Alicia Leffler
Villa Rica,GA
Summary
A Knowledgeable medical office professional, talented at correcting and resubmitting claims, preparing patient charts, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing, and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Extensive knowledge within EPIC with 277 rejections and ICN corrections.
Overview
5
5
years of professional experience
Work History
Operations Analyst
North American Credit Services Inc.
07.2024 - Current
- Managed multiple projects simultaneously, delivering results within tight deadlines while maintaining high-quality standards.
- Processed 100+ medical claims efficiently daily, ensuring compliance with industry regulations and standards.
- Reviewed and corrected billing discrepancies to maintain accuracy in patient accounts.
- Located errors and promptly refiled rejected claims.
- Successfully running companies' payer portal issues through Excel sheets and Monday boards, keeping turnaround times low.
- Training reps on new skills within EPIC.
- Implemented coding best practices, enhancing overall efficiency in claims processing.
Call Center Supervisor
Verida Inc
01.2023 - 07.2024
- Coordinate daily operations in a fast-paced retail environment and optimize workflows to improve the efficiency of the company.
- Develop employee incentives to improve team engagement.
- Serve as the point of contact for escalated customer service issues and identify solutions to maintain service level goals and ensure customer satisfaction
- Supervised a team of 10 agents, ensuring adherence to quality standards and service level agreements.
- Monitored call quality and provided individual constructive feedback to enhance performance and address areas in need of improvement.
- Trained team members on performance metrics and consumer behavior identification.
Office Administrator
My Wife and Kids Transportation LLC
04.2021 - 07.2023
- Identified process improvement opportunities to enhance operational effectiveness and improve team productivity.
- Analyze employment-related data and prepare required reports, and schedule drug tests for 6 employees
- Relay work orders, messages, or information to or from workers.
- Oversaw vendor relationships, negotiating contracts to ensure quality service delivery at competitive rates.
- Reconciled account files and produced monthly reports.
Skills
- Customer Service
- Phone Handling
- Workflow optimization
- HIPAA compliance
- Medical terminology
- Insurance verification
- Training and mentoring
- Workflow management
- Relationship building
- Administrative tasks
Accomplishments
- Supervised a team of 10 staff members.
- Updating Excel sheets daily with Payer information for the entire company.
- Clearing 150+ corrected claims daily.
Timeline
Operations Analyst
North American Credit Services Inc.
07.2024 - Current
Call Center Supervisor
Verida Inc
01.2023 - 07.2024
Office Administrator
My Wife and Kids Transportation LLC
04.2021 - 07.2023