Summary
Overview
Work History
Skills
Awards
Timeline
Generic

Regina Bedolla

Yakima,WA

Summary

A detail-oriented and results-driven individual with excellent communication and people skills seeking to transition to a professional career opportunity to fully utilize my skills and play a direct role in the unlimited growth and success of the organization.

Overview

24
24
years of professional experience

Work History

Volunteer Workforce Specialist

Yakima Memorial Hospital
09.2021 - Current
  • Management of 130+ Volunteers, Recruitment, Application screening, Interviewing, Placement & Onboarding, Compliance training & Education, Rounding & department support, Job shadow/training, Monthly compliance reporting, Volunteer activities, Events, and Projects. Policy and procedure development.

Payer Contracting Coordinator

Yakima Memorial Hospital
02.2021 - 09.2021
  • Single case agreements, Monthly department newsletter, Facilitate/lead team meetings, Payer relations/coordinate routine schedule and agenda, Special projects (claims issues, VBR related check-ups) current on upcoming contractual trigger dates/renewals, Payor contract file management, Maintaining participating contract summaries for various internal & external customers, Analyze payor return maximizing our return based on reimbursement agreements.

Revenue Operations Supervisor

Yakima Memorial Hospital
06.2018 - 02.2021
  • Oversee the day to day operations of the Revenue Cycle insurance teams, AR review to ensuring timely & accurate processing of claims, payments, adjustments & denials. Monitoring of daily work & productivity, Maintain current knowledge of payer billing & reimbursement requirements, Conduct team meetings, education, and training, Evaluate system requirements (Sorian, eCW, ePremis) initiating appropriate changes in billing system, Complete weekly time & attendance, Conduct employee interview & performance evaluations.

Revenue Cycle Analyst

Yakima Memorial Hospital
06.2016 - 06.2018
  • Identify & Resolve payor claim issues, Special projects & Audits (Medicare bad debt), Assist in the development of effective billing & claims processing procedures, Appeals & reconsiderations, Monitoring of Neptune & Denial management work lists, Maintain current knowledge of billing(CPT, HCPC, ICD-10) Reimbursement & Compliance requirements (Medicare, Medicaid & Healthy Options), Evaluate, Research & Analyze claim denials, Meet daily & weekly productivity goals.

Revenue Cycle Rep III

Yakima Memorial Hospital
01.2013 - 06.2016
  • Daily review of AR & Denial management work list's, Billing & follow-up on claims over $10,000, Medicaid/Healthy Options Projects- Appeals & Reconsiderations, Credit balances, HMS & Refund request, Out of State claims, Denials & Authorizations, Maintain current on billing regulations, CPT, HCPC, ICD-9, ICD-10 & Fee schedule & Payor reimbursement.

Billing Specialist

Yakima Regional Hospital
08.2000 - 11.2012
  • 2000-2003: Billing, follow-up & denials for L & I, Tricare/Champus, Contract Care, Regence, and Premera BC, 2003-2005: Billing, follow-up & denials for Healthy Options payors 2006-2008: Billing, follow-up & denials for Medicare, 2008-2012: Billing, follow-up & denials for Medicaid & Medicaid Out of State (Idaho, Oregon, Montana & California), Reports: 24 & 72 hr., no comments, credit balances & unbilled, Medicare buy back, Remits & correspondence, Provide weekly update to all AR greater than 300 days, Maintain current on all billing changes & requirements, Appeals.

Skills

  • Bilingual
  • Technical/Operational Skills
  • Team oriented
  • Critical thinking & Problem-solving skills
  • Time management
  • Communication skills
  • HIPAA
  • ICD-9 & ICD-10
  • Word & Excel

Awards

July 2018     Inspire Role Model Award

November 2018     Certified Revenue Cycle Specialist (CRCS)

Timeline

Volunteer Workforce Specialist

Yakima Memorial Hospital
09.2021 - Current

Payer Contracting Coordinator

Yakima Memorial Hospital
02.2021 - 09.2021

Revenue Operations Supervisor

Yakima Memorial Hospital
06.2018 - 02.2021

Revenue Cycle Analyst

Yakima Memorial Hospital
06.2016 - 06.2018

Revenue Cycle Rep III

Yakima Memorial Hospital
01.2013 - 06.2016

Billing Specialist

Yakima Regional Hospital
08.2000 - 11.2012

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Regina Bedolla