Summary
Overview
Work History
Education
Skills
Timeline
Generic

Rhonda Paolinetti

McCloud,CA

Summary

Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience.

Overview

29
29
years of professional experience

Work History

Medical biller/Receptionist

Glen O'Sullivan, MD
Mt Shasta, CA
10.2016 - Current
  • Managed insurance claims submissions, ensuring timely follow-ups with various payers.
  • Reviewed submitted claims for coding errors, ensuring compliance and accuracy in reimbursement.
  • Communicated with patients to address billing inquiries and establish payment arrangements.
  • Collaborated with medical staff to verify patient insurance coverage details.
  • Maintained organized records of patient accounts and billing documentation.
  • Utilized billing software systems to streamline billing processes effectively.
  • Submitted electronic claims to various insurance carriers.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Conducted follow-up on unpaid claims with insurance companies and third-party payers through phone and written correspondence, facilitating timely resolution.
  • Performed daily reconciliation of accounts receivable with payment postings on the computer system.
  • Facilitated collection efforts by contacting patients via phone, mail, or email regarding past due balances stemming from insurance denials or patient responsibilities.
  • Managed refund requests to maintain customer satisfaction and operational integrity. timely and accurately according to established protocols.
  • Distributed or posted financial data to appropriate accounts and prepared simple reconciliations.
  • Organized information for past-due accounts and transferred to collection agency.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Maintained accurate patient data in electronic health records system.
  • Collected, posted and managed patient account payments.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Monitored past due accounts and pursued collections on outstanding invoices.

Administrative Assistant

Woolgatherer Wool Mill
Montague
06.2014 - 07.2016
  • Maintained organized filing systems, enhancing document accessibility and retrieval efficiency.
  • Answered phone calls and emails to provide information, resulting in effective business correspondence.
  • Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Identified needs of customers promptly and efficiently.
  • Handled customer inquiries and provided information about wool products and services.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Maintained office supplies inventory by checking stock to determine inventory level.
  • Entered data into spreadsheets using Microsoft Excel or other similar programs.
  • Maintained employee records and updated changes in payroll information consistently.
  • Prepare and distribute paychecks and direct deposit notifications to staff.
  • Utilize payroll software to manage data entry and maintain system integrity.
  • Calculated accurate wages, including overtime, salary increases and bonuses.
  • Processed customer invoices and maintained accurate billing records.
  • Reviewed account statements, monitored receivables, and facilitated timely collection of outstanding payments.
  • Utilized accounting software to track payments and generate reports regularly.
  • Processed invoices, credit memos, and other documents related to accounts receivable.
  • Monitored accounts receivable report, checking for late, delinquent, or missing invoices, and payments.
  • Reconciled daily cash receipts with bank deposits.

Biller/Office Administrative Assistant

Mt Shasta Physical Therapy
Mt Shasta
06.2001 - 05.2014
  • Processed patient billing and insurance claims efficiently.
  • Managed payment collections and reconciled accounts regularly.
  • Reviewed insurance policies to ensure proper billing procedures.
  • Assisted patients with billing questions and provided clear explanations.
  • Utilized billing software to streamline invoicing processes effectively.
  • Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.
  • Verified insurance eligibility for patients by calling appropriate parties.
  • Maintained accurate records of billing activities, including charges, adjustments, denials, and collections, to ensure compliance and facilitate audits.
  • Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
  • Documented all account activity into electronic medical record system ensuring accuracy of data entry.
  • Prepared detailed claims for submission to insurance companies according to policy guidelines.
  • Processed and monitored invoices, payments, and adjustments to optimize cash flow and ensure timely payments from insurance companies.
  • Analyzed patient accounts for errors or discrepancies in order to resolve issues quickly.
  • Maintained confidentiality on all patient record data.
  • Attended training sessions on new policies and updates to existing procedures.
  • Executed payroll processing accurately for all employees each pay period, ensuring timely compensation and adherence to payroll deadlines. Processed payroll Processed payroll Processed payroll for all employees accurately and timely each pay period.
  • Prepare and distribute paychecks and direct deposit notifications to staff.
  • Respond to employee inquiries regarding payroll discrepancies and adjustments.
  • Utilize payroll software to manage data entry and maintain system integrity.
  • Calculated accurate wages, including overtime, salary increases and bonuses.
  • Gathered timesheets to prepare weekly payroll data for processing by payroll coordinator.
  • Processed vendor payments accurately and efficiently.
  • Managed accounts receivable and payables processes, including invoicing, payments, and collections.

Receptionsist

SMG/ Dr Holst
Mt Shasta, CA
09.1997 - 06.2001
  • Welcomed patients and guided them to appropriate services, enhancing their experience.
  • Welcomed visitors at reception and assisted them with inquiries and directions.
  • Answered phone calls promptly and addressed inquiries effectively.
  • Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
  • Scheduled and confirmed patient appointments to optimize daily workflow.
  • Managed appointment scheduling for efficient patient flow and service delivery.
  • Maintained organized filing system for patient records and documentation.
  • Assisted with billing processes and insurance verification for accuracy.
  • Collaborated with medical staff to ensure smooth daily operations.
  • Monitored waiting room environment for cleanliness and comfort.
  • Delivered exceptional customer service while assisting internal and external customers.
  • Maintained a neat reception area by organizing materials and tidying up furniture.
  • Provided administrative support to enhance overall office efficiency.
  • Performed data entry tasks into various computer systems accurately and promptly.
  • Provided administrative support to staff members by typing letters, filing documents, and scanning and copying documents.
  • Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.

Education

High School Diploma -

McCloud Hight School
McCloud
06-1989

Some College (No Degree) - Computer And Information Systems

College of The Siskiyous
Weed, CA

Skills

  • Insurance verification
  • Claims processing
  • Electronic health records
  • Electronic medical records
  • HIPAA compliance
  • Payment processing
  • Data entry accuracy
  • Data entry
  • Patient intake coordination
  • Appointment scheduling
  • Schedule management
  • Front desk operations
  • Work prioritization
  • Effective communication
  • Patient communication
  • Customer relationship management
  • Team collaboration
  • Scheduling
  • Communication

Timeline

Medical biller/Receptionist

Glen O'Sullivan, MD
10.2016 - Current

Administrative Assistant

Woolgatherer Wool Mill
06.2014 - 07.2016

Biller/Office Administrative Assistant

Mt Shasta Physical Therapy
06.2001 - 05.2014

Receptionsist

SMG/ Dr Holst
09.1997 - 06.2001

High School Diploma -

McCloud Hight School

Some College (No Degree) - Computer And Information Systems

College of The Siskiyous
Rhonda Paolinetti