Janice Lefler
Montrose,MI
Summary
Medical billing and accounts receivable professional with a strong background in claims review, payment posting, denial follow-up, and patient account support. Known for accurate recordkeeping, insurance communication, and steady support of revenue cycle operations in healthcare settings.
Overview
24
24
years of professional experience
Work History
Medical Biller, Accounts Receivable
STEM Health Systems
Clio, MI
11.2020 - Current
- Supported medical billing and accounts receivable functions for health systems patient accounts.
- Verified claims accuracy prior to submission to payers and patients.
- Entered payments, adjustments, and denials into billing records.
- Confirmed account details and processed needed adjustments.
- Addressed discrepancies in patient accounts by communicating with insurance companies and patients.
- Managed past-due accounts through collection letters and follow-up calls on unpaid balances.
- Prepared financial reports tied to accounts receivable activity.
Medical Billing Supervisor
Karlene Dermatology
Flint, MI
09.2009 - 03.2020
- Managed day-to-day medical billing team operations, including goal setting and task assignment.
- Trained staff on billing rules and patient account procedures.
- Guided and trained new medical billers on coding practices.
- Reviewed claim denials and payment postings to ensure accuracy and compliance with billing regulations.
- Reviewed claims before submission for accuracy and completeness.
- Handled insurance verification and prior authorization requests.
- Communicated with providers on documentation and reimbursement issues.
- Built and maintained relationships with insurance companies to effectively manage the appeals process.
- Prepared monthly financial reports to analyze revenue cycle performance, focusing on key metrics like denials and payment lag time.
Administrative Manager/Medical Assistant
Hal F. Martens D.O.
Flint, MI
07.2002 - 09.2009
- Managed daily operations for Hal F. Martens D.O. medical office, ensuring efficient patient flow and adherence to protocols.
- Managed patient scheduling and appointment coordination for Hal F. Martens D.O. medical office.
- Maintained patient records and updated confidential files in office systems.
- Processed insurance forms and verified patient demographic information.
Education
Medical Assistant Degree -
Ross Medical Education
Flint, MI01-1995
High School Diploma -
North Branch High School
North Branch, MI06-1989
Skills
- Medical billing
- Accounts receivable
- Denial management
- Insurance verification
- Billing procedures
- ICD-10 proficiency
- CPT knowledge
- Epic
- Allscripts
- Medicare processes
- Microsoft Office
- Critical thinking
- Teamwork and collaboration
- HIPAA compliance certification
Timeline
Medical Biller, Accounts Receivable
STEM Health Systems
11.2020 - Current
Medical Billing Supervisor
Karlene Dermatology
09.2009 - 03.2020
Administrative Manager/Medical Assistant
Hal F. Martens D.O.
07.2002 - 09.2009
Medical Assistant Degree -
Ross Medical Education
High School Diploma -
North Branch High School