Elvia Reyes
Chowchilla
Summary
Dynamic leader with extensive experience in charge capture and claims management at Ccare California Cancer Associates. Proven track record in optimizing workflows and reducing denials through effective problem-solving and team coaching. Skilled in data analysis and conflict resolution, driving efficiency and enhancing team performance in fast-paced environments.
Overview
16
16
years of professional experience
Work History
Lead Charge Management
Ccare California Cancer Associates
01.2021 - Current
- Overseeing the day-to-day functions for a group of billing specialist that are dedicated to charge capture, scrub claims pre-submission to insurance carriers.
- Bring resolutions to rejections from both insurance carriers and billing system to implement in the team work-flow to avoid the denials and rejections.
- Review the details of denials and rejections as to cause and reasons and implement updates both team wise or enter a logic within the system for the result of a clean claim.
- Part of the leadership position it also includes providing education to the team when updates and changes are made withing the system and/or workflow.
- Auditing the team to discover where possible further training or education is needed, as updates and changes happen constantly, in search for resolutions for easier workflows for the team.
- Reviewing monthly data such as insurance denials and decipher what is missing or causing the denial to bring and problem solve best way to prevent the denial.
Payment Posting/ Patient accounts
Prime Healthcare
01.2020 - 01.2021
- Electronic and manual posting
- Meditech
- Patient customer service regarding billing
- Payment research
Payment Posting Associate
St Joseph Heritage Hospital / Medirevv
01.2017 - 01.2020
- Payment posting commercial and government
- Electronic posting
- Bar consolidation reposting
- Payment research/reconciling missing and unidentified payments
- Training new employees
- Advance IDX web
Patient Accounts Representative
Casa Colina Rehabilitation Center
01.2010 - 01.2016
- Cashier, Payment Posting both cash and insurance, creating daily deposits, audit payment based on contract payments, keeping daily posted batches organized for future audits and for collectors’ reference
Education
Medical Billing - insurance coding, Medical Terminology, ICD-9, HCPCS, Coding, Anatomy
U.E.I
Rancho Cucamonga, CA01.2007
Microsoft word - Excel, Typing
Pomona Adult Education
Pomona, CA01.2001
Skills
- Charge capture and claims management
- Payment processing and auditing
- Denial management strategies
- Data analysis techniques
- Problem solving and resolution
- Microsoft Word proficiency
- Analytical skills
- Effective communication
- Conflict resolution strategies
- Workflow optimization
- Coaching and mentoring
- Team leadership
Languages
Spanish
Professional
References
References available upon request.
Timeline
Lead Charge Management
Ccare California Cancer Associates
01.2021 - Current
Payment Posting/ Patient accounts
Prime Healthcare
01.2020 - 01.2021
Payment Posting Associate
St Joseph Heritage Hospital / Medirevv
01.2017 - 01.2020
Patient Accounts Representative
Casa Colina Rehabilitation Center
01.2010 - 01.2016
Medical Billing - insurance coding, Medical Terminology, ICD-9, HCPCS, Coding, Anatomy
U.E.I
Microsoft word - Excel, Typing
Pomona Adult Education
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