Deborah Leone
Long Beach,NY
Summary
Proven expertise in electronic claims submissions and a knack for enhancing revenue collections, as demonstrated at Physicians 1st Reimbursement Services. Skilled in reducing claim denials and improving patient satisfaction through clear communication. Successfully trained teams, showcasing leadership and meticulous attention to detail, leading to significant improvements in billing accuracy and efficiency.
Overview
36
36
years of professional experience
Work History
Medical Biller
Physicians 1st Reimbursement Services
05.2009 - Current
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Billing Manager/Front Desk Supervisor
Robert Swersky, MD
01.1989 - 04.2009
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
- Increased patient satisfaction by effectively addressing billing inquiries and providing clear explanations of charges and payments.
- Maintained detailed records of all billing activities, providing accurate documentation for audits and internal reviews.
- Enhanced revenue collection rates through diligent follow-up on unpaid claims and denied services.
- Negotiated favorable payment plans with patients experiencing financial difficulties while maintaining a compassionate and understanding approach.
- Reviewed billing problems, researched issues, and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Audited and corrected billing and posting documents for accuracy.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Medical Biller
Miller and Garofalo MD
02.1989 - 09.1995
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
Skills
Electronic Claims Submissions
Download and reconcile electronic payments
Claims Review
Billing and Collection Procedures
Timeline
Medical Biller
Physicians 1st Reimbursement Services
05.2009 - Current
Medical Biller
Miller and Garofalo MD
02.1989 - 09.1995
Billing Manager/Front Desk Supervisor
Robert Swersky, MD
01.1989 - 04.2009
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