Rosa H. Colón-Jones
Wilmington,CA
Summary
To obtain a full-time position with a company that promotes and supports upward mobility as well as allows the opportunity to exploit skills and experiences.
Diligent medical biller with strong background in managing billing processes and ensuring accuracy in financial records. Proven track record in streamlining invoice systems and resolving discrepancies efficiently. Demonstrated expertise in using billing software and maintaining client relationships, extensive experience in managing billing cycles and financial documentation. Known for collaborating with teams to meet deadlines and deliver accurate results. Reliable and adaptable, with proficiency in financial software and excellent organizational skills.
Overview
2025
2025
years of professional experience
Work History
Lead Medical Billing Coordinator
Del Amo Hospital
03 2015 - 11.2024
- Initiate all claims submission for Medicare, Medi-Cal, Commercial claims, HMO insurance claims including crossover claims
- Manage weekly bulk for billing process of all claims
- Conduct extensive follow up and current status on Medicare and Medi-Cal claims including all other counties/Medi-Cal claims
- Post Medi-Care payments, adjust Medicare contractual, post Medi-Cal contractual Conduct daily Medicare eligibility verification, work billed claims sent to clearinghouse via Waystar system, rebil all claims, paper and mail claims when needed
- Help customers with questions regarding their claims/incoming calls
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Completed appeals of denied claims on patient bills.
- Developed customized billing reports for internal stakeholders, supporting informed decision-making processes.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Maintained exactitude in accounts payable payments, eradicating payment discrepancies.
Senior Medicare Biller
Alta Health
02.2012 - 03.2015
- Initiated Medicare claims for submission, Managed a high volume Medicare facility
- Conducted extensive follow up and current status on Medicare claims
- Conduct Medicare contractual adjustments
- Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues.
Senior Medical Biller
Community Hospital of Long Beach
06 2002 - 02 2012
- Initiate all claims submission for Medicare, commercial and HMO insurance claims, crossover claims
- Manage weekly bulk for billing process of all claims
- Conduct extensive follow up and current status on all Medicare claims
- Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues.
- Served as a subject matter expert on billing-related software and systems, providing guidance and support to colleagues navigating these tools.
- Improved cash flow by promptly following up on outstanding accounts receivable balances and initiating collection efforts when needed.
- Conducted regular audits of billing records to identify areas for improvement and ensure compliance with industry standards.
- Managed high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.
- Enhanced revenue by efficiently processing medical billing claims and ensuring accuracy.
Education
Certificate Of Completion - ROP/ Hospital Occupational Studies
La Mirada Adult School ROP/Hospital Occupations
15711 Pioneer Blvd. Norwalk, CA 9065001.1997
General Studies
Compton College
1111 E. Artesia Blvd. Compton, CA. 9022101.1982
Skills
- Multitasking proficiency
- Billing all medical hospital claims
- HIPAA compliance
- Patient confidentiality practices
- Continuous learning mindset
Languages
Spanish
Native or Bilingual
Timeline
Senior Medicare Biller
Alta Health
02.2012 - 03.2015
Lead Medical Billing Coordinator
Del Amo Hospital
03 2015 - 11.2024
Senior Medical Biller
Community Hospital of Long Beach
06 2002 - 02 2012
Certificate Of Completion - ROP/ Hospital Occupational Studies
La Mirada Adult School ROP/Hospital Occupations
General Studies
Compton College
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