Venessa Manzanares
Pahrump,NV
Summary
Detail-oriented Billing Supervisor successful at operating a department efficiently. Knowledgeable about invoicing, payment processing and account reconciliations. Accounts receivable expertise and 15+ years of experience in medical billing and payments.
Overview
18
18
years of professional experience
Work History
Medical Billing Supervisor
Cardiovascular Surgery Of Southern Nevada
Las Vegas, Nevada
06.2008 - Current
- Supervised a department of four employees and maintained a cohesive work environment
- Accomplished multiple tasks within established timeframes.
- Approved new hires for the billing department
- Trained new billing department employees
- Cross-trained existing employees to maximize departmental coverage
- Monthly tracking of specific physician procedures utilizing excel reports
- Evaluated employees' strengths and assigned tasks based upon experience and training.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Trained new employees on multiple medical billing programs and data entry software.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Prepared billing correspondence and maintained database to organize billing information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Liaised between patients, insurance companies and billing office.
- Posted surgical charges for practice providers.
- Managed billing calendar and scheduled claims for payments.
Medical Billing Specialist
Apex Medical Center
Las Vegas, NV
02.2008 - 06.2008
- Insurance and patient payment posting
- Submitted electronic and paper claims to insurance companies daily
- Verified proper billing procedures to ensure correct payment from insurances
- Corrected rejections and errors on electronic claims reports
- Submitted appeals on denied claims
Medical Billing Specialist
Nevada Neurological
Las Vegas, NV
02.2004 - 08.2007
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Collected patient patient payments by phone and applied to account balances
- Submitted electronic and paper claims daily
- Submitted daily bank deposits after balancing the end of day collections and adjustments
- Performed daily, monthly and yearly closes for the practice
- Monthly insurance aging for accounts 30+ days overdue
- Answered patient billing questions and audited accounts if necessary
Education
GED -
Adult Education
Las Vegas, NVHonors Diploma - Medical Assisting
Nevada Career Institute
Las Vegas, NV08.2003
Skills
- Accounts Payable and Accounts Receivable
- Billing and Collections Procedures
- Insurance Claim Requirements
- Account Reconciliation
- Account Posting
- HIPAA Compliance Certification
- Team Management
- Commercial and Private Insurance
- Staff Training
- ICD-10
- ICD-9
- Medicare and Medicaid Knowledge
Timeline
Medical Billing Supervisor
Cardiovascular Surgery Of Southern Nevada
06.2008 - Current
Medical Billing Specialist
Apex Medical Center
02.2008 - 06.2008
Medical Billing Specialist
Nevada Neurological
02.2004 - 08.2007
GED -
Adult Education
Honors Diploma - Medical Assisting
Nevada Career Institute