Valley Urgent Care
2022.07 - Current
Patient Care Coordinator
La Maestra Community Health Center
2015.06 - 2016.09
Medical Biller III
Southern California Physician Services
2014.12 - 2022.07
Medical Assistant
Neurology Clinic
2014.06 - 2015.06
High School Diploma -
Calexico High School
Bachelor of Science - Health Information Management
San Diego Mesa College
Associates - Health Information Technology
San Diego Mesa College
Certified Medical Assistant (CMA) - undefined
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