LILI VIZCARDO

LILI VIZCARDO is an ambitious healthcare professional with extensive medical insurance in billing and collections.  

Skills:

• Ambitious health professional with extensive medical insurance experience in billing, collections, claims, and record maintenance eager to employ knowledge to recoup company payments.
• Bilingual, articulate communicator, fluent in Spanish and English; superb customer relations, excellent interpersonal skills, and an exceptional gift for persuading patients to pay.
• Productive, motivated fast-learner accustomed to demonstrating initiative, effectively planning, and using organizational and time-management skills to accomplish goals.
• Proficient in MS Word, Excel, PowerPoint, and Outlook and Citrix, Cirius, MDX, Availity, AS400, SAP EPREMIS, STANDARD P, Z-COL, DMS, ZPATD, VA43, and ZPATM.

Experience:

• Process incoming Doctor’s Orders for maternity supplies. Shipped product to Patient Thru UPS.
• Create, print and arrange label packages for UPS pick up. Mail envelopes with correct postage.
• Check eligibility, worked mostly government medical HMO’s and some PPO’s.  
• Answered incoming calls, call patient to arrange payment or decline order when not qualify for supply.
• Posted RN notes, generated weekly reports, processed payroll, and answered incoming calls.
• Contacted patients to discuss nurse’s performance; supervised five employees.
• Scheduled follow up visits; worked SOC, ROC, RE-CERT, and Discharge packages; entered information using AS400 and Cirius.  
• Managed patient files; posted and tracked notes, charge entry, and payments.
• Maintained employee files; assisted with payroll.
• Sent and followed up on DME insurance claims; verified receipt and payment of claims.
• Processed appeals, telephone hearings, and grievances.
• Identified underpaid claims, posted payments, checked claims for correct DX and HCPC’s billing.
• Reconciled claims, charged entry, and checked fee schedules.
• Handled medical records, posted RN visitation notes, organized charts, and performed data entry using MDX and Citrix.
• Appealed claims, processed A/R, followed up on claims, and posted payments; performed data entry and charge posting. Provide Customer service; reported to manager and logged in using Citrix.
• Worked front and back office; prescreened patients; completed claims and submitted electronically; reviewed rejected claims report; corrected and re-billed claims.
• Processed remittances and appeals, posted payments, completed charge entry, and sent delinquent accounts to agency.
• Called insurance companies for claims status; exceeded monthly quota; worked EZ caps and Allmeds program; checked patients’ eligibility.
• Collected on accounts; contacted insurance companies for claims status, processed 30 claims daily and verified insurance information.
• Used EPREMIS, SAP, STANDARD P, Z-COL, DMS, ZPATD, VA43, and ZPATM systems.
• Handled all insurance claims except Medicare; posted checks and made journal entries.
• Contacted patients, performed data entry, and processed appeals and denials.
• Generated weekly reports in CPU Med/FM billing system.
• Processed priority Medicare claims and followed up; called review line for appeals of underpaid claims and requested telephone hearings.
• Used IDX system, retrieved records, and called patients on insurance issues.
• Translated Spanish letters; entered data, posted cash, and processed remittances.
• Served as file clerk and collector for two companies.
• Posted daily deposits, faxed, copied, filed, and reported delinquents accounts.
• Supervised 12 Employees; processed Medical/Medicare claims for California and Oregon.
• Attended weekly meetings; printed HCFA’s, UB-92 forms

Certification:
Medical Coding & Billing, Medesun School, Cheshire, CT (Anticipated) 2012

Certificates of Completion:
DME ABN Modules, CMS/Medicare Online Medical Necessity, CMS/Medicare Online
ICD-9 and CMS 1500, CMS/Medicare Online
Relevant Training:
Medicare Conditions of Participation for Home Health Services and the Survey Process, Bohannon’s Consultant Service, Los Angeles, CA