Paula Mendoza

My position comes with duties of Billing, Initiating medical practices, Credentialing providers and linking groups with insurance companies. When needed, Update provider/group accounts: CAQH, NPPES, PECOS, Medicaid/Insurance portals.

Other duties:

• Setting up EHR/PM accounts
• Integrate software’s
• Billing: Scrub claim, post payments, follow-up, rejections, A/R, collections
• Initiate invoices end of month reports
• Insurance Eligibility check

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At Taylor NP Solutions I had the opportunity was given with the following duties but not limited too,

• Credentialing Provider/Group
• Update their CAQH, PECOS, insurance portal account
• Billing: Charge entry, post payments and process invoices
• Follow up & rejections
• Train staff
• A/R, collections
• End of month reports.

Working at Island Healthcare Solutions I did Credentialing providers/groups, Complete provider applications for Hospital and SNF privileges.

Other duties include:

• Billing: Charge entry, payment posting
• Followed up on all denials and rejections
• Processed any appeals as needed

With a single account, I placed in:

• charge entry
• Payment posting
• Referral and authorizations
• Follow-ups and appeals.

A description of my position at Akamai Practice Man. would be:

• Assisted multiple accounts with charge entry
• Post payments, follow up, appeals and rejections.
• A/R reports and end of the month reports
• Train staff to assist with proper documentation retrieved
• Credential providers
• Complete hospital and SNF privileges applications

Instructor of multiple courses at Hawaii Medical College. Teachings Taught:

• Medical front office
• Medical professional billing (HCHA-1500)
• Hospital billing (UB04)
• Medical terminology
• Instructed students how to troubleshoot denials/rejections, and how to navigate LCD’s

Assisted multiple accounts,

• Charge entry, payment posting
• Follow up, appeals and rejections
• A/R reports, end of month reports
• Staff training to retrieve proper documentation

• Hospital and Professional billing
• Customer service
• Charge entry & payment posting
• Work denials & rejections
• End of month reports
• Trained staff to retrieve proper documentation.

I had the opportunity to handle Hospital and Professional billing.

• Charge entry
• Payment posting
• Follow up & A/R rejections
• End of month reports and posting

• Customer Service
• Heavy phone calls
• Authorize Imaging studies for Blue Cross/Blue Shield plans
• Review medical records.