Veronica Torres
Commerce City,CO
Summary
Experienced with analyzing revenue cycles to identify inefficiencies and implement solutions for improved performance. Utilizes problem-solving skills to address billing discrepancies and enhance financial outcomes. Knowledge of industry-specific software and strong analytical capabilities ensures precise financial operations.
Overview
15
15
years of professional experience
Work History
Sr. Financial Analyst
Sarah Cannon Research
12.2020 - Current
- Lead financial planning and analysis activities, including forecasting, variance analysis, resulting in accurate and timely reports
- Conducted financial modeling to support strategic initiatives and business planning, contributing to the identification of revenue growth strategies
- Managed and improved financial processes and procedures, enhancing efficiency and accuracy in financial analysis
- Review proposed clinical trial budgets and protocols; assess feasibility and data requirements prior to initiation as well as on an ongoing basis
- Work closely with various stakeholders on coordination and allocation of charges from hospital admission, professional fees, and other applicable procedures
- Collaborated with the budget and contract team on initiation and implementation of professional contracted services required for studies
- Communicate important issues related to clinical trial budgets with management and executives related to clinical trial budgets
- Manage the development of vendor agreements for services related to clinical trials and recognizing fair market value as the standard for determining rates
- Review, reconcile and process claims and invoices for vendors on study related visits
- Enforcing consistent compliance with departmental processes to ensure consistency and efficiency
- Assisted in staff training and development, sharing best practices for revenue cycle management within the team.
- Collaborated with cross-functional teams to develop strategies for optimizing the revenue cycle process.
- Ensured compliance with regulatory requirements through diligent review of financial documents and reports.
- Optimized charge capture procedures, contributing to more accurate billing statements and higher collection rates.
- Developed strong working relationships with vendors, promoting collaboration in resolving complex reimbursement challenges.
- Increased clean claim rates through meticulous auditing of claims/invoice data.
- Maintained up-to-date knowledge of payer requirements, ensuring accurate billing practices across all departments.
- Enhanced revenue cycle efficiency by streamlining processes and identifying areas for improvement.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with stakeholders.
- Balanced and reconciled accounts.
Anesthesia Scheduling & Payment Poster
Prime Anesthesia PLLC
03.2022 - 08.2023
- Work with owners and stakeholders to implement, document, and maintain process flows across Revenue Cycle and Scheduling
- Identify opportunities and solutions to improve operational performance and efficiency
- Managed large volumes of data efficiently and with great care on daily basis.
- Managed and maintained relations with surgeons, hospitals and facilities
- Coordinate surgical cases and communicate with providers their assignments
- Accurately posted payments and adjustments to patient accounts within specified time frames, ensuring all transactions were recorded correctly and efficiently
- Supported audits by providing detailed records of all posted payments and adjustments upon request.
- Researched and resolved any discrepancies or issues related to payments, working closely with insurance companies and patients to resolve outstanding balances
- Generated and reviewed daily payment reports to reconcile accounts and identify any billing errors or patterns of non-payment
- Performs quality audits, verifying that all supplies are correctly captured and billed and ensured that all scheduled or performed cases are accounted for and billed
- Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
- Enhanced payment processing efficiency by implementing a streamlined posting system.
- Contributed to the development of new scheduling protocols, enhancing overall department efficiency.
- Trained new team members on best practices for surgery coordination, fostering a supportive work environment.
- Collaborated with medical teams to ensure timely scheduling of surgeries.
- Assisted in maintaining an up-to-date surgical calendar, enabling efficient use of providers and resources.
- Maintained accurate records of all scheduled procedures
Business Office Trainer/Lead
HCA HealthONE-Denver CBO
01.2020 - 12.2020
- Developed and implemented training programs for new hires and existing staff to improve knowledge and efficiency in office procedures
- Lead a team of office trainers to ensure consistent and effective training delivery across multiple departments
- Mentored new hires, resulting in stronger staff development and increased productivity.
- Conducted regular assessments and performance evaluations to identify areas for improvement and provide constructive feedback to staff
- Collaborated with management to develop and update training materials and resources to reflect current industry standards and best practices
- Coached employees on best practices, providing constructive feedback to support their professional growth.
- Mentored and coached employees to enhance their skills and professional development, leading to increased productivity and job satisfaction
- Analyze and reviewed monthly financial AR and prepared them for submission to corporate
- Wrote training manuals for the business office employees and multiple positions according to strict company guidelines and protocols.
Payment Posting & Medical Billing
HCA-East Florida CBO
11.2018 - 01.2020
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Displayed adaptability by staying current with industry regulations and payer-specific policies, ensuring compliance in all payment posting activities.
- Collaborated closely with coding specialists for accurate charge capture, enabling timely and complete reimbursement from payers.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
- Achieved high levels of data accuracy during payment batching, ensuring smooth bank deposits and financial reporting processes.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
Education
High School Diploma -
Royal Palm Beach High
Skills
- Account reconciliation
- Cash flow management
- Business operations analysis
- Financial statement analysis
- Auditing procedures
- Revenue recognition
- Microsoft Excel
- Flexible team player
- Research and data analysis
- Data collection & research
- Budget support
- MS office suite
- Auditing
- Administrative support
- Compiling data
- Data inputting
Accomplishments
- Achieved 170k in patient travel reimbursement by completing an audit and submission to sponsors with accuracy and efficiency.
- Used Microsoft Excel to develop claims/invoice tracking spreadsheets.
- Documented and resolved aged AR with a vendor which led to AR>90 tracking at 50% or less.
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Anesthesia Scheduling & Payment Poster
Prime Anesthesia PLLC
03.2022 - 08.2023
Sr. Financial Analyst
Sarah Cannon Research
12.2020 - Current
Business Office Trainer/Lead
HCA HealthONE-Denver CBO
01.2020 - 12.2020
Payment Posting & Medical Billing
HCA-East Florida CBO
11.2018 - 01.2020
High School Diploma -
Royal Palm Beach High
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