Wendy Quevedo
Moreno Valley,CA
Summary
Driven Medical Biller motivated to perform beyond expectations with over 25+ years of experience. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
25
25
years of professional experience
Work History
Regional Revenue Manager
Pacific Eye Insitute
02.2016 - 01.2024
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Collaborated with clinical departments to optimize charge capture, documentation, and billing processes.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Conducted regular audits to identify areas for improvement in the revenue cycle process.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Supported financial director with special projects and additional job duties.
Medical Billing Specialist
California Foothills Medical Associates
01.1999 - 02.2016
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Communicated with insurance providers to resolve denied claims and resubmitted..
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
Education
Associate of Arts - General Studies
Riverside City College
Riverside, CASkills
- Medical Billing
- Claims Management
- Clinical Team Guidance
- Team Leadership
- Staff Training
- Problem Solving
- Process Improvement
- Customer Service
- Healthcare Industry Knowledge
Languages
Spanish
Native or Bilingual
Timeline
Regional Revenue Manager
Pacific Eye Insitute
02.2016 - 01.2024
Medical Billing Specialist
California Foothills Medical Associates
01.1999 - 02.2016
Associate of Arts - General Studies
Riverside City College
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