1. 51 LewistonStreet
Hyde Park,MA 02136
Antoniajimenez51@comcast.net
Antonia Jimenez
Experience Professional CashProcessing
BostonMedical CenterBoston,MA _ October28, 2013 _ Present
 Oversee cashrevenue
 Postcash and commercial transactionsonthe Data Base and General
Electricsystems
 Researchandreview deniedinsurance claims
 Reviewandreconcile cashitems
CateringManager/Owner
PerlaDel Sur Restaurant,Roslindale,MA _ September22nd
,2009 _ Present
 Negotiate withclientcateringfees
 Planspecial eventmenusinconjunctionwiththe Chefs
 Oversee thatthe Health& Safetyregulationsare strictlyobserved
 Directlysupervisethe staff duringthe cateringevents
Patient Account Representative
Children’sHospitalBoston,MA _ 2009_ October22nd
, 2013
 Secure Blue Crossand Blue Shield/BCOS Authorizationsforall
Emergencyinpatientvisits,OBSandUrgent Transfers
 Alsowork& requestauthorizationsforall secondary payers
 Contact PCPofficestosecure referrals&enterthemonthe accounting
system
 Update demographicinformationandverifycoverage
 Serve asback up staff to work the Elective cases
 Responsible forworkingthe SupervisorBillingWorkQue
& the HighDollard Report
 Documentall actiontakenon eachpatient’saccountwithclearand
concise notes
 Followuponthe claimstoensure timelypayment
 Work denial casesata PCClevel withstaff of the Children’sHospital and
UtilizationReview

2. Antonia Jimenez Page 2
Financial Councilor/PatientAccount Representative/AdmittingDepartment
Brigham& Women’sHospital,Boston,MA 2002 _ 2006
 Assistincompleting/submittingMassHealthapplicationatbedside &
throughVirtual Gate Way System
 Identifyandresolvepatients’accountissues
 Secure Referral andAuthorizationsforthe Emergencyinpatientvisits,
ObservationscasesandUrgentTransfers
 Back up staff for Elective cases
 Assistpatientswithquestionsof outstandingaccounts
Dental Secretary/Brookside CommunityHealth Center
Brighamand Women’sHospital _JamaicaPlainMA 2007-2008
 Schedule clinic&cancel appointments
 Update Demographicinformation
 Enter procedure andmedical code chargesonthe system
 Handle incomingcalls
Hair Stylist/ Maria & Amy’s Hair Shop_ Dorchester,MA 2006 _ 2007
 Payroll Processing
 Purchase Products
 AssistJuniorStylistwithcoloringandotherProducts
Temporary Medical Biller/BillingandPrecertificationDepartment
LongWood OrthopedicAssociates,Brookline,MA (spring/Summerof 2002)
 Secure Authorizationsforscheduledappointments
 Collectcashand creditcard payments
 Verifyandenterchargescode onthe system
PatientAccountRepresentative
Brigham& Women’sOrganizationGroup(BWPO) _2001 -2002
 Reviewandupdate denial claimswithcorrectcode or othermissing
informationforresubmissionwithEOB
 Printrequesteditemizedbills&mail them out
 Answertohighcall volume of patientswithbilling questions
 Requestclinical notes forcasespendingformedical review

3. Antonia Jimenez Page 3
Administrative Assistant/InterimManager/Casa Primavera Program
La AlianzaHispana,Roxbury,MA 1988 _ 1995
 DevelopPlanActivityforHispanicwithMental Illnesses
 Teach DailyandSocial LivingSkills
 Reviewreferralsforacceptance of new memberintothe Program
 Home Visit
 Attendmeetingwithpatient’scase managerstodiscussprogress
 Run MonthlysupervisionMeeting
 Preparationof MonthlyReport
 Oversee andcollecttime sheetsfor payroll
ENT Secretary/UnitCoordinator of Division37 & 39
Children’sHospital Boston,MA 1984 – 1987
 Checkin& outpatients
 Schedule follow upappointments
 Enter Billingcode onthe system
 Ordersuppliesforthe treatmentroom
 Call Code Blue whennecessary &contactPhlebotomyforLabresults
Education and Skills:
Associate inArtsinBusinessAdministration,June1984
NewburyCollege,Boston,MA Undergraduate Study1987-199 UMass Boston_ the College of Publicand
CommunityService
CertifiedFoodSafetyManager,December2009 National Registryof FoodSafety,Orlando,FL
StrongExperience withHealthInsuranceCarriers,ExcellentCustomerServiceandTeamWork ability
Systems: Data Base,General Electric(GE) Epic,IDX, & Bics
Eligibilitytools: Emdeonand Nehen