Maritza Edouard Email & Phone Number

Sunrise, Florida, United States

● Met monthly collection goals or surpassed it by over 120%.● Successfully negotiated client accounts to at least 80% or above of outstanding balances.● Utilized multiple platforms to thoroughly investigate liability and litigation cases.● Maintained FDCPA (Fair Debt Collection Practices Act) compliance while communicating with patients, attorney offices, insurance companies and other 3rd parties pertaining to patients’ debts as well as PHI (Protected Health Information).

Sunrise, Florida, United States

● Droved operations by submitting assigned accounts to the appropriate department to have the claim billed while maintaining an open line of communication with insurance carriers to ensure invoices have been paid in full. ● Assumed full responsibility for strong attention to detail that included reviewing remits for accurate and concise patient responsibility. ● Played an active role in the strategic direction of the organization by working multiple projects to decrease credit balances.… Show more ● Droved operations by submitting assigned accounts to the appropriate department to have the claim billed while maintaining an open line of communication with insurance carriers to ensure invoices have been paid in full. ● Assumed full responsibility for strong attention to detail that included reviewing remits for accurate and concise patient responsibility. ● Played an active role in the strategic direction of the organization by working multiple projects to decrease credit balances. ● Ensured efficient operations by thoroughly reviewing and researching each account to confirm an accurate refund account.● Maintained daily workflow by submitting payment transfers to correct patient accounts or between claim lines when necessary.● Ensured corrections to adjustments are made either to resolve the account or to reflect correct credits.● Recognized for bringing trends, system errors, and other issues to Supervisor’s attention or the appropriate party to ensure an effective and efficient resolution. Show less

Sunrise, Florida, United States

● Positively impacted operations through the effective management of multiple Facilities' accounts while ensuring quality customer service. ● Routinely contacted insurances for claim payments and status through the utilization of an aging reports and research claim rejections and claim errors for resubmission. ● Regularly displayed the ability to utilize provider portals for the explanation of benefits to apply payments to correct invoices as well obtained rejections. ● Successfully… Show more ● Positively impacted operations through the effective management of multiple Facilities' accounts while ensuring quality customer service. ● Routinely contacted insurances for claim payments and status through the utilization of an aging reports and research claim rejections and claim errors for resubmission. ● Regularly displayed the ability to utilize provider portals for the explanation of benefits to apply payments to correct invoices as well obtained rejections. ● Successfully executed the submittal of claim appeals to provide a medical necessity, as well as no prior authorizations, claim rejections Show less

Pompano Beach, Florida, United States

Tampa, Florida, United States

● Researched and identified money on account for possible overpayment and payment posting. ● Prepared invoices for refunds and researched partially paid accounts as well as denied accounts for all payors. ● Identified billing issues with contracts and requested resubmission when applicable as well as prepared claim adjustments and write-offs when appropriate. ● Submitted appeals for underpayments as needed by required policies and guidelines. ● Executed special assignments and… Show more ● Researched and identified money on account for possible overpayment and payment posting. ● Prepared invoices for refunds and researched partially paid accounts as well as denied accounts for all payors. ● Identified billing issues with contracts and requested resubmission when applicable as well as prepared claim adjustments and write-offs when appropriate. ● Submitted appeals for underpayments as needed by required policies and guidelines. ● Executed special assignments and projects such as credit balances. Show less

Savannah, Georgia, United States

Hollywood, Florida, United States

● Demonstrated a wealth of knowledge by training new billers on appropriate policies and procedures that strategically impacted operations.● Analyzed claim error trends to bring to supervisor’s attention while making the necessary adjustments. ● Initiated follow up on Account Receivable reports and made financial status classification changes. ● Thoroughly researched claim rejections and claim errors for claim resubmission. ● Contacted commercial insurance, managed care… Show more ● Demonstrated a wealth of knowledge by training new billers on appropriate policies and procedures that strategically impacted operations.● Analyzed claim error trends to bring to supervisor’s attention while making the necessary adjustments. ● Initiated follow up on Account Receivable reports and made financial status classification changes. ● Thoroughly researched claim rejections and claim errors for claim resubmission. ● Contacted commercial insurance, managed care, workers compensation, and government plans in regard to claim status, contracts, participation, and claim rejections/errors. Show less

Bs, Radiologic Science

Activities and Societies: Lambda Nu Honor Society

Associate Of Art, Radiologic Medical Technology

Activities and Societies: Student Government Executive Assistant Phi Theta Kappa Honor Society

Specialized Associate, Healthcare Administration/Management

Diploma, Business