Reina Maynes
Lakewood
Summary
To obtain a professional administrative position within your Medical Facility. I am a detail-oriented individual with exceptional . communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
12
12
years of professional experience
Work History
Revenue Cycle Specialist
Denver Health Hospital
Denver, CO
05.2025 - Current
- Managed patient billing inquiries to ensure accurate and timely resolution.
- Reviewed and reconciled insurance claims for compliance
- Collaborated with clinical staff to optimize documentation for reimbursement accuracy.
- Trained new team members on revenue cycle protocols and software systems.
- Manually and Electronic payment posting
- Provider Level Adjustments
- Financial patient account management
- Post patient payments
Billing Appeal Specialist
Sunshine Behavioral Health LLC
12.2022 - 07.2024
- Managed Independent Lab AR and Claims submission, while managing 4 employees
- EMR (CMD, EPIC and Salesforce)
- Monitored claim denials
- Submitted Pre Authorizations and Retro Authorizations
- Monitored Admitted COBRA client’s eligibility
- Ran Daily and weekly Xcel reports of admitted client’s insurance eligibility
- Verified Lab Benefits and made sure all Coordination of Benefits are updated
- Developed training materials for new staff on policies and procedures related to appeals management.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
Billing Specialist
Surgical Specialist Of Colorado
02.2018 - 12.2022
- -Posting and receiving Insurance Payments via mail and EFT /Sending Insurance claims
- -Data Entry / EMR ( Centricity)
- -Handling Patient accounts/ Accounts Receivable/ sending accounts to outside collections
- -Customer service (Taking patient payments, answering patient phone calls)
- -General Office Duties (faxing, sending/receiving emails, voice mails, scanning ect.
- -Assisting office manager filing daily batches, Settling daily batches
Insurance Specialist
Panorama Physical Therapy
03.2016 - 02.2018
- -Verify Insurance Benefits for all patients, EMR system
- -Customer Service
- -Submit Pre Authorizations/ Retro Authorizations
- -Medicare Cap Tracking/ Customer service/ scheduling patient appointments
- -General office duties ( scanning/faxing/emails)
Insurance Specialist
Comfort Dental
02.2014 - 03.2016
- -Customer Service
- -EMR ( Dentrix) Front Desk receptionist
- -Verify Insurance benefits
- -Manual claim entry
- -Submit preauthorization’s
- -Create treatment plans/ Treatment Quotes
Education
Certified Clinical Medical Assistant -
Pima Medical Institute
07-2014
High School Diploma - undefined
Mapleton Early College High School
05-2012
Skills
- Excellent Time Management
- Great attention to detail
- Work Ethic is great I understand the importance of my job duties
- Always looking for room to grow and advancement
- Customer Service
- Polite and approachable with questions or concerns
- Fast Learner
- Organized
- Appreciate constructive criticism
- Data Entry, Payment Posting and Balancing client accounts
- EMR ( Centricity, Epic, Salesforce, CMD) Xcel, Microsoft word
- Patient registration
- Insurance verification
- Verifying insurance
- Denial management
- Paperwork management
- Medical billing expertise
- Revenue cycle management
- Coordinating documents
Timeline
Revenue Cycle Specialist
Denver Health Hospital
05.2025 - Current
Billing Appeal Specialist
Sunshine Behavioral Health LLC
12.2022 - 07.2024
Billing Specialist
Surgical Specialist Of Colorado
02.2018 - 12.2022
Insurance Specialist
Panorama Physical Therapy
03.2016 - 02.2018
Insurance Specialist
Comfort Dental
02.2014 - 03.2016
High School Diploma - undefined
Mapleton Early College High School
Certified Clinical Medical Assistant -
Pima Medical Institute