Rebecca Hernandez
Riverside,CA
Summary
Skilled Office Manager and Billing Specialist with a proven track record at Precise Medical Billing and Solutions, Corp., adept in reducing account receivables and enhancing team productivity. Demonstrates exceptional organizational skills and customer service, excelling in office administration and the adept use of billing software. Achieved significant improvements in billing accuracy and patient account management.
Overview
8
8
years of professional experience
Work History
Office Manager / Billing Specialists
Precise Medical Billing and Solutions, Corp.
10.2022 - 01.2025
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared billing statements for patients.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
- Worked closely with insurance portals, to obtain any explanations of benefits of payments or denials. Familiar with Medicare (Noridian), IEHP, Medi-cal Eligibility, Availity, Office Alley, and Blue Shield Etc.
- Corrected and appealed any denials.
- Opened office each morning.
- Scan, fax and email when needed.
- Obtained all medical records from the Epic portal.
- Requested codes and charges from primary surgeon's billing offices, for the PAs billing has to be billed exactly like primary surgeon's claims.
- Tebra, (formerly Kareo software).
- Addressed patients concerns promptly.
- Oversaw office inventory activities by ordering and restocking.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
Account Receivables
DND Professional Billing
12.2016 - 03.2024
- Conducted regular reviews of aged accounts receivable reports, ensuring timely follow-up on past due balances.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Appealed all denied claims.
- Sent out all patient statements.
- Obtained Explanation of Benefits of payments and denials from insurance portals.
- Emailed, faxed and scan when needed.
- Picked up all Doctor's billing each week.
Education
High School Diploma -
Redlands Adult School
Redlands, CA12-2025
Skills
- Customer service
- Office management
- Organizational skills
- Office administration
Timeline
Office Manager / Billing Specialists
Precise Medical Billing and Solutions, Corp.
10.2022 - 01.2025
Account Receivables
DND Professional Billing
12.2016 - 03.2024
High School Diploma -
Redlands Adult School
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