Summary
Overview
Work History
Skills
Timeline
Generic

Sonia Carrasco

Chino,CA

Summary

To obtain a position with a company that will utilize my skills. I have excellent interpersonal skills, able to communicate with my peers efficiently. Experienced establishing and improving billing practices to meet demands, maintain accuracy and keep system operating efficiently. Success recruiting, hiring, training and motivating high-quality team. Attentive, hardworking and results-driven.

Overview

20
20
years of professional experience

Work History

Patient Registration Supervisor

Optioncare
05.2024 - Current
  • Monitors daily performance including team member coaching: 1) Quality - Ensure team member consistency in obtaining required paperwork, dialogue, securing payment. 2) Speed – Ensure timely actions with each step of the referral flow and handoffs. 3) Customer Service – Ensure consistent demonstration of exceptional customer service with every customer (both internal and external).
  • Interviews, hires, and trains employees. Directs work, appraises performance, rewarding and disciplining employees; addressing complaints and resolving problems.
  • Responsible for team education and resolution of issues related to the patient onboarding process.
  • Go-to for troubleshooting issues and resolutions with CMC Patient Registration team members.
  • Monitors team adherence to existing policies/procedures and assists with roll out of new policies and procedures.
  • Manages the activities needed to ensure clean claims on hold and denial management.
  • Engages with patient, referral source, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
  • Creates, communicates and obtains all required documentation for new referrals.
  • Secures patient’s upfront payment including assisting patients to find avenues for payment where needed (identifies opportunities and directs patient to financial assistance program).
  • Assisted in recruiting top-tier talent for open positions within the Patient Registration team, contributing to increased overall performance levels.
  • Conducted regular audits on patient records to maintain accuracy and integrity of information entered into the system.
  • Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.

Revenue Cycle Supervisor

Option Care
10.2019 - 05.2024
  • Assists Revenue Cycle Manager with monitoring adherence to policies and procedures, and performing audits as designated.
  • Assists with monitoring and evaluating Intake and Reimbursement employee productivity and performance to goal.
  • Assists with training new Revenue Cycle employees and conduct ongoing training and skills assessments as necessary.
  • Assists revenue cycle staff with any day to day issues and escalating issues when necessary to the Revenue Cycle Manager.
  • Verifies that all appropriate paperwork has been obtained, completed and is accurate prior to billing. Assists Intake and Reimbursement employees with escalated issues to maintain a high quality of service and ensure payment for services provided.
  • Assures the timely and accurate submission of invoices to the responsible payer for services and products provided.
  • Assures that timely and accurate follow up activity is performed on to maintain a high quality of service and timely payment.
  • Develops, monitors, coaches and manages staff, ensuring the development of employees through orientation, training establishing objectives, communication of rules, constructive discipline. Builds employee morale, motivation and loyalty and fosters a team-like environment
  • Developed key performance indicators for the team, monitoring progress toward goals and providing actionable feedback to staff members.
  • Established strong relationships with insurance carriers, improving communication channels for efficient claim processing and dispute resolution.
  • Improved overall cash flow by identifying underperforming areas within the billing process, addressing issues proactively.
  • Conducted regular staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
  • Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.

Revenue Cycle Specialist, Team Lead

Option Care Home Infusion
04.2019 - 10.2019
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Streamlined the revenue cycle process for improved efficiency and faster payment collection.
  • Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Reduced outstanding account balances by implementing effective collection strategies.
  • Collaborated with cross-functional teams to improve overall financial performance of the organization.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Improved cash flow with diligent follow-up on pending claims and appeals processes.
  • Provided regular updates on billing status to upper management through detailed reports.

Reimbursement Specialist

Option Care/Walgreens Infusions
08.2015 - 04.2019
  • Collecting on past due balances, denied claims or underpaid claim for Infusions/supplies billed to CCS
  • Request authorizations for drugs or supplies over threshold
  • Submit appeals/CIF to Medi-cal /CCS
  • Obtain drug pricing to verify that payment received is a Medi-cal rates
  • Call insurances verify eligibility
  • Submit refunds to insurance companies for any over payments.

Patients Representative/Collector

Accurus Solutions
09.2007 - 08.2015
  • Services all inbound calls from patients and insurance companies
  • Respond to all patient's inquiries regarding billing, procedures and available services
  • Act as a liaison between patient's and insurances companies
  • Work off A/R in attempt to collect outstanding balances from patients
  • Set up payment plans or prepare accounts to be submitted to collections.

Team Lead

Target/Starbucks
05.2005 - 07.2007
  • Train, coach and mentor all team members in day to day activities
  • Market and generate sales
  • Build customer loyalty, relationships and support them with product knowledge
  • Process A/P and A/R reports
  • Keep daily logs of products, orders and keep track of inventory.

Skills

  • Collections Experience
  • Claim Submission
  • Billing Management
  • Team Leadership
  • Insurance Verification
  • Account Reconciliation
  • Critical Thinking
  • Conflict Resolution
  • Performance Metrics
  • HIPAA Knowledge

Timeline

Patient Registration Supervisor

Optioncare
05.2024 - Current

Revenue Cycle Supervisor

Option Care
10.2019 - 05.2024

Revenue Cycle Specialist, Team Lead

Option Care Home Infusion
04.2019 - 10.2019

Reimbursement Specialist

Option Care/Walgreens Infusions
08.2015 - 04.2019

Patients Representative/Collector

Accurus Solutions
09.2007 - 08.2015

Team Lead

Target/Starbucks
05.2005 - 07.2007

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Sonia Carrasco