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@myrnarobles
Experienced billing specialist with a focus on customer service.
I am a dedicated billing specialist with extensive experience in medical billing and collections. My career spans over two decades, during which I have honed my skills in accounts receivable management, denial resolution, and customer service. I have successfully managed billing processes for various healthcare providers, ensuring timely and accurate claim submissions.
Throughout my career, I have demonstrated my ability to lead teams, streamline billing operations, and improve collection rates. My role as a Billing Success Manager at WebPt allowed me to manage accounts receivables for 13 physical therapy offices, where I implemented strategies that kept A/R below contract thresholds. I am passionate about delivering excellent customer service and training new employees to uphold these standards.
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Work history, roles, and key accomplishments
Instantcare
Jul 2019 - Present (6 years 4 months)
Provided comprehensive family caregiving services, including vital sign monitoring, medication disbursement, and light housekeeping. Managed meal preparation and assisted with physical therapy exercises.
Optum 360
Jan 2014 - Oct 2019 (5 years 9 months)
Worked on commercial plans and auto claims for non-government accounts, ensuring proper payments from insurance based on contracts. Followed up on denials and correspondence, and worked reports provided by management.
WebPt
Feb 2013 - Sep 2013 (7 months)
Managed A/R representatives and payment posters, reviewing claims daily to release clean claims. Oversaw accounts receivables for 13 physical therapy offices and addressed rejections and exclusions promptly.
Pediatrix & Obstetrix Medical Group
Dec 2009 - Jan 2013 (3 years 1 month)
Handled A/R follow-up, denials, and appeals for neonatal collections, including special handling accounts. Managed out-of-state billing for Medicaid in multiple states and served as an AHCCCS specialist.
Medical Management Southwest
Aug 2008 - Jul 2009 (11 months)
Performed A/R follow-up, managed denials and appeals, and worked on special projects. Handled verification for various insurance plans including AHCCCS, Medicare, Tri Care-UHC, and other commercial plans.
Physical Therapy Complete
Jan 2008 - Apr 2008 (3 months)
Managed front desk operations, including patient check-in and check-out. Handled authorizations, referrals, and workman's compensation claims, ensuring accurate verification processes.
RSI
Jan 2007 - Jan 2008 (1 year)
Specialized in AHCCCS for Mayo Clinic, handling both UB92 and HCFA claims. Managed outliers and appeals to ensure proper reimbursement.
Bethany Women's Healthcare
May 2004 - Dec 2006 (2 years 7 months)
Managed A/R follow-up, charge and payment posting, and electronic claims reports. Performed CPT and ICD-9 verification, and handled HCFA and UB-04 billing.
Orthopedic Clinic Association
Aug 2001 - Aug 2004 (3 years)
Processed daily deposits and assisted billers with various tasks. Managed procedure codes and DXs for assistant surgeons, purged batches, and handled faxes and HCFA forms.
Saguaro Medical Associates
Nov 2000 - May 2001 (6 months)
Managed a high volume of incoming calls, answering 12 lines efficiently. Set appointments for patients and provided float support as needed.
Degrees, certifications, and relevant coursework
GED/Medical Billing, Medical Billing
Completed a program focusing on medical billing practices. Gained knowledge in administrative and billing expertise to achieve high receivables and excellent customer service.
Software and tools used professionally
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