Collections professional with proven track record in managing and improving collections processes. Known for achieving significant reductions in delinquent accounts through effective communication and negotiation strategies. Valued team collaborator focused on delivering results and adapting to changing business needs. Expertise includes account reconciliation and compliance with regulatory standards.
Overview
3
3
years of professional experience
Work History
Senior Collections Specialist
San Antonio Regional Hospital
06.2024 - Current
Skilled in claim tracking, follow-up, and denial management processes
Guided and supported junior staff, enhancing team productivity and performance
Developed and leveraged collections data to streamline operations and boost claim resolution rates
Proficient in navigating payer portals.
Experienced in Epic & Denial Management
Regularly generated and analyzed reports on claim aging and denial trends, utilizing data to adjust collection strategies and improve overall performance metrics
Senior Collections Specialist
Loma Linda University Medical Center and University of Loma Linda
09.2023 - 05.2024
Managed high-volume collections and accounts receivable using Epic Hyperspace, ensuring timely and accurate payment of claims for healthcare services
Conducted advanced insurance follow-up for high-value and complex accounts, working with payers to resolve outstanding balances and recover lost revenue
Led account reconciliation efforts, applying adjustments and resolving payment discrepancies in collaboration with billing teams
Extensive experience with claims submission, follow-up, payment posting, and denial workflows
Expertise in resolving denied claims through appeals and payer negotiation
Ability to generate and analyze collections reports, identify trends, and adjust strategies accordingly
Billing Manager
The People Concern
03.2022 - 08.2023
Ensure billing and coding for all current and new medical service lines are accurate, consistent, and maximize revenue opportunities
Evaluate, report on, and improve results after implementation of new services or payers
Report and resolve payment and system issues with urgency, escalating if needed and putting processes into place to prevent similar future issues.
Plan, implement, evaluate, and administer all Revenue Cycle strategies and processes, including authorization, eligibility and benefits verification, claims submission, payment posting for ERA’s, denial management, accounts receivable follow-up, reporting and aged claims
Education
Associate of Science - Pre-Allied Health
Los Angeles City College
Los Angeles, CA
06-2025
High School Diploma -
W.E.B DuBois High School
Brooklyn, NY
06-2007
Skills
Documentation review
Insurance Verification
Credit analysis
Payment processing
Debt negotiation
Dispute resolution
Collection strategy
Timeline
Senior Collections Specialist
San Antonio Regional Hospital
06.2024 - Current
Senior Collections Specialist
Loma Linda University Medical Center and University of Loma Linda
09.2023 - 05.2024
Billing Manager
The People Concern
03.2022 - 08.2023
Associate of Science - Pre-Allied Health
Los Angeles City College
High School Diploma -
W.E.B DuBois High School
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