TERESA TAVAREZ
Fairfax
Summary
Dynamic healthcare revenue cycle and operations professional with over 15 years of experience in insurance verification, benefits and eligibility review, medical billing, surgery scheduling, appointment coordination, accounts receivable management, and financial operations within hospital and physician practice settings. Proficient in navigating commercial, managed care, Medicare, and Medicaid payer systems, with a strong track record in claims management, accounts receivable follow-up, and collections. Committed to ensuring accurate reimbursement processes while maintaining the highest standards of HIPAA compliance. A results-driven approach fosters efficiency and enhances financial performance across healthcare organizations.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Business Office Supervisor
Fairfax Surgery Center
11.2025 - Current
- Developed and implemented training programs for new staff on office protocols and systems.
- Collaborated with medical and administrative teams to streamline billing and collections procedures.
- Streamlined revenue cycle processes to enhance financial performance and operational efficiency.
- Analyzed key performance indicators to identify trends, improve workflows, and reduce claim denials.
- Coordinated monthly financial close activities, ensuring timely reporting of revenue recognition and collections.
- Managed billing inquiries and resolved discrepancies to ensure customer satisfaction.
- Managed collections processes to ensure timely payments and reduce outstanding accounts.
- Oversaw daily operations, ensuring efficient workflow and compliance with healthcare regulations.
- Managed authorization requests efficiently, ensuring compliance with regulatory guidelines and organizational policies.
- Reviewed and verified patient information to facilitate timely approvals for medical services and treatments.
- Oversaw staff performance evaluations, fostering professional growth through targeted training programs.
Physician Liaison
Medical Imaging of Fredericksburg
07.2025 - 11.2025
- Maintained relationships with referring physician offices and coordinated imaging referrals.
- Coordinated outreach initiatives to educate healthcare providers on imaging services and advancements.
- Analyzed referral patterns to identify growth opportunities and improve service offerings.
- Facilitated communication between medical staff and referring physicians to ensure seamless patient care.
Office Manager
Hospital for Special Surgery
08.2020 - 07.2025
- Managed front office operations including insurance verification, benefits review, billing, and AR follow-up.
- Coordinated surgery scheduling and patient appointments while ensuring authorizations and documentation were completed.
- Reviewed EOBs, resolved claim denials, and monitored reimbursement across commercial and government payers.
- Supervised administrative staff including hiring support, training, payroll coordination, scheduling, and PTO tracking.
- Streamlined office operations to enhance patient scheduling and improve workflow efficiency.
- Conducted regular audits of office processes, identifying areas for improvement and implementing solutions.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Educated patients on pre-operative instructions and post-operative expectations effectively.
Operations Specialist
Rothman Orthopedics
12.2019 - 08.2020
- Coordinated surgical schedules, ensuring optimal use of operating rooms and resources.
- Managed patient communications to confirm appointments and provide necessary preoperative instructions.
- Collaborated with medical staff to streamline scheduling processes and reduce appointment conflicts.
- Analyzed trends in authorization denials, implementing process improvements that reduced turnaround times significantly.
- Educated patients on pre-operative instructions and post-operative expectations effectively.
Patient Care Coordinator
Orlando Orthopedics
12.2017 - 11.2019
- Coordinated patient scheduling to optimize clinic efficiency and reduce wait times.
- Managed insurance verification processes, ensuring accurate patient coverage and minimizing billing discrepancies.
- Facilitated communication between patients and healthcare providers, enhancing overall patient satisfaction and care continuity.
- Developed workflows for patient intake procedures, improving accuracy of data collection and processing.
- Maintained accurate patient records in electronic health systems, enhancing data retrieval efficiency.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
Administrative Assistant / Surgery Scheduler
Masson Institute
02.2010 - 11.2017
- Coordinated meetings and events, ensuring all logistical details were executed flawlessly.
- Streamlined office operations by managing schedules, correspondence, and documentation.
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Enhanced patient satisfaction by providing clear explanations of surgical procedures and addressing concerns promptly.
Education
Bachelor of Applied Science - Business and Organizational Leadership
Valencia College
Orlando, FLSkills
- Insurance Verification & Eligibility
- Benefits Investigation
- Medical Billing & Claims Processing
- Accounts Receivable & Denial Resolution
- Payment Posting & Reconciliation
- Surgery & Appointment Scheduling
- Patient Financial Services & Collections
- Epic & EHR Systems
- Payer Portals & Clearinghouses
- Revenue Cycle Operations
- HIPAA Compliance
- Operations management
Certification
Basic Life Support (BLS)
Languages
Spanish
Native or Bilingual
Timeline
Business Office Supervisor
Fairfax Surgery Center
11.2025 - Current
Physician Liaison
Medical Imaging of Fredericksburg
07.2025 - 11.2025
Office Manager
Hospital for Special Surgery
08.2020 - 07.2025
Operations Specialist
Rothman Orthopedics
12.2019 - 08.2020
Patient Care Coordinator
Orlando Orthopedics
12.2017 - 11.2019
Administrative Assistant / Surgery Scheduler
Masson Institute
02.2010 - 11.2017
Bachelor of Applied Science - Business and Organizational Leadership
Valencia College