Marived O.

WORK HISTORY

EDUCATION

ABOUT MARIVED O.

Marived Mari Ortega Email: o••••••••@att.net I am a professional with more than 25 years’ experience in accounts receivable management in hospitals,(ASC) surgical centers, clinics, and physician’s office’s, admitting and emergency room manager. I have built several and successful departments in the Business Office as a Patient Financial Services Manager/ER Manager in hospital, LTAC, laboratory, Claims Auditing, Call Center, and physician environments. Created Charge Master Committees at several of my previous employers, for both facility and physicians. I have also managed physicians billing service departments along with billing and collections for physician professional services for multi specialties such as Orthopedic/Cardiology/OBGYN/Laboratory/Ambulatory Surgery/Physical/Occupational Therapy. My experience has been both in a director or managerial roll for several departments such as Patient Access, Financial Counseling, Billing and Collection Department, Collections, Appeals, Payment/Posting and Charge-Master updates and entries for multi-specialty clinics, laboratory, and hospital. To function effectively in a management position in a complex centralized environment. I have been responsible for all facets of on-site accounts receivables projects from start to completion. Experienced in all billing and collections issues regarding coding with CPT, HCPCS, DRG, APC, ICD10 and ASC.(Out-patient and In/Patient billing and collections for different departments such as: Laboratory, ER, Facility, radiology, cardiac, Nuclear Lab, Breast Center /Physical/Occupational Therapy and other out -patient departments.) Enrolling physicians and groups with contracted payers and maintained current and organized records of all credentialing information to include completing applications, obtaining signatures, providing necessary documents to complete the credentialing process. Maintains the provider listings with NPI, Medicare, Medicaid, UPIN numbers. Contacts the providers, negotiates, and executes the letters of agreement for consolidated billing. Experienced in both billing and collections of DME/Prosthetics/Implants from different payers. I have managed a staff of anywhere from 20 to 80 employees, and dealt effectively with customers, executives, physicians, insurance carriers and medical groups/IPA’s on a regular basis