Roxana Bonilla
Happy Valley,OR
Summary
Results-oriented professional with over 10 years of experience in medical support roles. Eager to contribute strong organizational, billing, and administrative skills to a growing company. Recognized for being an efficient multi-tasker, dependable team player, and excellent communicator. Known for taking initiative and a proactive approach to problem-solving and process improvement. Committed to taking on added responsibilities to help meet and exceed team goals.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist
Genentech Access Solutions
01.2019 - 06.2024
- Investigate patient's insurance benefits. Identify network providers, provider restrictions, and co-pays as needed.
- Document requirements for prior authorization and medical review process within the patient's account.
- Pursue product coverage for patients following the payer's clinical criteria requirements.
- Maintain payer profiles by recording payer-specific data promptly into the system.
- Convey outcomes of benefit investigation to internal contacts (i.e. case managers).
- Learn processes for multiple products and effectively apply learnings to provide effective reimbursement services.
- Conduct all work in a compliant manner.
- Consult with team members on an as needed basis.
Billing Department Supervisor
Unlimited Billing
04.2015 - 12.2018
- Coordinate and facilitate the process of payment, adjustments, claims, and correspondence refunds, denials in an accurate and timely manner.
- Identify trends in payment issues and communication with internal and external customers as appropriate to educate and correct problems.
- Responsible for evaluating deficiencies in the performance within staff and providing solutions.
- Improved billing accuracy by implementing systematic audits and updating procedural manuals.
Medical Assistant
Assuta Medical Center
04.2013 - 04.2015
- Obtained information about the patient's medical history, drug history, complaints and allergies.
- Provided pre- and post-operative care instructions.
- Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment.
- Collects patient specimens and data, including vital signs, input/output and other delegated measurements.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Education
Medical Assistant -
National Career College
Los Angeles, CA01.2013
Skills
- Healthcare Revenue & Medical Records and Insurance Verification (10 years)
- Patient scheduling
- Medical terminology knowledge
- Direct patient care
- HIPAA Compliance
- CPT & HCPCS Coding
- EMR / EHR
- Familiar with commercial, government and private insurance carriers
- Computer and program proficient
- Efficient and reliable team player
- Insurance verification
- Appeals handling
- Meticulous attention to detail
- Medical procedures
Languages
English
Spanish
Certification
- CMA - Certified Medical Assistant - In Progress
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Reimbursement Specialist
Genentech Access Solutions
01.2019 - 06.2024
Billing Department Supervisor
Unlimited Billing
04.2015 - 12.2018
Medical Assistant
Assuta Medical Center
04.2013 - 04.2015
Medical Assistant -
National Career College
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