Stephannie Ceballos
Conroe,TX
Summary
Dedicated and results-oriented professional with a Master's in Business Administration, specializing in Management. Equipped with a diverse skill set encompassing data analysis, legal research, and monthly reporting. Possesses a strong foundation in business strategy and management principles, coupled with advanced analytical abilities to drive informed decision-making. Proven track record of delivering high-quality results in dynamic environments. Seeking opportunities to leverage expertise in a challenging role where strategic thinking and analytical prowess are valued.
Overview
8
8
years of professional experience
1
1
Certification
Work History
SR PAYMENT COMPLIANCE ANALYST
Parallon HCA Healthcare
05.2023 - Current
- Works with corporate Payment Compliance manager to effectively identify and communicate issues related to Dispute Resolution inventory.
- Tracks disposition and status of legal activity associated with Dispute Resolution Inventory.
- Maintains inventory status of Denial Escalation claim reviews and prepares monthly reporting.
- Manually validates expected reimbursement on inventory using available contracts and claims billed.
- Assists manager with implementation and monitoring of project and department action plans.
COLLECTOR
Parallon HCA Healthcare
12.2021 - 04.2023
- Perform account follow-up and resolution of insurance and patient receivables
- Review EOB's, remits and payer correspondence in the course of performing account follow-up and escalate any identified issues to the appropriate area for review and response to expedite claim resolution
- Work closely with Availity, Insurance portals, MediTech, Artiva, Bria, and Avaya.
PATIENT CARE TECHNICIAN
HCA Houston Healthcare
11.2020 - 12.2021
- Assisting the healthcare team (such as doctors, nurses, etc.) in monitoring, updating, and reporting patient records and activities
- Coordinate with cross-functional teams to support hospital operations, including patient intake, patient discharge, and transport
- Organized electronic medical records(EHR) and interfaced with nurses, family members, and guardians to ensure safe patient intake and patient discharge
- Provide support for activities of daily living (ADLs), including cleaning, feeding, bathroom usage, and phone calls
- Internal transfer to Parallon HCA Healthcare
RECOVERY SPECIALIST
Harvest Associates Inc.
08.2016 - 11.2020
- Coordinating with insurance companies to ensure that claims are processed in a timely manner
- Appeals claim rejections in a timely manner in accordance with carrier specific guidelines
- Pinpoint delinquent customer accounts through various means, e.g., written correspondence, phone contact, skip-tracing, and making arrangements for payment
- Control inbound and outbound collections calls and correspondence
- Report unpaid balances to credit bureau
- Familiar with EPIC, ClaimMD and MedCom.
Education
MBA - Management
Sam Houston State University
Huntsville, TX05.2024
Bachelor of Science - Health Sciences
Sam Houston State University
Huntsville, TX12.2021
Skills
- Data Analysis
- Legal Research
- Monthly Reporting
- Pricing Contracts
- Claims Analysis Proficiency
- ICD-10-CM Proficiency
- Medical Insurance Claims Processing
Leadership Experience
Vice President of Finance
Sigma Lambda Gamma National Sorority, Inc, 01/01/2021 - 12/01/2021
Certification
Lean Six Sigma Green Belt
Accomplishments
Revenue Cycle and Healthcare Finance - Rev Cycle Ready — Udemy (2023)
Data Analysis in: Denials, RVUs, Write-Offs, and the Revenue Cycle
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
SR PAYMENT COMPLIANCE ANALYST
Parallon HCA Healthcare
05.2023 - Current
COLLECTOR
Parallon HCA Healthcare
12.2021 - 04.2023
PATIENT CARE TECHNICIAN
HCA Houston Healthcare
11.2020 - 12.2021
RECOVERY SPECIALIST
Harvest Associates Inc.
08.2016 - 11.2020
MBA - Management
Sam Houston State University
Bachelor of Science - Health Sciences
Sam Houston State University
Lean Six Sigma Green Belt
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