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Maria Xirun Tzoc

@mariaxiruntzoc

Dedicated healthcare revenue cycle management professional with strong advocacy skills.

United States

What I'm looking for

I am looking for a role that values teamwork and offers opportunities for professional growth in healthcare.

I am a dedicated and results-driven professional with a robust background in healthcare revenue cycle management and patient care advocacy. My experience at Children's Hospital of Los Angeles as a Medi-Cal/Medicaid Billing Specialist has equipped me with the skills to maximize revenue through effective management of insurance-related claims. I have a proven track record of ensuring timely payments by conducting thorough audits and submitting appeals to resolve incorrect payments. My collaboration with state agencies has honed my understanding of various policies, allowing me to navigate complex regulations effectively.

Prior to my role as a billing specialist, I served as a Radiology Imaging Patient Representative, where I enhanced workflow efficiency by resolving departmental issues and managing audits. My ability to communicate effectively with team members and assist with patient registration and insurance verification has been pivotal in improving departmental productivity. Additionally, my experience as a Patient Advocate at Altamed allowed me to develop strong organizational skills and implement new workflow systems that significantly improved scheduling efficiency for doctors.

Experience

Work history, roles, and key accomplishments

CA

Medi-Cal/Medicaid Billing Specialist

Children’s Hospital of Los Angeles

Sep 2020 - Jun 2024 (3 years 9 months)

Managed insurance-related claims and ensured timely payments while adhering to state regulations. Conducted audits and submitted appeals to maximize revenue and resolve payment discrepancies. Collaborated with leadership to improve policies and processes.

CA

Radiology Imaging Patient Representative

Children’s Hospital of Los Angeles

Sep 2017 - Sep 2020 (3 years)

Supported management in resolving departmental issues and enhancing workflow efficiency. Managed audits, patient registration, and insurance verification while collaborating with team members to improve productivity.

AL

Patient Advocate

Altamed

Jan 2016 - Sep 2017 (1 year 8 months)

Scheduled appointments and implemented new workflow systems to enhance scheduling efficiency. Verified eligibility for various medical plans and ensured timely communication with patients and colleagues.

Education

Degrees, certifications, and relevant coursework

Maria hasn't added their education

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Tech stack

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Maria Xirun Tzoc - Medi-Cal/Medicaid Billing Specialist - Children’s Hospital of Los Angeles | Himalayas