Alice Montoya

Medical billing, coding, accounts receivable, credentialing, and practice management professional with over 7 years of progressive healthcare experience supporting behavioral health, specialty care, and multi-provider practices. Proven ability to improve revenue cycle performance through denial resolution, claims auditing, payer follow-up, credentialing, and workflow optimization. Experienced managing provider accounts, reducing aging AR, resolving complex insurance claims, and supporting practice growth initiatives.

Bilingual in English and Spanish.

Account Manager | Medical Biller & Coder - Medetec

(2025-01)

• Manage revenue cycle operations for multiple provider accounts.
• Oversee claim submission, denial management, payment reconciliation, and accounts receivable follow-up.
• Analyze reimbursement trends and identify opportunities to improve collections.
• Support provider credentialing and payer enrollment processes.
• Train providers and office staff on billing workflows and payer requirements.

AR Specialist | Medical Biller & Coder - Aspire Health Partners

(2023-01 - 2025-12)

• Managed behavioral health billing for Medicaid, Medicare, and commercial insurance plans.
• Researched and resolved denied, rejected, and underpaid claims.
• Performed claims audits to identify billing errors and reimbursement opportunities.
• Conducted insurance follow-up and appeals to maximize collections.
• Maintained aging AR reports and prioritized high-value accounts.

Front Desk Lead | Referral Specialist - Pulmonary Practice Associates

(2022-01 - 2023-12)

• Coordinated referrals, prior authorizations, and insurance verification.
• Verified patient eligibility and benefits with multiple insurance carriers.
• Managed provider schedules and patient communications.

Insurance Verification Specialist

(2020-01 - 2022-12)

• Verified eligibility, benefits, deductibles, and authorization requirements.
• Reviewed Coordination of Benefits information and payer requirements.

Office Supervisor - Encompass Chiropractic

(2018-01 - 2020-12)

• Supervised front office operations, scheduling, billing, and collections.
• Trained and onboarded staff on office procedures and insurance workflows.

Associate Degree - Healthcare Management