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