Summary
Overview
Work History
Education
Skills
Awards
Languages
References
Timeline
Generic

Regina Bedolla

Yakima,WA

Summary

A detail-oriented and results-driven individual with excellent communication and people skills is 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

12
12
years of professional experience

Work History

Contract Reimbursement Specialist

Multicare Memorial Hospital
Yakima, WA
01.2025 - Current
  • Analyze insurance payment discrepancies and initiate appeals based on insurance contract
  • Track payor trends, incorporating them into the payor tracker for discussion during payor meetings.
  • Achieve weekly and monthly productivity targets
  • Reach monthly cash objectives for both departmental and organizational levels

Volunteer Workforce Specialist

Yakima Memorial Hospital
09.2021 - 08.2024
  • Manage a team of over 100 volunteers.
  • Conduct full-cycle recruitment including application screening, interviewing, placement, and onboarding.
  • Provide Compliance training and Education while supporting departments through Rounding activities, as well as facilitate Job shadowing experiences by conducting personalized trainings.
  • Enhanced reporting of monthly compliance and policy development. Conducted volunteer activities, events, and projects.

Revenue Operations Supervisor

Yakima Memorial Hospital
06.2018 - 08.2021
  • Managed day-to-day operations of Pre-registration & Revenue Cycle insurance teams.
  • Maintained oversight on team productivity through verifying insurance coverage, authorizing services, collecting coinsurance/deductibles, and ensuring timely processing of claims, payments, adjustments as well as denials.
  • Implemented bi-weekly 1-on-1 sessions to assess goal achievement and determine training requirements.
  • Conducted team meetings, education, and training sessions; Assessed system requirements (Sorian, eCW, ePremis) and implemented essential billing system modifications; Maintained accurate weekly time & attendance records.
  • Reported monthly goals, accounts receivable, aged accounts, team productivity, credit balances and insurance refunds

Revenue Cycle Analyst

Yakima Memorial Hospital
06.2016 - 06.2018
  • Expertise in insurance billing, denials, critical thinking, and exceptional customer service optimizing workflow while utilizing strong interpersonal skills.
  • Successfully identified and rectified denial trends, underpayments, and inaccuracies in claim processing.
  • Executed special projects and conducted audits for Medicare bad debt.
  • Assisted in developing efficient billing and claims processing procedures, as well as appeals and reconsiderations.
  • Managed the monitoring of billing and denial data bases, which included Neptune and Denial management work lists.
  • Keep up-to-date with the evolving billing and reimbursement requirements of various codes (CPT, HCPC, ICD-10) as well as compliance standards (Medicare,Medicaid ,Healthy Options ,Commercial ).
  • Identified inconsistencies in 3rd party invoices by conducting detailed review.
  • Achieved and maintained daily and weekly productivity targets.

Revenue Cycle Rep III

Yakima Memorial Hospital
01.2013 - 06.2016
  • Maintained consistency in reviewing AR & Denial management work lists daily, facilitating timely billing and follow-up for claims over $10,000.
  • Managed Medicaid/Healthy Options Projects including Appeals & Reconsiderations, Credit balances, HMS & Refund request
  • Managed out of state claims, denials, and authorizations while staying up-to-date with billing regulations, CPT codes, HCPC codes, ICD-9 and ICD-10 coding systems, fee schedules, and payor reimbursement.

Education

High School Diploma -

Toppenish High School
Toppenish, WA
06-1989

Skills

  • Bilingual
  • Technical and operational skills
  • Team-oriented
  • Critical thinking and problem-solving skills
  • Time management
  • Communication skills
  • HIPAA
  • Word and Excel

Awards

July 2018     Inspire Role Model Award

Languages

Spanish
Professional

References

References available upon request.

Timeline

Contract Reimbursement Specialist

Multicare Memorial Hospital
01.2025 - Current

Volunteer Workforce Specialist

Yakima Memorial Hospital
09.2021 - 08.2024

Revenue Operations Supervisor

Yakima Memorial Hospital
06.2018 - 08.2021

Revenue Cycle Analyst

Yakima Memorial Hospital
06.2016 - 06.2018

Revenue Cycle Rep III

Yakima Memorial Hospital
01.2013 - 06.2016

High School Diploma -

Toppenish High School

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