Open to opportunities

Ina Reyes

@inareyes

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Result-oriented professional with expertise in physician practice operations.

United States

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What I'm looking for

I seek a role in a dynamic healthcare organization that values operational excellence and continuous improvement.

I am a result-oriented professional with over twenty years of experience in the healthcare sector, specializing in operational improvements within physician practices. My career has been marked by a proven track record in managing revenues, provider relations, and network development. I thrive in environments that challenge me to achieve results and continually seek improvements throughout the organization.

Throughout my career, I have held various roles, including Office Administrator, Network Development Specialist, and Contract and Credential Specialist. My responsibilities have ranged from supervising staff and managing daily operations to training providers on state-mandated policies and procedures. I have a strong background in medical billing and coding, ensuring compliance with regulations while maintaining high standards of service delivery.

As a proactive leader, I am committed to fostering a collaborative work environment that promotes growth and development. I am passionate about educating staff and providers, ensuring they are well-equipped to meet the needs of our patients and the organization. I am looking forward to leveraging my skills and experience to contribute to a forward-thinking healthcare organization.

Experience

Work history, roles, and key accomplishments

Current

Contract and Credential Specialist

Current

Self-Employed

May 2017 - Present (8 years 1 month)

Contracted and credentialed providers with various dental and medical insurances, including Medicaid, HMO, and DHMO. Provided training to providers and staff on policy and procedures based on State mandated rules and regulations.

Contract Negotiation Credentialing Medicaid Provider HMO Policy Implementation Regulatory Compliance

Office Administrator

Shebah Dental Pllc

Feb 2019 - Apr 2021 (2 years 2 months)

Managed daily business operations, including staff scheduling, marketing, and insurance verification. Ensured accurate submission of dental claims and predeterminations, and managed employee performance and evaluations.

Insurance Verification Marketing Treatment Planning Business Operations

Office Administrator

InStyle Dental

Jun 2017 - Aug 2018 (1 year 2 months)

Responsible for all business office operations, including scheduling appointments and surgeries, medical billing, and collections. Managed CPT/ICD9 coding, medical records maintenance, and daily correspondence.

Medical Billing Collections Appointment Management Office Management

Network Development Specialist III

MCNA Dental

Dec 2011 - May 2017 (5 years 5 months)

Developed new contractual relationships and recruited providers within specific states and counties. Assisted in ensuring the provider manual met operational, regulatory, and accreditation requirements.

Contract Management Regulatory Compliance Training

Adjunct Instructor

Sanford Brown College

Feb 2011 - Dec 2011 (10 months)

Responsible for teaching medical billing and coding, and educated students on Health Insurance Technology. Developed topical outlines and syllabi for courses.

Medical Billing Medical Coding Insurance Technology Curriculum Development

Provider Relations Representative Medicaid/CHIP program

Aetna Insurance

Apr 2006 - Nov 2011 (5 years 7 months)

Served as a point of contact for plan sponsors regarding benefits and related documents, ensuring accurate benefit definition and compliance. Participated in strategic recruitment of ancillary providers and represented Aetna at community events.

Compliance

Revenue Cycle Supervisor

UTHSCSA-University Physicians Group

Feb 1993 - Dec 2005 (12 years 10 months)

Supervised and provided technical skills for staff, including training new employees in CPT, HCPCS, and ICD9 coding. Managed electronic claims submission, appeals, and claim status for various payers.

Revenue Cycle Management

Acct/Data Entry Secretary

Law office of Attorney Frank Herrera Jr.

Oct 1989 - Jun 1992 (2 years 8 months)

Responsible for client loan processing and preparing pre-litigation pay-outs. Maintained current and up-to-date client ledgers and files for attorneys and paralegals.

Loan Processing Data Entry Account Management Legal Documentation Auditing

Insurance Director

Dr. Paul A. Trautmann

Sep 1986 - Apr 1989 (2 years 7 months)

Managed all business office operations, including scheduling appointments and surgeries, and handling medical billing and collections. Responsible for CPT/ICD9 coding and maintaining medical records.

Insurance Direction Medical Billing Collections Business Operations

Insurance Billing and Collection Clerk

Dr. Ray Hatch

Jan 1982 - Dec 1986 (4 years 11 months)

Managed insurance billing and collection processes, ensuring accurate and timely submissions. Responsible for verifying medical insurance coverage and obtaining referrals or authorizations.

Insurance Billing Collections Referrals Authorization

Patient Registration Clerk

University Health System

Jan 1979 - Dec 1982 (3 years 11 months)

Registered patients in the Emergency Room and Admitting Department, ensuring accurate data entry. Assisted with patient flow and administrative tasks within a hospital setting.

Data Entry Administrative Support

Education

Degrees, certifications, and relevant coursework

Practice Management Institute/UTHSCSA

Certified Medical Coder, Medical Coding

Grade: License ID # 203516

Obtained certification as a Medical Coder from the Practice Management Institute in conjunction with UTHSCSA. This license was valid until December 31, 2013.