Sabrina Toledo
Canoga Park,USA
Summary
Professional billing specialist with proven experience in financial operations and revenue cycle management. Strong focus on team collaboration and achieving results, consistently adapting to changing needs. Skilled in invoicing, account reconciliation, and using billing software. Reliable and detail-focused, ensuring accuracy and compliance with industry standards.
Overview
4
4
years of professional experience
Work History
Senior Biller and Collections Specialist
Rowi Kids and Teens
09.2024 - Current
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input EOBs.
- Monitored outstanding invoices and performed collections duties.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to general ledger.
- Collaborated with other departments to resolve billing discrepancies, promoting interdepartmental cooperation.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Use of multi phone lines to contact insurance carriers to resolve claims errors.
Medical Biller
Medi-Claim
03.2024 - 09.2024
- Prepare claims for submission and coordinate insurance reimbursement
- Process payments from patients and insurers
- Collect payment for delinquent accounts and follow up with patients for new insurance information
- Verify eligibility
- Ensure compliance with HIPAA regulations and protect data
- Research new insurance policies as well as rejections and denials
- Correctly coded and billed claims for various hospitals and nursing facilities
Senior Biller
The Cardiovascular Institute
03.2023 - 06.2024
- Advocated for patients by contacting insurance companies to ensure timely payments and resolve errors on rejected claims
- Staying current with all insurance requirements, including the details of fee for service, managed care plans, and patient responsibility
- Reviewed remittance codes from EOBs and posted charges, payments, and adjustments
- Review patient charts to better understand patient history, diagnoses, and treatments
- Work on the accounts receivables and send appeals as necessary
- Ensure diagnostic procedures have required authorization
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
Billing/Payment Posting Specialist
Codemax Medical Billing
01.2022 - 03.2023
- Billed and posted payments for assigned facilities with daily follow-up on denied claims
- Spoke with insurance representatives to ensure claims are being processed and paid accurately
- Tracked all daily/weekly activity on an Excel spreadsheet and emailed facilities payment breakdown reports
- Assisted coworkers and trained them when needed
- Run reports to fix any errors in the system
- Worked with multiple departments to check proper billing, eligibility, and denials were recorded correctly
Registration Clerk
Conifer Health Solutions
10.2020 - 10.2021
- Worked in the mailroom and claims department
- Sorted, scanned, and filed all mail that contained UB-04, CMS 1500 forms, and medical records
- Entered patient information into the database
- Managed phones and performed data entry
- Assisted other departments
- Worked on Citrix to adjust and create claims
- Audited accounts and verified received dates
- Entered patient information into IMS for billing purposes
- Uphold HIPAA regulations and standards for protecting patient information
Education
Medical Billing & Coding Diploma -
North West College
07.2022
GED -
Simi Institute For Careers & Education
01.2021
Skills
- Effective time management
- Accurate data entry
- Adherence to deadlines
- Thorough research
- Excellent organizational skills
- Solid Problem-solving capabilities
- Strong communication
- Proactive dispute resolution
- Knowledge of billing regulations and familiarity with insurance policies
- Experience with collections
- Auditing and compliance
- Customer service
Timeline
Senior Biller and Collections Specialist
Rowi Kids and Teens
09.2024 - Current
Medical Biller
Medi-Claim
03.2024 - 09.2024
Senior Biller
The Cardiovascular Institute
03.2023 - 06.2024
Billing/Payment Posting Specialist
Codemax Medical Billing
01.2022 - 03.2023
Registration Clerk
Conifer Health Solutions
10.2020 - 10.2021
GED -
Simi Institute For Careers & Education
Medical Billing & Coding Diploma -
North West College
Similar Profiles
Ade Suci OktarianiAde Suci Oktariani
Academic Manager at EF Kids and Teens Indonesia (Bengkulu)Academic Manager at EF Kids and Teens Indonesia (Bengkulu)
Jalon McKnightJalon McKnight
Clinical Supervisor at Kids And Teens Primary HealthcareClinical Supervisor at Kids And Teens Primary Healthcare
Lusine DemirchyanLusine Demirchyan
Regional HR & payroll manager at Kids & Teens medical GroupRegional HR & payroll manager at Kids & Teens medical Group