Yvie Rivera
Belleville,NJ
Summary
Experienced and detail oriented Revenue Cycle Billing Manager with over 10 years' experience in healthcare finance, specializing in full-cycle billing, collections and revenue reconciliation. Adept in managing aging reports, resolving complex AR issues and optimizing cash flow in high-volume, deadline driven environments. Proven expertise with CMS-1500/UB-04 claims, Auto, Workers Compensation, In & Out of Network claims across multiple specialties including, but not limited to, Orthopedic, Pain Management, Podiatry, PT/OT, & Chiropractic care. Proficient in EPIC, ECW & Modmed to name a few PM systems. Actively seeking a management position where precision, productivity & professionalism are valued. Willing to relocate: Anywhere
Overview
11
11
years of professional experience
Work History
Billing Manager
Union County Orthopaedic Group
09.2023 - Current
- Supervise billing department
- Reconciliation of payments received
- Denial management
- Audits claims and locates denial trends
- Approves vacation / PTO
- Collection management
- Scrub bills
- Appeals
- Monthly reports
- Generate new AR reports for my staff
Billing Revenue Collections Supervisor
Star Solution Services, Inc.
07.2022 - 09.2023
- Negotiate settlements with attorney offices
- Negotiate fee schedule settlements with insurance carriers
- Denial management
- Supervise team of 10
- ASC Billing & Collections
- Anesthesia Billing & Collections
- Physician Billing & Collections
- NY No-Fault, NJ PIP, NY WC, NJ WC, & Major Medical UCR Fair Health
- In & Out of Network Claim Submissions & Collections
- Run productivity reports
- Employee evaluations
- Payment posting
- AR follow up
Lien Collector
New York Spine Specialist
06.2021 - 07.2022
- Collector for medical liens from attorneys or patients
- Send emails to attorneys in reference to case and payment statuses. Make phone calls to attorneys or patients in reference to same.
- Send bills to patients if cases settled.
Account Representative
Israel, Israel, & Purdy, LLC
01.2017 - 06.2021
- Post payments for bills and settlements
- Process and appeal denials
- Rebills
- Weekly collections to clients
- Month end reports
- Respond to all verification requests for my clients
- Responsible for 28 active accounts and 50 dead accounts
- Familiar with Chiro, Ortho, & Pain Mgmt No-Fault fee scheduling
- Objection letters
Collections Supervisor
Star Solutions
08.2014 - 05.2017
- Respond to insurance verification requests
- Correct errors in bills and resubmit to insurance companies
- Process all denials
- Send appeals
- Negotiate liens with attorneys
- Employee evaluation
- Strong knowledge of AR follow up and denial management
Medical Biller / Insurance Verification
Excel Surgery Center
08.2014 - 01.2017
- Verified coverage on all insurance companies
- Assisted with billing for MUA, pain management, and ortho procedures
- Prepared paperwork for same day surgery charts
Education
Medical - Medical Billing & Coding
Lincoln Technical Institute
Paramus, NJ01.2014
Bachelor's - Psychology
Kean University
Elizabeth, NJ06.2003
Skills
- Proficient in EMR software
- Experienced in office management
- Advanced Excel skills
- Cost analysis
- Financial accounting
- Independent project execution
- Accurate insurance coverage assessment
- Medical record management
- Skilled in Microsoft PowerPoint
- Performance assessment
- Effective multitasking
- Detail-oriented data management
- Healthcare billing expertise
- Healthcare administrative experience
- Fluent in Spanish
- Experience with ICD-10 documentation
- Consistently dependable
- Healthcare collections management
- Bilingual in English and Spanish
- Proficient in Microsoft Office
- ICD coding expertise
- Healthcare coding expertise
- Client support
- HIPAA compliance knowledge
- Healthcare scheduling management
- Fluent Skills
- English
- Patient care
- ICD-9
- CPT Coding
- Effective communicator
- Effective negotiation
- Typing speed of 60 wpm
- Transcription
- Quick learner
- Excellent communication & interaction skills
- Accountable for tasks
- Medical Terminology
- Proficient in Microsoft Outlook
Timeline
Billing Manager
Union County Orthopaedic Group
09.2023 - Current
Billing Revenue Collections Supervisor
Star Solution Services, Inc.
07.2022 - 09.2023
Lien Collector
New York Spine Specialist
06.2021 - 07.2022
Account Representative
Israel, Israel, & Purdy, LLC
01.2017 - 06.2021
Collections Supervisor
Star Solutions
08.2014 - 05.2017
Medical Biller / Insurance Verification
Excel Surgery Center
08.2014 - 01.2017
Bachelor's - Psychology
Kean University
Medical - Medical Billing & Coding
Lincoln Technical Institute
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