Owna-Socorro Cordes

Precise and efficient medical billing professional with over 15 years of experience in performing various account receivable functions. Specialize in filing accurate claims, appealing rejected claims, understanding insurance contracts, and EOBs. Excellent work ethic and exemplary time management skills. Knowledgeable with processing payments, collection techniques, and customer query resolution.

Billing, Collections, Denials Pharmacy Administration II - Advent Health Pharmacy - Maitland, Florida

(2019-01)

• Review all retail pharmacy claims that have not been paid within 90 days.
• Analyze Account Trial Balance Reports for trends of unpaid claims.
• Verify insurance eligibility and benefits.
• Researching unapplied insurance payments.
• Bill any secondary to Medicare claims that did not cross over on HCFA 1500's.
• Adjust off accounts with denied appeals or timely filing limits.
• Contact patients regarding any insurance issues.
• Created Pharmacy A/R training manual.
• Train new Pharmacy A/R reps.

Eligibility Specialist PAC II - Express Scripts/ Accredo Specialty Pharmacy - Orlando, Florida

(2014-12 - 2018-10)

• Accurately enter preliminary patient insurance information.
• Verified that the ICD-10 and HCPCS are correct.
• Verified insurance eligibility and benefits.
• Obtained pharmacy processing information.
• Obtained Copay Assistance for patient that meet qualifications.
• Obtained Prior Authorizations and Pharmacy Overrides when needed.
• Worked on special projects.
• Completed timely audit reviews.
• Assisted with training materials and training staff members.

Billing Supervisor - Medivance Billing Services - Sunrise, Florida

(2012-11 - 2014-07)

• Distinguished unidentified payments and posted payments to designated accounts.
• Posted and processed all zero balance EOB's.
• Conducted root cause analysis to determine foremost issues.
• Identified opportunities and provided recommendations for process improvement.
• Established department goals and ensured processes were adhered to.
• Trained, educated, and provided clear guidance to the team to get the billing tasks completed.

Business to Business Client Service Rep. - Alorica - Miami Lakes, Florida

(2011-06 - 2012-11)

• Assisted customers in changing DirecTV programming for their business's needs.
• Collected payments and answered any billing questions.
• Assisted customers with installation questions.
• Scheduled appointment and troubleshot any problems the customer may have had with any receiver.
• Answered general customer service questions.

Medical Insurance Claims Analyst Team Lead - Complete Collection Services of Florida - Oakland Park, Florida

(2007-07 - 2008-07)

• Supervised a group of 20 team members.
• Processed patient statements and invoices.
• Answered all patient/insurance inquires.
• Setup patient payment plans and worked collection accounts.
• Reviewed and validated accuracy of charges.
• Corrected the coding on UB-04's.
• Responsible for working Accounts Receivable.

Short Term Disability Claims Intake Analyst - Aetna Life Insurance Company - Plantation, Florida

(2006-09 - 2007-06)

• Processed any incoming claims.
• Educated the customer by explaining the process of STD claims.
• Answered questions and setting expectations.
• Gathered and entered data into appropriate claim processing systems.
• Denied incomplete claims as appropriate.
• Interfaced with internal and external contacts, as necessary.

Certificate - Emerging Leader program - AdventHealth (2022 - 2022)

BBA - Business Administration/Business Management - American Intercontinental University (2020)

Technical Diploma - Medical Administrative Assistant - Everest Institute (2011 - 2011)

Technical Diploma - Medical Billing and Coding - Management Resources, Inc (2004 - 2004)

High School Diploma - Miami Carol City Senior High (2001 - 2001)