Shirley Calderon

Managed delinquent accounts and, when appropriate, contacting patients by telephone, sending collection letters, and responding to correspondence as appropriate.

Determined collectibility of patient accounts and process for financial assistance, extended payment plans, settlement, or collection agency referral, serve as liaison between clinic and collection agencies

Assisted patients in navigating financial services and insurance options to enhance understanding.

• Processed patient billing inquiries, ensuring accuracy and timely resolutions for financial concerns.
• Collaborated with healthcare teams to streamline financial processes, improving overall service delivery.
• Educated patients on payment plans and financial assistance programs, increasing accessibility to healthcare services.

• Processed insurance claims and followed up on outstanding payments to ensure timely resolution.
• Reviewed patient accounts for accuracy and compliance with insurance regulations.
• Communicated effectively with insurance providers to clarify claim statuses and requirements.
• Resolved discrepancies in billing by collaborating with medical staff and administrative departments.
• Maintained comprehensive records of follow-up communications and outcomes for auditing purposes.
• Analyzed denial patterns regularly to develop targeted strategies for reducing claim rejections.
• Provided exceptional customer support to patients and insurance companies, fostering positive relationships and maintaining a high level of client satisfaction.
• Monitored aged account receivables closely to identify trends affecting payment cycles.
• Resolved patient disputes promptly regarding insurance coverage or billing matters.
• Followed up with customers about resolved issues to maintain high standards of customer service.
• Promptly responded to inquiries and requests from prospective customers.

• Processed billing information with accuracy, ensuring timely submission to insurance providers.
• Collaborated with healthcare teams to resolve patient billing inquiries and discrepancies.
• Utilized electronic health record systems for efficient data entry and management of patient accounts.
• Reviewed and verified insurance claims for compliance with established policies and procedures.
• Researched and resolved billing discrepancies to enable accurate billing.
• Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
• Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
• Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
• Enhanced customer satisfaction with timely and accurate invoice generation.
• Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
• Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
• Improved customer satisfaction with prompt and clear communication regarding their billing inquiries.
• Handled account payments and provided information regarding outstanding balances.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Audited and corrected billing and posting documents for accuracy.

Reviews all encounter forms for accuracy

Understands how to bill encounter forms and procedure for maximum reimbursement by payor

Establishes courtesy billing according to procedure.

Demonstrated strong customer relations skills through daily interaction with the general public

Monitors bookkeeping and receptionist staff accuracy in working area , identifies and explains mistakes to staff, MD’s and managers

Prepares cash deposits on a daily basis, assures accurate of daily logs and one write receipts.

• Supported audit preparations by organizing documentation and responding to inquiries.
• Learned to interpret customers needs efficiently; solved potential problems in a diplomatic and courteous manner under sometimes sensitive situations.
• Performed all different functions of office duties