DENISE L. SARIA
Vista
Summary
Results-driven professional with extensive expertise in patient account management and revenue cycle operations, consistently delivering exceptional outcomes. Proficient in resolving complex billing issues, ensuring accurate financial records, and maintaining compliance with healthcare regulations. Recognized for a strong emphasis on team collaboration and adaptability to evolving needs, fostering a culture of continuous improvement. Excellent communication and problem-solving skills support a steadfast commitment to enhancing patient satisfaction and operational efficiency.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Patient Account Representative-(Patient Financial Services)
Regional One Health- Memphis Tennessee
03.2023 - Current
- Responsible for the accurate and timely processing of patient accounts related to billing, collections and reimbursement service for the Regional Medical Center in accordance with Patient Financial Services standards, policies and procedure.
- Demonstrates a level of accountability to ensure data and codes are not changed on claims prior to submission. Ensures that daily productivity standards, billing and rebilling files are met to obtain completion rate.
- Remote
Sales Associate- Seasonal
Lacoste Factory Outlet
11.2024 - 01.2025
- Assist with the stores visual directives and maintain cleanliness.
- Protect store assets through loss prevention procedures.
- Ensure to provide the best customer experience to all customers.
Billing Account Representative
Palomar Medical Group-Escondido, CA
09.2022 - 02.2023
- Answers phone calls promptly in a professional and courteous tone of voice
- Return patient calls in a timely manner
- Gives Accurate information to patient regarding their account and balance due
- Update patient demographics
- Update patient account status
- Rebills
- Process patient payments
- Insurance follow up
Patient Account Representative
Physical Rehabilitation Network- Carlsbad, CA
10.2016 - 09.2022
- Analyze and review any denials from insurance and fix any issue associated with the claim.
- Locate and notify customers of delinquent accounts by mail or telephone in a timely. Duties include receiving payment and posting amount to customer's account; preparing statements and keeping records of collection and status of accounts.
- Communicate with office staff and therapist regarding claim denials and resolve issue associated with it.
- Provide excellent customer service.
Front Office Manager/Patient Services
San Diego Spine and Rehab/United Physicians Group - Oceanside, CA
01.2007 - 07.2016
- Maintain communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.
- Establish work schedules and assignments for staff, according to workload, space and equipment availability.
- Hear and resolve complaints from customers and transmit information or documents to customers, using computer, mail, or facsimile machine.
- Analyze and interpret patient benefits to determine eligibility for medical treatment.
- Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care.
Intake Clerk
Psycare Kearny Mesa - San Diego
01.2006 - 11.2007
- Schedule and confirm patient appointments and medical consultations
- Answer telephones, and direct calls to appropriate staff.
- Interview patients to complete documents, case histories, and forms such as intake and insurance forms.
- Schedule and confirm patient appointments and medical consultations.
- Compile and record medical charts, reports, and correspondence, using personal computer
- Receive and route messages and documents such as laboratory results to appropriate staff.
- Maintain medical records and correspondence files.
Education
Medical Coding - Medical Billing Insurance Coding
United Education Institute
Chula Vista, CA01.2006
Bachelor - Communication, Communication Management
Assumption College
01.2002
Skills
- Skilled in Cerner, Raintree, Next Gen and Soarian financial systems
- Effective staff coach
- Fosters a positive environment
- Proven leadership skills
- HIPAA compliance
- Insurance claims processing
- Medical billing proficiency
- Follow-up skills
- Proficient in medical terminology
- Team collaboration
Certification
- Certified HIPAA
- Certified Medical Billing and Coding
LANGUAGES
English/Tagalog written and verbal.
Timeline
Sales Associate- Seasonal
Lacoste Factory Outlet
11.2024 - 01.2025
Patient Account Representative-(Patient Financial Services)
Regional One Health- Memphis Tennessee
03.2023 - Current
Billing Account Representative
Palomar Medical Group-Escondido, CA
09.2022 - 02.2023
Patient Account Representative
Physical Rehabilitation Network- Carlsbad, CA
10.2016 - 09.2022
Front Office Manager/Patient Services
San Diego Spine and Rehab/United Physicians Group - Oceanside, CA
01.2007 - 07.2016
Intake Clerk
Psycare Kearny Mesa - San Diego
01.2006 - 11.2007
Bachelor - Communication, Communication Management
Assumption College
Medical Coding - Medical Billing Insurance Coding
United Education Institute
ADDITIONAL INFORMATION
AWARDS AND CERTIFICATES Perfect Attendance/ Dean's List Honor Roll/ Mentor Award/Student of the Month
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