JERELEE SANCHEZ
Orlando,FL
Summary
A detail-oriented professional capable of adapting to diverse environments and consistently delivering great customer service. Self-motivated with excellent communication and computer skills. Efficiently builds loyalty and long-term relationships with clients and colleagues. Extensively trained as a cashier.
Overview
9
9
years of professional experience
Work History
Medical Biller Specialist
Abstract Technologies LLC
Las Vegas, NV
01.2024 - 12.2025
- Client: Advanced Orthopedics Sports and Medicine
- Communicated with insurance providers to resolve denied claims and resubmitted them.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Checked the credentialing status of the facility or individual provider.
- Obtained referrals and pre-authorizations required for services rendered.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Tech Stack: AdvancedMD, eClinicalWorks, Epic, Availity, Medicare, Medicaid, Aetna, AmeriHealth, Cigna, UHCP, Tricare, Optum, NaviNet, among others.
Medical Biller Specialist
Smrtdo LGMD
Cali, Colombia
10.2021 - 10.2023
- Clients: Salient Radiology Associates and Encompass Health Rehabilitation of Alexandria
- Verified patient's insurance coverage, such as deductible, coinsurance, copayment, and other non-covered benefits, and determine if it should be billed to secondary/tertiary insurance or the patient.
- Researched HCPCS/CPT book, PTP Edits, MUE, ICD-10, and CMS, to see if there is a coding discrepancy.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Responsible for payment posting of 60 to 80 encounters per day.
- Responsible for coding and submitting around 40 to 60 medical claims daily.
- Managed invoicing and resolved any payment discrepancies.
- Effectively worked 40 accounts receivable daily.
- Communicated with insurance to resolve denied claims and sent reconsideration/appeal when needed.
- Collaborated with upper management and other departments to drive strategies and ensure efficient revenue cycle management.
- Knowledge of health insurance guidelines including Medicare, Medicaid, commercials, work compensation, and disability insurance.
Quick Service Associate
Louie's Italian Restaurant
Orlando, FL, US
09.2016 - 09.2020
- Continually provided exceptional service to customers by being friendly, knowledgeable and accommodating.
- Ensured freshness of food and ingredients by checking for quality, keeping track of old and new items, and rotating stock.
- Computed bills, collected payments, and made change for guests.
- Proactively prepared for large parties and reservations, anticipating planning and staffing needs.
- Quickly set up and cleared tables and stocked all service stations.
- Received frequent customer compliments for going above and beyond normal duties.
Education
Associate of Science - Business Administration and Management
Valencia College
Orlando, FL, USA08-2025
High School Diploma - undefined
Coral Springs High School
Coral Springs, FL, USA05-2014
Skills
- Revenue Cycle Management
- HIPAA certification
- Multi-tasking ability
- Fully bilingual in English and Spanish
- Problem-solving
- Microsoft Office
- Customer service-oriented
Timeline
Medical Biller Specialist
Abstract Technologies LLC
01.2024 - 12.2025
Medical Biller Specialist
Smrtdo LGMD
10.2021 - 10.2023
Quick Service Associate
Louie's Italian Restaurant
09.2016 - 09.2020
High School Diploma - undefined
Coral Springs High School
Associate of Science - Business Administration and Management
Valencia College