Yvonne Castillo Solis
San Juan,TX
Summary
Results driven medical billing specialist with over 20 years of experience in home health billing, claims recovery, insurance prior authorizations, licensing credentialing and revenue cycle management. Expertise in Medicare, Medicaid, Managed Care, Private Insurance and Workers Compensation. Proven ability to maximize reimbursements, resolve claim denials and ensure compliance with industry regulations. Strong leadership skills with a track record of managing billing operations, audits and quality assurance. Dedicated to streamlining billing processes and enhancing operational efficiency.
Overview
23
23
years of professional experience
Work History
OWNER
PRECISION BILLING AND RECOVERY SERVICES
10.2016 - Current
- DAILY BILLING OF ALL MEDICARE, MEDICAID, MANAGED CARE, PRIVATE INSURANCE BILLING
- RESOLVE CLAIM DENIALS / APPEALS
- PAST CLAIMS RECOVERY
- QUALITY ASSURANCE FOR PROPER AND ACCURATE BILLING
- CONDUCT ADR AUDIT AND SUBMISSIONS
- HANDLE PREAUTHORIZATIONS
- INSURANCE AND LICENSING CREDENTIALING
- OASIS EXPORT
BILLING MANAGER
AMERICARE NURSING SERVICES
10.2007 - Current
- DAILY HOME HEALTH BILLING TO INCLUDE MEDICAID, MEDICARE, PRIVATE INSURANCE, MANAGED CARE, AND WORKERS COMP
- PREAUTHORIZATION
- CLAIM CORRECTIONS, ADJUSTMENTS AND APPEALS
- QA FOR PROPER BILLING
- OASIS EXPORT
- INSURANCE AND LICENSING CREDENTIALING
- OVERSEE ALL SCHEDULING AND PHYSICAL THERAPY FOR APPROPRIATE BILLING
- ADR AUDIT AND SUBMISSION
BILLING MANAGER/DATA ENTRY
TAYLOR HOME HEALTH
11.2003 - 09.2007
- DAY TO DAY BILLING TO INCLUDE MEDICAID, MEDICARE, PRIVATE INSURANCE, AND MANAGED CARE
- RESPONSIBLE FOR ANY CLAIM CORRECTIONS AND ADJUSTMENTS
- QA FOR PROPER BILLING
- SCHEDULING
- PROCESSED ALL OASIS PACKETS AND TELEPHONE ORDERS
- PHYSICAL THERAPY TRACKING
- PATIENT CHART AUDITS
DATA ENTRY/SCHEDULING
AMERICARE NURSING SERVICES
11.2001 - 10.2003
- PROCESSED ALL OASIS AND TELEPHONE ORDERS
- SCHEDULING
Education
MEDICAL OFFICE SPECIALIST -
SACMDA
MCALLEN, TX01.1999
Skills
- Customer relations
- Revenue cycle management
- Billing process
- Accounts Receivable
- Client Billing
- Verbal and written communication
- Licensing Credentialing
- Insurance Knowledge
Timeline
OWNER
PRECISION BILLING AND RECOVERY SERVICES
10.2016 - Current
BILLING MANAGER
AMERICARE NURSING SERVICES
10.2007 - Current
BILLING MANAGER/DATA ENTRY
TAYLOR HOME HEALTH
11.2003 - 09.2007
DATA ENTRY/SCHEDULING
AMERICARE NURSING SERVICES
11.2001 - 10.2003
MEDICAL OFFICE SPECIALIST -
SACMDA
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