Tania Mendez
Aberdeen
Summary
Experienced and highly personable Revenue Cycle professional with over five years of experience in Charge Description Master (CDM), and patient billing support. Skilled in delivering actionable insights and fostering collaboration across departments to improve charge capture and increase revenue.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Specialist
Summit Pacific Medical Center
Elma
06.2020 - Current
- Oversee and maintain the accuracy of the Charge Description Master (CDM), identifying and resolving charge capture issues, implementing solutions, and managing annual price increases and CPT code updates.
- Prepare and deliver the weekly Discharged Not Billed (DNB) report to leadership, providing actionable insights to support timely billing.
- Prepare and deliver detailed reimbursement analysis to leadership to inform decisions on current and potential new service lines.
- Assist in the development and integration of new service lines, focusing on the CDM accuracy, billing processes, and coding standards.
- Meet monthly with specialty services leadership to go over account holds and denial trends, ensuring timely resolution and process improvement.
- Act as a point of contact between the billing office, revenue cycle, and cross-functional departments.
- Support charity care and discount application procedures, ensuring efficiency and adherence to organizational policies.
- Deliver timely and professional assistance to patients regarding billing complaints and service cost estimates.
- Provide guidance and support to internal and external teams while driving process improvements through research, analysis, and development of best practice recommendations.
- Audit accounts and prepare productivity reports to verify the implementation of departmental processes and identify areas for improvement.
- Process revenue work queues in Epic weekly, including combined accounts, CAH split, charge router error, charge review, and revenue guardian tasks.
Patient Access Specialist
Summit Pacific Medical Center
Elma
10.2018 - 06.2020
- Register patients, verify insurance information to ensure accurate billing, and obtain signatures for appropriate consents.
- Collect patient financial responsibilities at the point of service, including co-pay, co-insurance, and outstanding balances; generate receipts, and reconcile the daily cash drawer.
- Communicate critical information to clinical and administrative staff to support efficient patient flow.
- Provide exceptional customer service by addressing patient inquiries, and completing accurate intake processes in a timely manner.
- Maintain the confidentiality of patient information in accordance with HIPAA regulations.
Lead Registration Clerk/Financial Counselor
Harbor Regional Health
Aberdeen
12.2015 - 10.2018
- As a Financial Counselor, I am responsible for assisting patients and family members, answering questions, and addressing concerns regarding billing issues.
- Maintain accurate and comprehensive records of patients applying for financial assistance, including applications, income verification, and approval or denial correspondence.
- Collaborate with the business office to develop a solution for patients.
- Conducts comprehensive benefit trend analysis, interpreting data, and identifying charity care compliance risks.
- Accurately enters and verifies patient demographics, and insurance information for all registrations within the hospital.
- Obtain signatures for the appropriate consents, and collect patient co-pays.
- Deliver exceptional customer service by assisting patients and families with registration needs, and financial inquiries.
- Collaborates with the business office and clinical units to ensure smooth patient flow and accurate documents.
Education
Bachelor of Science -
Central Washington University
Ellensburg, WA06-2017
Associate of Arts -
Grays Harbor Community College
Aberdeen, WA12-2014
Skills
- Charge capture
- Reimbursement analysis
- Process improvement
- Denial resolution
- Data analysis
- Microsoft Office
- Epic
- Bilingual
Timeline
Revenue Cycle Specialist
Summit Pacific Medical Center
06.2020 - Current
Patient Access Specialist
Summit Pacific Medical Center
10.2018 - 06.2020
Lead Registration Clerk/Financial Counselor
Harbor Regional Health
12.2015 - 10.2018
Bachelor of Science -
Central Washington University
Associate of Arts -
Grays Harbor Community College