Summary
Overview
Work History
Skills
Qualification Summary
Timeline
Generic

Oralia Bernal

Richmond,CA

Summary

Dynamic and detail-oriented professional seeking a challenging position in a career-oriented clinic, leveraging extensive medical office experience and advanced computer skills. Proven organizational and communication abilities will enhance operational efficiency and productivity within the team. Committed to delivering exceptional patient care while supporting the clinic's mission and goals. Eager to bring a proactive approach to problem-solving and collaboration in a fast-paced environment.

Overview

20
20
years of professional experience

Work History

Office Manager

First Med Marin Medical -Barry Landfield, MD
02.2019 - Current
  • Maintain daily work operations by designing and implements office policies and procedures.
  • Prepare reports by collecting, analyzing, and summarizing information for doctor
  • Support staff when help needed in Checking in/out patients, answering phones, & doing vitals.

A/R Specialist

Bay Area Surgical Specialists
01.2019 - 02.2019
  • Followed up on unpaid claims within standard billing cycle timeframe
  • Called insurance companies regarding any discrepancy in payments if necessary
  • Researched and appeal denied claims.
  • Participated in regular meetings with cross-functional teams focused on process improvement initiatives, representing the A/R department and providing valuable insight into potential areas of enhancement.

Billing Analyst

UHA-Stanford Hospitals & Clinics
02.2012 - 11.2016
  • Accurately posted transaction (payments and adjustments). Payment sources included electronic remittances, paper checks and EOB's, patients, collection agencies, capitation plans.
  • Adhered closely to the department's payment reconciliation process.
  • Prioritized work to maximize turn-around time.
  • Followed up on unpaid claims within standard billing cycle timeframe
  • Called insurance companies regarding any discrepancy in payments if necessary
  • Researched and appeal denied claims.
  • Set up patient payment plans and work collection accounts.
  • Evaluated aging reports to identify members to be included in monthly outbound collection calls.

Medical Assistant

Alliance Medical Group
06.2009 - 02.2012
  • Prepared exam rooms before and after patient examinations according with clinic infection control procedures.
  • Performed vital signs, injections and basic in-clinic lab test including but not limited to urine dipstick, hemoglobin A1C, regular hemoglobin, rapid strep, pregnancy test, glucose level tests as ordered by provider.
  • Performed EKG, ear lavage, audiometry testing, vision test, and other tests as necessary.
  • Assisted practitioners during examinations and procedures as needed.
  • Cleaned and sterilized surgical instruments.

Billing Department Manager

Alliance Medical Group
03.2005 - 06.2009
  • Managed daily operations of the practice while maintaining a professional workplace
  • Liaise with Chief Administrative Officer to identify potential office dysfunctions
  • Supervised and scheduled office staff, ensured adherence to Company policies and procedures
  • Hired and trained new staff
  • Addresses staff issues and conducts regular performance reviews
  • Ensured compliance with all federal, state and local regulations related to the operations of the medical practice.
  • Ensured compliance with HIPAA, OSHA, labor laws, and confidentiality policies
  • Monitored budget and billing payments
  • Created monthly revenue cycle reports
  • Develop and implement office policies and procedures
  • Assist Administrator with multiple projects and administrative tasks
  • Coordinates department meetings
  • Conducted regular audits of billing records to ensure accuracy and compliance with company policies and industry regulations.
  • Identified opportunities for process improvements through data analysis, driving cost savings and operational efficiency gains.

Skills

  • Medical billing
  • HIPAA compliance
  • Insurance verification
  • CPT knowledge
  • Accounts receivable
  • Denial management
  • ICD-10 proficiency
  • Office management
  • Bookkeeping

Qualification Summary

More than 25 years experienced in the medical field. Medical software knowledge and experience in EPIC, Centricity, Medi-Soft, and Prime Clinical. Microsoft Office: MS Word, Excel, and Outlook. Hardworking, motivated, energetic, dedicated, and professional. Strong ability to multi-task, organized, disciplined and detail oriented. Bilingual Spanish/English

Timeline

Office Manager

First Med Marin Medical -Barry Landfield, MD
02.2019 - Current

A/R Specialist

Bay Area Surgical Specialists
01.2019 - 02.2019

Billing Analyst

UHA-Stanford Hospitals & Clinics
02.2012 - 11.2016

Medical Assistant

Alliance Medical Group
06.2009 - 02.2012

Billing Department Manager

Alliance Medical Group
03.2005 - 06.2009
Oralia Bernal