Rosa Ayala
Mount Angel,OR
Summary
Accomplished Medical Auditor with a proven track record at SAIF Corporation, showcasing expertise in medical auditing and a strong dedication to team success. Demonstrated ability to enhance workflow efficiency and accuracy, significantly improving customer satisfaction. Over 20 years of medical billing and coding experience. Known for exceptional self-discipline, motivation, strong work ethic and determination to succeed.
Overview
26
26
years of professional experience
Work History
Medical Auditor II
SAIF Corporation
2017.04 - Current
- Audit level 1 bills.
- Manage target audits/Point person for the provider.
- Recognize services/situations requiring complex review.
- Fast paced production - Continuously meeting goals/ Great Accuracy.
- AOP Duties: Rushes/Provider questions/Adjuster questions/Phone Calls
- Refunds
Bill Entry Supervisor
SAIF Corporation
2016.05 - 2017.03
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Medical Auditor II
SAIF Corporation
2015.04 - 2016.04
- Audit level 1 bills.
- Fast paced production - Continuously meeting goals/Great Accuracy
- Provider phone calls
- Adjuster questions
- Pharmacy Duties
- Refunds
Bill Entry Specialist III
SAIF Corporation
2014.04 - 2015.04
- Accurately process bills through the Teleform system and Bill Entry queue.
- Apply Teleform rules to accurately categorize documents for indexing.
- Assist team with maintaining bill inventory goals.
- Enhanced data accuracy by meticulously reviewing and validating information before entry.
- Prep worker reimbursement bills into batches for scanning
- Rushes
Business Department/Medical Claims
Woodburn Pediatric Clinic
1998.09 - 2014.02
- Provided exceptional customer service during the claims process, fostering long-term client relationships.
- Managed All billing and coding to ensure insurance payments
- Trained new front office staff
- Patient Referrals
- Clinic Liaison for Dr. Steinberg and school district for ADHD patients.
- Patient appointments
- Multi-line phones
- Medical Records
- Point person for training on new software/NextGen Medical.
Education
High School Diploma -
Woodburn High School
Woodburn, ORSkills
- Medical Auditing
- Medical record review
- Medical coding knowledge
- Medical Billing
- HIPAA Compliance
- Self Disciplined
- Self Motivated
- Dedicated team-member
Timeline
Medical Auditor II
SAIF Corporation
2017.04 - Current
Bill Entry Supervisor
SAIF Corporation
2016.05 - 2017.03
Medical Auditor II
SAIF Corporation
2015.04 - 2016.04
Bill Entry Specialist III
SAIF Corporation
2014.04 - 2015.04
Business Department/Medical Claims
Woodburn Pediatric Clinic
1998.09 - 2014.02
High School Diploma -
Woodburn High School
Similar Profiles
Stacie AngonStacie Angon
Claims Adjuster at SAIF CorporationClaims Adjuster at SAIF Corporation
Maria GarciaMaria Garcia
Medical Audit Specialist II at SAIF CorporationMedical Audit Specialist II at SAIF Corporation
Stefani CardiffStefani Cardiff
Claims Adjuster at SAIF CorporationClaims Adjuster at SAIF Corporation