Vanessa Aguilera

Billing Specialists-Verification of insurance for proper code review, submission of operative reports with any required documentation to help assist in coding for ICD 10 guidance parameters. Entry of coding with the understanding of requirements for specific modifiers needed per payor. To help ensure clean claims processing.

Additional positions held/knowledge in areas: AR Specialist, Payment specialist, Selfpay collections.

Optimized workflows across Revenue Cycle Management, enhancing operational efficiency.

• Processed medical claims using advanced billing software and systems.
• Reviewed patient records for accuracy and completeness before submission.
• Collaborated with healthcare providers to resolve billing discrepancies.
• Maintained up-to-date knowledge of insurance policies and coding regulations.
• Utilized PM system applications for payment posting and medical billing accuracy.
• Executed month-end reporting processes to provide financial insights and support decision-making.
• Adapted to changes in healthcare administration, promoting continuous improvement initiatives
• Trained new staff on billing procedures and software functionality.
• Analyzed billing trends to identify areas for process improvement.
• Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
• Ensured compliance with HIPAA regulations in all billing activities.

• Manages revenue cycle operations with a focus on billing, collections, and patient financial services.
• Collaborate with cross-functional teams to optimize reimbursement processes.
• Provided superior customer service and maintained compliance with industry standards in hospital and outpatient settings.

• Oversaw the transition of accounts receivable processes for market adjustments.
• Supported financial reporting and reconciliation efforts to ensure accuracy.
• Assisted in the implementation of new billing procedures for increased efficiency.