Nelda Landeros

Experience

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  Valley Behavioral Center for Counseling,PLLC

  Jul 2011 - Sept 2013

  Office Manager / Contracted Managed Care Representative

  ▪ Overall responsibility for professional and support staff▪ Oversee daily operations and productivity of medical management intake functions, includingreferrals, program coordination, and connections▪ Comply with established referral, pre-certification and authorization policies, procedures, andprocesses by related medical management staff.▪ Overseeing the required training, education, continuing education, licensing, and certification.▪ Performed general office duties including typing documents, forms, and spreadsheets,distributing mail, answering office phones, and greeting visitors, reviewing work logs todetermine where additional clerical support is needed. Show less

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  New Beginnings Behavioral Health Services

  Jul 2014 - Mar 2018

  Office Manager / Biller

  ▪ Oversee daily operations and productivity of medical management intake functions, includingreferrals, program coordination, and connections▪ Oversee the financial aspects of the business, such as billing, banking, and accounting.▪ Develop and implement policies and procedures to ensure compliance with all related laws,regulations, and contractual directives▪ Ensures that the staff uses the correct coding when designating the diagnosis or results ofprocedures used.▪ Responsible for hiring, training, assigning work, and managing the performance of staff. Show less

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  Saldivar Primary Home Care

  Apr 2018 - Nov 2019

  Provider

  ▪ Assisting the client in his or her activities of daily living.▪ Provide supervision of activities and assisting when necessary for the protection of client fromphysical harm.▪ Providing personal care services, meal preparation, light housekeeping, laundry and otherskilled/unskilled daily living tasks as assigned.

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  Evolving Steps Counseling

  Jul 2020 - Sept 2021

  Medical Biller - Utilization Management

  ▪ Prepare and submit billing data and medical claims to insurance companies.▪ Investigate and appeal denied claims.▪ Maintain billing software by updating rate change, cash spreadsheets, and current collectionreports.▪ Ensure timely referrals are scheduled, report with intake, call utilization management withinsurances for authorization.

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  Homecare Homebase

  Oct 2021 - Jan 2024

  Billing Specialist

  ▪ Verifying the accuracy of billing data and revising any errors.▪ Creating and distributing various financial reports as needed.▪ Timely resolution of all claims including appeals.▪ Processing, monitoring, and collecting of Medicare, Medicaid, and other commercial insurance claims following payor requirements.