DIANA LACHMANEN-RODRIGUEZ
Linden,NJ
Summary
Capable Medical Billing Supervisor with 20+ years overseeing billing and coding, patient charting, and insurance claims in a busy medical office setting.
I am dependable, organized, hardworking, enthusiastic, and analytical. Successful at managing multiple priorities with a cheerful outlook and excellent customer relations aptitude; work well under pressure and adapting to new situations and challenges to best enhance the department. Proficient in using independent decision-making skills and sound judgment to positively impact company’s success. Utilize training, monitoring, and morale-building abilities to enhance employee engagement and boost performance.
Overview
28
28
years of professional experience
Work History
Medical Billing Supervisor
Care Station-RWJ Medical Associate At Hamilton, PA
Linden, NJ
09.2015 - Current
- Supervise staff, training, coaching, counseling, review policies and processes discipline employees, as well as appraising job contributions
- Coordinate and supervise department work assignments
- Conduct staff meetings and participate in company meetings, as needed, for discussion on workflows and billing issues
- Conducts monthly quality audits on staff to ensure SOPs is being followed
- Contact insurance companies to resolve unusual or difficult claim issues
- Contact patients to resolve unusual or difficult claim issues
- Create efficiencies within Billing Department
- Ensure staff are up to date on policy changes and procedure updates related to company and department
- Assist staff in resolving complex billing denial issues
- Manage all chargebacks, insurance, and patient refunds
- Conduct employee performance reviews
- Review employee timesheets and monitor overtime as well as accrued PTO and Time Off request
- Set expectations/goals for Billing Departmental team
- Assist department manager(s) in planning and organizing tasks and resources in manner which results in achievement of strategic goals and objectives
- Represent Billing Department in absence of Director
- Assist satellite office with inquiries
- Complete month-end established responsibilities and spreadsheets
- Other duties as assigned
Medical Patient Collection Specialist
Care Station-Multi-Specialty Practice
Linden, NJ
07.2011 - 09.2015
- Work in fast-paced customer support environment requiring telephone, e-mail, or face-to-face interaction
- Assist other staff with inquiries on patient account balances
- Process monthly statements
- Update electronic and paper return mail
- Process returned checks
- Bankruptcy
- Perform research and document customer information regarding status, payment expectations, notes of conversations and other relevant information
- Use mail, email, and phones to contact customers to discuss, negotiate payment and resolve outstanding medical bill accounts and balances
- Prepare accounts for Outside Collection
- Payment Posting
Medical Office Manager/Medical Biller
Dr. Jane Iris Farhi-Internal Cardiologist
Manhattan, NY
01.2003 - 12.2011
- Submitting all claims with required information and documentation, review printed claims to determine accuracy before submission
- Handling claims rejections, resubmission, appeals, submitting reviews and reimbursement discrepancies, follow up
- Communicate with insurance companies by phone or internet to verify information regarding coverage benefits, referrals, and authorization
- Receive and respond in appropriate manner to calls from patient’s, other physician offices, and insurance companies
- Follow up patient past due balance/Collection Calls
- Document all necessary information regarding patient contact and insurance company contact
- Obtain allowable amounts for system entry from insurance companies
- Payment Posting
- Assist patient and provider as needed
- Communicated with account for monthly and year end reporting
- Payroll
- Pay all Invoices
Medical Office Manager/Biller/Receptionist
5th Avenue Ortho.- Siffert, Sherry, Kline, Capozzi
Manhattan , NY
02.1995 - 04.2003
- Review and submit claims, review claims rejections, and resubmit, appeals, submitting reviews and reimbursement discrepancies, follow up
- Communicate with insurance companies by phone or internet to verify information regarding coverage benefits, referrals, and authorization
- Incoming and Outgoing calls
- Make appointments
- Follow up patient past due balance/Collection Calls
- Document all necessary information regarding patient contact and insurance company contact
- Obtain allowable amounts for system entry from insurance companies
- Payment Posting
- Filing and Transcription
- Meet and Greet
Education
Medical Claims And Billing Specialist Certificate - Medical Billing
At Home Professions Online School
California05.1999
Diploma earned -
Theodore Roosevelt High School
Bronx, NY06.1991
Skills
- Customer Service
- Collaboration
- Communication Skills
- Collection Management
- Master in conflict resolution
- Compliance
- Billing Process
- Account Receivables
- Supervisory Experience
- Invoicing
- Scheduling
- MS Word, Excel, Adobe, Outlook, Power Point, SharePoint, TEAMS
- Medisoft and Aprima EHR system, Relay Health, and Aprima EDI Solution for electronic claims
Languages
English
Full Professional
Additional Information
Miranda Agosto
Ann Rogers
Andrea Gidzinski
Jane Iris Farhi, MD
Marlene Faulkner
Sheila Sherry
Timeline
Medical Billing Supervisor
Care Station-RWJ Medical Associate At Hamilton, PA
09.2015 - Current
Medical Patient Collection Specialist
Care Station-Multi-Specialty Practice
07.2011 - 09.2015
Medical Office Manager/Medical Biller
Dr. Jane Iris Farhi-Internal Cardiologist
01.2003 - 12.2011
Medical Office Manager/Biller/Receptionist
5th Avenue Ortho.- Siffert, Sherry, Kline, Capozzi
02.1995 - 04.2003
Medical Claims And Billing Specialist Certificate - Medical Billing
At Home Professions Online School
Diploma earned -
Theodore Roosevelt High School
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