Georgina M Dominguez
Tucson,Az
Summary
14 Years supervising personnel. 8 Years of Insurance billing and follow up. 7 years of claims processing Skilled in system applications including Microsoft Office and Excel Unique combination of experience in customer service, systems, management, and business operations Strong people skills, cheerful outlook, and goal oriented Ability to function well under stress and manage high volumes of work. Good organizational skills and the ability to prioritize workload. Strong understanding of Government and Commercial payer reimbursement guidelines Data analysis Trend Recognition Cross-Functional Collaboration Strategic Thinking and Analytic reasoning Problem-solving Financial professional with solid foundation in financial analysis and consulting. Known for delivering actionable insights that support business objectives. Collaborative team player with focus on achieving results and adapting to changing needs. Strong skills in financial modeling and data analysis.
Overview
32
32
years of professional experience
Work History
Financial Analyst Consultant BUMC Tucson & South
Banner Health
12.2021 - Current
- Initiated and directed the identification and implementation of operating improvements within our team and facility
- Identified important trends and variances through the review of management reports and financial analysis
- Provided strategic financial guidance based on high level analysis of various data elements and implemented changes based on data
- Developed and presented ongoing financial indicators and education programs based on the needs of assigned business unit(s)
- Worked on complex problems in which analysis of situations or data required an in-depth evaluation of a range of factors
- Created proformas to assist in preparation and presentation of business plans for department administrators
Patient Financial Service Billing Unit Sr. Manager
Banner Health
09.2019 - 12.2021
- Managed staff and the daily operations of the collection and adjudication process of an ongoing Accounts Receivable Billing Unit, to ensure positive cash flow and maintain the age of accounts receivables at or below the target level
- Reviewed and submitted adjustments and controlled write-offs
- Works effectively with other payor units to find solutions and improve processes
- Selects, trains, coaches, motivates, conducts performance evaluations, and directs the workflow for the staff
- Develops goals and performance expectations for staff
- Monitored activity results in billing unit to ensure timely and accurate resolution of problems identified by payers, patients, other PFS units and hospitals
- Independently and through the efforts of staff, supported ongoing positive communications with all parties to provide information and resolve issues
- Conducted ongoing analysis of the department and employee productivity using available statistical indicators; uses analysis results to detect developmental opportunities
- Develops and updates processes and procedures as appropriate
- Achieved designated production and quality goals for the unit
- Provided opportunities, departmental improvements and communicates suggestions to the proper supervisory and management staff within System Patient Financial Services and other various departments at the facilities and the System Center
- Managed receivables for all payor Contractual Arrangements for insurers, Managed Care Payers, a variety of Medicaid plans, and Medicare
Financial Analyst
Banner Health Group
10.2017 - 09.2019
- Prepared alternate and complete financial and statistical reports by identifying proper sources of data and meaningful financial indicators
- Creates and generates reports used to analyze data
- Collaborated with other analysts to manage key financial processes within facility
- Functioned as a technical resource and liaison to management, administrators, department heads and coworkers
- Provided guidance, instruction, direction, and leadership to team members (i.e., A/R, Remit issues, CPT Coding, F/U guidelines, and Payer guidelines)
Business Operations Supervisor
University Physicians Healthcare
11.2007 - 10.2017
- Supervise eleven billing/collection personnel, including hiring, development, appraisals, and disciplinary action when necessary
- Provided training for all Patient Accounts Staff
- Ensured staff followed all policies and performance standards
- Monitored and directed workflow of Patient Accounts staff to ensure productivity and accuracy standards were met
- Maintained workflow for AHCCCS payer specific team
- Complied and managed staff productivity reports/payer A/R analysis and reporting
- Tracked and monitored claim edits and rejections reports, forwards issues to management, as necessary
- Coordinated and prioritized projects
- Monthly review with Management about staff audits, evaluating individual productivity and accuracy of Patient Accounts representatives
- Supervised staff research efforts about discrepancies and contract changes affecting payment of claims
- Scheduled staff meetings and encouraged timely and ongoing communication
- Monitored attendance and work schedules, motivated staff towards efficient work management
- Encouraged feedback for process improvement on identified issues and recognized/rewarded staff for excellent performance
- Represented Patient Accounts Department meetings assigned
- Maintained a positive working relationships with third party payers, providers, call services, intermediaries, and regulatory agencies
- Along with staff, identified payment issues and trends to include opportunities for claims reconsideration/appeals
