Jeannette Mendez
Alexandria,VA
Summary
Driven OB/Medical Collections Specialist with a proven track record at Olympia Medical Center, enhancing patient satisfaction and streamlining claims processes for expedited reimbursements. Skilled in HIPAA compliance and patient account management, excel in problem-solving and fostering customer relationships, significantly improving cash flow and reducing outstanding debts through effective communication and organizational skills.
Overview
23
23
years of professional experience
Work History
OB/Medical Collections Specialist - OB/Medical Financial Counselor Dept of OB/GYN Specialist
Olympia Medical
02.2016 - 12.2023
- Established clear expectations for payment arrangements, minimizing misunderstandings between patients and the practice.
- Strong appeals letters and timely response.
- Collaborated with insurance companies to expedite claims processing and secure timely reimbursements.
- Assisted patients with understanding their financial responsibilities, easing concerns about complex medical bills.
- Managed high-volume caseloads effectively while maintaining strong attention to detail and accuracy in data entry tasks related to billing adjustments.
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
Medical Financial Counselor Dept of OB/GYN
UCLA Medical Center
07.2009 - 01.2016
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Acted as an advocate for clients during creditor negotiations, working towards mutually beneficial agreements that facilitated debt resolution.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
- Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
- Improved cash flow by promptly following up on unpaid claims and resolving billing discrepancies.
OB/ GYN Billing & Revenue Specialist
Cedars Sinai Medical Center
01.2006 - 07.2011
- Reduced outstanding debts by implementing a proactive collections process and establishing strong relationships with clients.
- Provided exceptional customer service to both internal stakeholders and external clients while handling sensitive financial matters promptly.
- Played an integral role in system migrations by contributing valuable insights on process improvements related to revenue management functions.
- Managed 90-120 rotating accounts receivable, ensuring timely invoicing and accurate record-keeping for improved cash flow.
- Acute knowledge of covered services and procedures to determine self-pay for real time services.
Patient Admitting Representative
Daniel Freeman Memorial Hospital
03.2001 - 11.2005
- Collaborated with medical staff, ensuring timely communication of pertinent information for optimal patient care.
- Developed strong relationships with patients and their families, providing compassionate support during the admission process and throughout their stay.
- Streamlined patient registration procedures for improved accuracy and reduced wait times. scheduled procedures, in-patient and out-patient and diagnostic services.
- Gathered demographic and insurance information to register patients for medical appointments.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Supported revenue cycle initiatives by diligently reviewing accounts receivable reports and collaborating closely with billing teams.
- Expedited emergency admissions by prioritizing tasks effectively during high-pressure situations.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations, safeguarding sensitive data all times.
- Ensured accurate data entry to maintain up-to-date patient records and facilitate smooth billing processes.
- Reduced errors in patient registration by implementing a thorough double-check system before finalizing documentation.
Education
High School Diploma -
Juan Ponce High School
Certification - Medical Billing & Collections
CSDHU
Skills
- ICD-10, HCPCS, CPT- Coding
- HIPAA Compliance
- Patient account management
- Insurance Verification(Eligibility & Authorizations)
- Software Navigation (EPIC, IDX, KAREO)
- Medical billing knowledge (OB/GYN & Int Med, etc)
- Insurance understanding PPO,POS, HMO, Medicare, Medicaid and Tricare)
- Appeals & Timely Filing Disputes
- Excellent Communication
- Organizational Skills
- Accurate payment posting
Timeline
OB/Medical Collections Specialist - OB/Medical Financial Counselor Dept of OB/GYN Specialist
Olympia Medical
02.2016 - 12.2023
Medical Financial Counselor Dept of OB/GYN
UCLA Medical Center
07.2009 - 01.2016
OB/ GYN Billing & Revenue Specialist
Cedars Sinai Medical Center
01.2006 - 07.2011
Patient Admitting Representative
Daniel Freeman Memorial Hospital
03.2001 - 11.2005
High School Diploma -
Juan Ponce High School
Certification - Medical Billing & Collections
CSDHU
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