DANIELLE LEANO
Norwalk,CA
Summary
Motivated Medical Biller & Collection Specialist eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of maximizing revenue and increasing profit potential.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Rezolut
07.2024 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Identified and resolved patient billing and payment issues.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Maintained up-to-date knowledge of coding guidelines, regulations, and payer requirements.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Patient Account Representative
Memorial Care Medical
04.2021 - 06.2022
- Assisted patients in understanding their financial responsibilities and payment options.
- Collaborated with clinical staff to resolve discrepancies in patient accounts promptly.
- Posted payments and processed refunds.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
Medical Collections Specialist
Compassionate Cancer Care Medical Group
07.2018 - 02.2020
- Communicated with insurance providers to verify coverage and clarify billing discrepancies.
- Processed medical claims using billing software, ensuring compliance with healthcare regulations.
- Assisted patients with understanding their financial responsibilities, easing concerns about complex medical bills.
- Enhanced revenue recovery through diligent follow-up on delinquent accounts.
- Posted payments and collections on regular basis.
Medical Billing and Collections Specialist
Select Billing Services
10.2016 - 02.2018
- Processed billing calls and answered questions from patients and third-party carriers.
- Audited and corrected billing and posting documents for accuracy.
- Processed online and paper appeal submissions and refund requests.
- Processed eligibility and benefits verification and authorization requests.
- Accurately posted payments and adjustments both electronically and manually.
Front Office Assistant
Arastu M.D
09.2008 - 09.2012
- Managed patient scheduling and appointment confirmations to optimize daily office operations.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Education
Diploma -
Everest
City Of Industry, Ca2008
High School Diploma -
Sierra Vista
Whittier, Ca2007
Skills
- Claim entry & Payment posting
- Insurance & collections procedures
- Understands insurance benefits
- Strong problem solver
- Effective multi-tasking
- Accounts payable and receivable expertise
Timeline
Medical Billing Specialist
Rezolut
07.2024 - Current
Patient Account Representative
Memorial Care Medical
04.2021 - 06.2022
Medical Collections Specialist
Compassionate Cancer Care Medical Group
07.2018 - 02.2020
Medical Billing and Collections Specialist
Select Billing Services
10.2016 - 02.2018
Front Office Assistant
Arastu M.D
09.2008 - 09.2012
Diploma -
Everest
High School Diploma -
Sierra Vista