Elena Soler
Kissimmee,FL
Summary
Medical billing professional with deep expertise in managing patient billing and insurance claims. Strong background in coding, account reconciliation, and compliance with healthcare regulations. Known for collaborating effectively with teams and adapting to changing needs to achieve optimal results. Reliable and detail-focused, ensuring accurate and timely processing of financial information.
Overview
33
33
years of professional experience
Work History
Medical Billing Specialist
Night Lite Pediatrics
08.2006 - 12.2024
- Audited encounter forms for discrepancies, entered missed charges and corrected billing and posting documents for accuracy.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified opportunities for process improvement, leading to more streamlined billing operation.
- Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Handled account payments and provided information regarding outstanding balances.
- Verified accuracy of accounts payable payments, resulting in 85% reduction in payment errors and check reissues.
- Identified and resolved patient billing and payment issues.
Medical Billing Specialist
Stand up MRI on 11th
04.2004 - 08.2006
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Verified insurance of patients to determine eligibility.
- Handled account payments and provided information regarding outstanding balances.
- Verified accuracy of accounts payable payments, resulting in 80% reduction in payment errors and check reissues.
Medical Billing Supervisor
Greater Metropolitan Diagnostic Services
06.1992 - 04.2004
- Submitted electronic and paper claims to insurance companies.
- Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
- Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
- Successfully maintained a high level of team morale and engagement, fostering a positive work environment that encouraged collaboration and dedication to providing top-notch medical billing services.
- Developed strong relationships with insurance representatives, facilitating smoother negotiations when resolving disputes over claims payments.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
Education
Some College (No Degree) - Medical Billing Course
Marymount Manhattan College
New York, NYSkills
- Electronic claims submission
- Insurance verification
- Payment posting
- ICD-10 proficiency
- Collections management
- Teamwork and collaboration
- Electronic Medical Records system
- Knowledge of insurance portals
- Customer service support
- Bilingual Fluent in Spanish
Timeline
Medical Billing Specialist
Night Lite Pediatrics
08.2006 - 12.2024
Medical Billing Specialist
Stand up MRI on 11th
04.2004 - 08.2006
Medical Billing Supervisor
Greater Metropolitan Diagnostic Services
06.1992 - 04.2004
Some College (No Degree) - Medical Billing Course
Marymount Manhattan College
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