Yeislyn Torres
Gretna,LA
Summary
Billing professional with 8 years of experience, prepared for overseeing billing operations and ensuring seamless financial processes. Expertise in managing billing cycles and resolving discrepancies to maintain accuracy. Known for fostering team collaboration and adapting to evolving business needs with precision and reliability.
Overview
9
9
years of professional experience
Work History
Billing Supervisor
Fresenius Medical Care
01.2024 - Current
- Supervised billing operations to ensure compliance with healthcare regulations and company policies.
- Oversee the entire medical billing process, from claim submission to payment collection, ensuring accuracy, timeliness, and compliance with relevant regulations.
- Monitor and analyze billing data to identify trends, issues, and areas for improvement, and implement necessary changes to optimize billing operations.
- Collaborate with other departments, such as coding and finance, to resolve billing-related inquiries, discrepancies, and issues.
- Develop and enforce billing policies and procedures to ensure adherence to industry standards and regulations.
- Stay updated with changes in medical billing regulations, coding guidelines, and insurance policies, and ensure that the team is trained accordingly.
- Conduct regular audits of billing processes and records to identify and rectify errors, discrepancies, and potential areas of non-compliance.
- Generate and analyze billing reports to assess team performance, identify areas for improvement, and provide recommendations for increased efficiency and productivity.
- Participate in meetings and communicate with management and stakeholders to provide updates on billing operations, challenges, and achievements.
- Maintain confidentiality of patient records and sensitive billing information, ensuring compliance with HIPAA regulations.
Senior Patient Account Representative – Billing
Fresenius Medical Care
01.2021 - Current
- Act as lead to Patient Account Reps, performing and monitoring the daily functions and activities of the assigned section
- Train and cross-trains staff members in all aspects of the pre-billing, billing and follow-up functions of the Business Office
- Resolve the more complex problems, makes recommendations and continually streamlines the functions of the section
- Review, verify, obtain and correct patient financial status and payor source information, medical diagnosis, laboratory and other diagnostic services information, hospital/clinic services and supplies, applicable dates, required authorizations and certifications, signatures, and other information related to preparation and processing of patient bills, and eligibility for coverage.
- Assemble pre-billing materials; assigns CPT codes; prepares, generates and sends individual, insurance, governmental, crossover, and other bills for medical care related services; evaluate, modify and resubmits bills.
Patient Account Representative – Billing
Fresenius Medical Care
01.2017 - 01.2021
- Process and manage patient claims
- Resolve any issues relating to the patient account
- Submitting claims to insurance companies, verifying coverage, and resolving claim denials or rejections.
- Maintaining detailed and accurate patient account records, reconciling accounts, and resolving discrepancies.
- Ensuring adherence to healthcare regulations, privacy laws, and billing guidelines.
- Working with other departments (e.g., medical records, coding) to resolve billing issues and ensure accurate information flow.
Education
Bachelor of Science - Health Services Administration
Florida National University
01.2022
Skills
- Team development
- Reporting skills
- Strategic Decision-making
- Expertise in billing
- Customer service
- Problem-solving
- Attention to detail
- Multitasking and organization
- Team collaboration
- HIPAA compliance
- Billing systems and software
- Claims processing
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Billing Supervisor
Fresenius Medical Care
01.2024 - Current
Senior Patient Account Representative – Billing
Fresenius Medical Care
01.2021 - Current
Patient Account Representative – Billing
Fresenius Medical Care
01.2017 - 01.2021
Bachelor of Science - Health Services Administration
Florida National University
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