Billing Specialist - Concentra - Rancho Cucamonga, CA
(2025-06)
Bill out EDI claims. Under indirect supervision performs a variety of basic to complex processing tasks related to ensuring timely accurate billing and reconciliation of discrepancies in accordance with Concentra Medical Compliance Administration practices, policies and procedures. Works closely with the Central Billing Office to report monthly financials.
Account Receivable Specialist - WC Dermatology Center, LLC - Redlands, CA
(2023-10)
- Managed a portfolio of 10 client accounts, ensuring timely and accurate collection of payments to maintain a 98% on-time payment rate
- Performed detailed analysis of customer payment history to identify and resolve discrepancies or delinquencies, reducing overdue accounts by 15%
- Generated weekly aging reports to track outstanding balances and prioritize collections efforts, improving cash flow visibility
- Served as the primary point of contact for resolving billing disputes or discrepancies raised by customers, achieving faster dispute resolution
- Maintained accurate records of all communications with clients regarding payment status or account adjustments, supporting audit readiness
- Assisted in the implementation of automated accounts receivable systems, resulting in improved efficiency and accuracy in processing transactions by 20%
- Investigated root causes for late payments or non-payment instances, implementing corrective actions to decrease delinquency rates
- Provided regular updates on accounts receivable performance metrics to management team during meetings or presentations, enabling data-driven decisions
- Developed and maintained comprehensive documentation of accounts receivable processes and procedures, ensuring consistency and compliance
- Audited customer payment records for accuracy and completeness, identifying discrepancies and taking appropriate actions to resolve them, reducing errors
Patient Service Representative - Above Urgent Care Center - Montclair, CA
(2022-04 - 2022-04)
- Provided exceptional customer service to patients, ensuring a positive experience throughout their visit and increasing patient satisfaction scores
- Scheduled and confirmed patient appointments, efficiently managing a high volume of calls and inquiries to optimize provider schedules
- Verified insurance coverage and obtained necessary authorizations for medical services, minimizing billing errors and claim denials
- Assisted with the check-in process by verifying patient demographics, collecting co-pays, and explaining office policies, streamlining patient intake
- Managed incoming/outgoing correspondence such as emails, faxes, and mail to ensure timely communication between patients and healthcare professionals
- Performed administrative tasks including filing documents, organizing charts, maintaining inventory of office supplies, supporting daily operations
- Collaborated with healthcare providers to coordinate referrals for specialized treatments or consultations as required, improving patient care continuity
- Demonstrated strong problem-solving skills when resolving complex billing issues or disputes, improving client satisfaction
Pre-Processor/Biller - Foundation Laboratory - San Dimas, CA
(2023-04 - 2024-08)
- Correct, appeal and resubmit denied claims or charges
- Audit patient accounts for proper billing and status
- Verify, update/edit and approve charges for billing
- Contact clients or patients regarding account information, diagnosis or verification of payer information
- Provide customer service to clients or patients in regards to their account balance, statement, pricing and collection of payment
- Knowledge of ICD-10, NCD/LCD and NCCI guidelines
- Processed medical claims and invoices for a high-volume healthcare facility, ensuring accuracy and adherence to billing guidelines
- Verified patient insurance coverage and obtained necessary authorizations for medical procedures
- Reviewed and corrected coding errors on claims to maximize reimbursement from insurance companies
- Utilized electronic health record (EHR) systems to input patient information, update billing records, and generate reports
- Followed up with insurance companies regarding claim denials or discrepancies, resolving issues in a timely manner
- Maintained strict confidentiality of patient information in compliance with HIPAA regulations
- Developed strong relationships with insurance company representatives to facilitate smooth claims processing and resolve any disputes or delays
Medical Screener - Cucamonga Valley Medical Group - Fontana, CA
(2021-07 - 2023-04)
- Processes documents according to procedures
- Responsible for training new staff in the Scanning Department/Medical Records
- Maintains confidentiality of patient health information
- Scans all correspondence, lab, and x-ray reports into correct patient EHR, under correct tab, assuring that necessary signatures appear on documents
- Meets the productivity standards for medical charts based on the amount of scanned documents per week vs. number of charts scanned
- Other duties as assigned by supervisor
- Demonstrated strong attention to detail when reviewing scanned images for errors or inconsistencies
- Closely monitored scanned images for quality control purposes, ensuring legibility and clarity
- Contributed to improving overall efficiency by streamlining the document scanning workflow
- Organized and labeled scanned files according to established file naming conventions for easy retrieval
- Maintained a high level of accuracy in scanning documents, minimizing errors and re-scans
- Ensured proper alignment, clarity, and quality of scanned documents by regularly calibrating the scanner
- Operated document scanner equipment to accurately and efficiently scan large volumes of documents