- Collaborated with payer representatives for reimbursement of claims
- Supervised account adjustments as necessary to ensure appropriateness
Business Operations Coordinator
University Physicians Healthcare
10.2005 - 10.2007
- Experienced in a supervisor/team lead position of 6 Follow-up Representatives
- Analyzed AR reports
- Identified, analyzed and effectively communicated trends found to other staff and/or management
- Prepared monthly reporting Excel spreadsheets for managers, departments, and billing staff
- Trained new and existing Billing/Follow Up staff as needed
- Maintained workflow of AHCCCS Payer Specific team
- Provided back up for billing/follow up for all representatives within my team
- Regularly scheduled staff meeting
- Represented CBO Departments at meetings as assigned
- Oversees account adjustments, as necessary
Insurance Billing/Follow Up Representative
University Physicians Healthcare
10.2004 - 09.2005
- Billed insurance carriers (Children’s Rehabilitation and CMDP) on a timely basis
- Investigated and identified incorrect claim payments, overpayments and zero payments from insurance carriers
- Prepared reconsiderations and appeals to insurance companies on any disputed claims paid incorrectly or denied
- Maintained Individual monthly reports on insurance aging to keep all accounts current
Billing/Insurance Coordinator Authorization/Surgery Scheduling/Payment Posting
Plastic Surgical Specialist
07.2001 - 09.2004
- Maintained claims inventory
- Billed all insurance carriers on a timely basis within 30 days of services rendered
- Communicated monthly with the insurance companies on the status of outstanding claims and/or inquiries received
- Prepared all reconsiderations and/or appeals to insurance companies on any disputed claims paid incorrectly or denied
- Maintained individual monthly reports on insurance and patients aging to keep all accounts within 30-60 days
- Posted all charges received from insurance companies and self-pay accounts
- Recorded and corresponded with physician of daily payments, also manage daily deposits
- Billed and collected outstanding balances of patients’ accounts
- Prepared patient statements and sent them monthly using a billing cycle process
- Communicated with the Physicians regarding A/R reports, refunds and outstanding claims that needed an appeal letter by the Physician directly
- Obtained required authorizations (oral and written) from insurance companies for requested surgical care received from Physicians
- Coordinates surgical dates with other physicians, hospitals facilities and anesthesia services needed for requested surgical procedures
- Communicated with patients by phone and/or mail of requested surgical services with instructions
- Helped the front reception desk
Provider Reconciliation Specialist
HealthNet of Arizona
05.2000 - 07.2001
Examiner III
Intergroup of Arizona
08.1998 - 05.2000
Coordination of Benefits Specialist/Processor
Health Partners Health Plan. Inc.
03.1997 - 08.1998
Claims processor
Health Partners Health Plan. Inc.
01.1995 - 03.1997
Pre Coder
Health Partners Health Plan. Inc.
01.1993 - 01.1995
Education
Bachelor of Science - Business
University of Arizona Global Campus
06.2026
Re Certified Professional Coder -
04.2016
Certified Professional Coder - Medical terms I and II, ICD-9 coding I and CPT coding I
Pima Community College
11.2000
High School Graduate -
Pueblo High School
Tucson, Arizona01.1991
Skills
- Government and commercial payer reimbursement guidelines
- Microsoft Excel
- Financial statement analysis
- Stakeholder communication
- Cost-benefit analysis
- Financial and operational reporting
- Data collection & research
- Project management
- Data analysis
- Analytical research
Timeline
Financial Analyst Consultant BUMC Tucson & South
Banner Health
12.2021 - Current
Patient Financial Service Billing Unit Sr. Manager
Banner Health
09.2019 - 12.2021
Financial Analyst
Banner Health Group
10.2017 - 09.2019
Business Operations Supervisor
University Physicians Healthcare
11.2007 - 10.2017
Business Operations Coordinator
University Physicians Healthcare
10.2005 - 10.2007
Insurance Billing/Follow Up Representative
University Physicians Healthcare
10.2004 - 09.2005
Billing/Insurance Coordinator Authorization/Surgery Scheduling/Payment Posting
Plastic Surgical Specialist
07.2001 - 09.2004
Provider Reconciliation Specialist
HealthNet of Arizona
05.2000 - 07.2001
Examiner III
Intergroup of Arizona
08.1998 - 05.2000
Coordination of Benefits Specialist/Processor
Health Partners Health Plan. Inc.
03.1997 - 08.1998
Claims processor
Health Partners Health Plan. Inc.
01.1995 - 03.1997
Pre Coder
Health Partners Health Plan. Inc.
01.1993 - 01.1995
Bachelor of Science - Business
University of Arizona Global Campus
Re Certified Professional Coder -
Certified Professional Coder - Medical terms I and II, ICD-9 coding I and CPT coding I
Pima Community College
High School Graduate -
Pueblo High School
Similar Profiles
Brandon HollandBrandon Holland
Emergency Department Technician at Banner HealthEmergency Department Technician at Banner Health
Malykee HallMalykee Hall
CARDIAC PCU REGISTERED NURSE at Banner HealthCARDIAC PCU REGISTERED NURSE at Banner Health
Jamie LafaveJamie Lafave
Certified Medical Assistant at Banner HealthCertified Medical Assistant at Banner Health
Katherine Jane DevarasKatherine Jane Devaras
Technical Laboratory Supervisor at Banner HealthTechnical Laboratory Supervisor at Banner Health
Kyle ChristophersonKyle Christopherson
Owner/Operator Manager at ScappersOwner/Operator Manager at Scappers