Yamila Rosales
MIAMI,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Billing Account Manager
Medical Claims Consultants
02.2020 - Current
- Oversees the operations of the collections department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
- Communicates with various teams within the organization.
- Follow up on claims using various systems.
- Audits current procedures to monitor and improve efficiency of collections operations.
- Ensures that the activities of the collections operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.
- Participates in development and implementation of operating policies and procedures.
- Reviews and interprets operational data to assess need for procedural revisions and enhancements; participates in the design and implementation of specific systems to enhance revenue and operating efficiency.
- Keep up to date with carrier rule changes and distribute the information within the practice.
- Understands and remains updated with current coding and billing regulations and compliance requirements.
- Supervises collections department personnel, which includes work allocation, training, and problem resolution; evaluates performance and makes recommendations for personnel actions; motivates employees to achieve peak productivity and performance.
- Provides, overseas, and/or coordinates the provision of training for new and existing billing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques.
- Performs other miscellaneous job-related duties as assigned.
Registered Behavior Technician
Behavioral Family Solutions
02.2019 - 01.2020
- Observed, monitored and recorded problem behaviors through accurate behavior-consequence data collection, graphs, and anecdotal notes.
- Supported client using principles of applied behavior analysis.
- Intervened with clients' challenging behaviors by reinforcing therapeutic alternatives and coping mechanisms.
- Kept accurate records by documenting progress and adhering to prescribed behavior plan.
- Worked as part of collaborative team to address changing needs of children and families.
- Learned specialized behavior approaches to implement behavioral strategies.
- Collaborated with other professionals to develop and modify individualized treatment plans.
- Developed and implemented reinforcement systems to encourage positive behaviors.
- Treated clients and families with respect and dignity.
Administrative Assistant
New Generation Hearing Center
03.2017 - 01.2019
- Updating and filing patients' medical records
- Filling out insurance form
- Filing insurance claims, record maintenance and billing
- Assisting audiologist with patient tracking and equipment orders actively
- Collected past-due balances with collections maintenance
- Provided office support with accounts payable
- Billing
Administrative Assistant
Fuoco Group
01.2015 - 02.2017
- Assist with client billings, collections and schedule appointments
- Handle multiple assignments projects
- Maintain client files
- Data entry for client bookkeeping - Account Reconciliation
- Client payroll preparation
- Perform other duties as assigned - Ordering supplies for the office
Education
Bachelor of Science - Psychology
Florida National University
Hialeah, FL08.2023
Skills
- Billing and Collections
- Workflow Planning
- Organizational Skills
- Operation Monitoring
- Billing Review
Timeline
Billing Account Manager
Medical Claims Consultants
02.2020 - Current
Registered Behavior Technician
Behavioral Family Solutions
02.2019 - 01.2020
Administrative Assistant
New Generation Hearing Center
03.2017 - 01.2019
Administrative Assistant
Fuoco Group
01.2015 - 02.2017
Bachelor of Science - Psychology
Florida National University
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