YAHOSCA JIMENEZ
Bronx
Summary
Results-oriented Collections Manager with 5 years of experience in billing and finance. Adept at utilizing proven tactics to maximize revenue collection for companies. Strong team leader with a clear record of success in meeting company goals. Eager to tackle high-volume operations in the AR industry.
Overview
15
15
years of professional experience
Work History
AR-Collections Manager
Rebekah Certified Home Health Agency
11.2020 - Current
- Claims Cycle Generation
- Collections & Denials Management
- Claims Follow up: Unpaid, Denials and Resubmitted with Appropriate Corrections and Documentation
- AR Review and Claims Report Analyze
- Correspondence and rejection data Review from insurance carriers
- Responds to patient and third party inquiries, researches and resolves complex claims and corrects errors
- Cash Posting
- Cash Adjustment And Rejections
- Month-end A/R Reconciliation
- Monthly Cash and Bank Reconciliation
- Monthly Revenue Summary Report
- Expertise in Medicare/Medicaid and Commercial Payer Regulations
- Receivable Recovery Project and Cash Settlement
- Root cause analysis and constant feedback to the front-end operations
- Payer Contractual Adjustment, Charge Capture and Coding
- Mentors less experienced staff and assists Administrator with the training of new hires
- Performs other related duties
- Staff and biller Supervision
Marketing & Intake Manager
Rebekah Certified Home Health Agency
01.2019 - 10.2020
- Demonstrating a thorough and complete knowledge of the agency including: its vision, mission and values; the services provided; and how Rebekah CHHA differentiate itself from other home care agencies.
- Identifying, evaluating, and prioritizing potential referral sources within the agency’s territory and surrounding area.
- Establishing and maintaining professional relationships with all referral sources, including but not limited to the following: hospitals, independent living facilities, assisted living facilities, sub-acute rehabilitation facilities, skilled nursing facilities, skilled home health care agencies, hospice providers, and physician/nurse practitioners.
- Establishing and maintaining brand awareness through referral source contacts, trade shows, conferences, and community education efforts.
- Representing the agency and its services in a professional, competent and responsive manner.
- Compiles daily Intake report.
- Serve as office liaison, interface with referral sources, physician’s office, outside agencies, health professionals and field staff.
- Supervision of all intake screening process, ensure all required documentation received are in place for a preliminary admission decision.
- Supervision for all Patient Insurance Eligibility.
Marketing Manager
United Odd Fellow & Rebekah Rehab and Extended Care Center
05.2018 - 12.2018
- Build and maintain partnerships with hospitals and healthcare professionals to provide exceptional care to current and potential residents and patients.
- Work closely with the facility and corporate leadership teams to provide a timely response to referrals and coordinate safe, pleasant and seamless transitions for new residents.
- Remain abreast of changes in Medicare, Medicaid and commercial insurance reimbursement rates.
- Reviews patient medical records for accuracy, timeliness, and completeness.
- Ensures that a smooth transition is achieved and that all paperwork is complete upon admission.
- Document status of all referrals.
Intake & Marketing Coordinator
Rebekah Certified Home Health Agency
01.2016 - 04.2018
- Responsible for complete intake screening process, ensure all required documentation received are in place for a preliminary admission decision.
- Verify Patient Insurance Eligibility.
- Compiles daily Intake report.
- Communicate (Bilingual) with patient and family and arrange the commencement of services.
- Answers (Bilingual) incoming phone calls & provide excellent customer service with professional work ethic.
- Contacts Field Nurses regarding day-to-day changes.
- Serve as office liaison, interface with referral sources, physician’s office, outside agencies, health professionals and field staff.
- Follows up on the Non-Compliant Field Nurses (if the cases not being seen on time, if the paperwork not being submitted on time etc.)
- Contacts Field Nurses regarding day-to-day changes.
- Translator to all English speaker nurse who need assistance with Spanish speaker patient(s).
- Perform other duties assigned by supervisor or operational manager.
Teller
Spring Bank
07.2015 - 12.2015
- Process a variety of customer monetary transactions and check cashing.
- Exceptional, friendly, upbeat, customer service skills with outgoing personality and an attention to detail.
- Ensuring branch services is maintained at high level, while maintaining accurate records.
- Identifying and selling Bank’s products and services beneficial to the customer’s needs.
- Identifying fraudulent activity to prevent potential losses, awareness of current fraud alerts.
- Addressing customer questions and concerns and refers to appropriate internal sources for solutions.
- Stays update on new products and services.
- Ensure all functions are completed within stated guidelines.
Sales Associate/Cashier
New York & Company
04.2014 - 05.2015
- Handle cash, credit and refund sales transactions.
- Perform excellent (Bilingual) customer services and assist with purchases.
- Aid customers with merchandise selections and product information.
- Provide support with the management and operations of the store.
Sales Associate/Cashier
Flying A
05.2013 - 08.2013
- Handle cash, credit and refund sales transactions.
- Perform excellent (Bilingual) customer services and assist with purchases.
- Aid customers with merchandise selections and product information.
- Provide support with the management and operations of the store.
Sales Associate/Cashier
Colorina Kids Inc.
06.2010 - 08.2012
- Handle cash, credit and refund sales transactions.
- Perform excellent (Bilingual) customer services and assist with purchases.
- Aid customers with merchandise selections and product information.
- Provide support with the management and operations of the store.
Education
Master of Science - Finance
Lehman College/City University of New York
Bronx, NY06.2017
Skills
- Numerical skills
- Negotiation skills
- Decision making
- Multitasking
- Organizational skills
- Discipline
- Detail oriented
- Time management
- Customer service
- Communication skills
- Computer literacy
- Conflict resolution techniques
- Bilingual fluency in Spanish
- Cash flow management
- Billing
Languages
Spanish
Full Professional
Timeline
AR-Collections Manager
Rebekah Certified Home Health Agency
11.2020 - Current
Marketing & Intake Manager
Rebekah Certified Home Health Agency
01.2019 - 10.2020
Marketing Manager
United Odd Fellow & Rebekah Rehab and Extended Care Center
05.2018 - 12.2018
Intake & Marketing Coordinator
Rebekah Certified Home Health Agency
01.2016 - 04.2018
Teller
Spring Bank
07.2015 - 12.2015
Sales Associate/Cashier
New York & Company
04.2014 - 05.2015
Sales Associate/Cashier
Flying A
05.2013 - 08.2013
Sales Associate/Cashier
Colorina Kids Inc.
06.2010 - 08.2012
Master of Science - Finance
Lehman College/City University of New York
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