Summary
Overview
Work History
Education
Skills
References
Timeline
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ALEJANDRA MADRIGAL

Lemon Grove

Summary

Adaptable Professional experienced in quickly acquiring and applying new knowledge across dynamic environments. Improved efficiency in payment posting processes through strong problem-solving abilities and comprehensive understanding of medical insurance policies. Focused on delivering solutions that enhance operational effectiveness while maintaining compliance with regulatory standards.

Overview

1
1
year of post-secondary education
11
11
years of professional experience

Work History

PAYMENT POSTER SPECIALIST

SYNERGY SPECIALIST MEDICAL GROUP
San Diego
07.2021 - Current
  • Managed the posting of payments from insurance, attorney, patient, 3rd party, etc.
  • Processed patient payments and reconciled accounts for accuracy.
  • Posted payments to electronic health record systems efficiently.
  • Reviewed zero payment, denial, and underpaid claims to identify and resolve issues.
  • Reviewed insurance claims and resolved discrepancies with providers.
  • Conducted analysis of balancing reports to guarantee accurate payment postings.
  • Verified the accuracy of all reports before the month's end.
  • Managed large volumes of data efficiently daily.
  • Trained new staff on payment posting protocols and best practices.
  • Maintained accurate records of all payments posted in an organized filing system.
  • Researched discrepancies between patient accounts and remittance advice received from insurance carriers.
  • Balanced daily cash postings with deposits to ensure accuracy of information entered into the system.
  • Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Compiled reports on monthly revenue totals, outstanding balances, and key financial indicators for management review.
  • Collaborated with various departments within the organization to ensure efficient workflow processes related to payment posting activities.
  • Performed various accounts receivable functions, handled cash receipts posting, updated cash flow reports and researched chargebacks and write-offs.
  • Assisted with month-end and year-end closing processes.
  • Process all manual paper checks and online payments.

PAYMENT POSTER SPECIALIST

SAN DIEGO ORTHOPEDIC ASSOCIATES
San Diego
10.2019 - 01.2021
  • Managed the posting of all payments from insurance, attorneys, patients, and third parties.
  • Processed patient payments and reconciled accounts for accuracy.
  • Managed large volumes of payment data daily, ensuring accurate and timely processing.
  • Process all electronic payments according to bank report.
  • Submitted zero payment, denial, and underpaid claims for review to facilitate timely resolution.
  • Complete and ensure all reports are correct prior to the end of the month.
  • Processed refunds for patients to rectify billing discrepancies.
  • Downloaded, printed and batched electronic funds transfers and remits.
  • Maintained current knowledge of insurance policies and billing regulations to ensure compliance.
  • Posted payments and coordinated review of denials to enhance claims resolution.

MEDICAL RECEPTIONIST

SAN DIEGO ORTHOPAEDIC ASSOCIATES
San Diego
01.2016 - 01.2019
  • Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
  • Filed and updated patient charts to maintain accurate records.
  • Ensured patients had valid insurance coverage for services.
  • Organized and reviewed charts for next day's appointments to facilitate smooth patient flow. for the following day.
  • Ensure daily appointments are run smoothly for doctors and provide a welcoming environment for patients.
  • Processed all payment for co-pays and past due balance.
  • Maintained patient records, enhancing accuracy and safeguarding confidentiality of information.
  • Entered insurance, demographics and health history into patient database.

Education

VOCATIONAL SCHOOL - Medical Office Assistant

CONCORDE CAREER COLLEGE
San Diego, CA
10.2015 - 05.2016

Skills

  • Insurance verification
  • Payment reconciliation
  • Insurance plan expertise
  • Batch balances and reports
  • Transaction accuracy
  • Data analysis
  • Microsoft Office proficiency
  • Customer service support
  • Customer service
  • Attention to detail
  • Time management
  • Problem solving
  • Effective communication skills
  • Fast learner

References

  • Erica Saldana - Supervisor

(619) 794-5831

Cristina Pulido - Guest and Premium Experience Manager

(619) 804-7668

Timeline

PAYMENT POSTER SPECIALIST

SYNERGY SPECIALIST MEDICAL GROUP
07.2021 - Current

PAYMENT POSTER SPECIALIST

SAN DIEGO ORTHOPEDIC ASSOCIATES
10.2019 - 01.2021

MEDICAL RECEPTIONIST

SAN DIEGO ORTHOPAEDIC ASSOCIATES
01.2016 - 01.2019

VOCATIONAL SCHOOL - Medical Office Assistant

CONCORDE CAREER COLLEGE
10.2015 - 05.2016
ALEJANDRA MADRIGAL