Jessica Delorenzo
7591 Purple Finch St. Winter Garden,,FL
Summary
Dynamic and results-driven Medical Biller and Office Manager with a proven track record in Medical Coding and Billing, complemented by exceptional customer service skills. Recognized for strong leadership and organizational abilities that enhance operational efficiency. Expertise includes Medical Billing and comprehensive Office Management, ensuring seamless workflow and client satisfaction. Committed to delivering high-quality results while fostering a positive team environment.
Overview
26
26
years of professional experience
Work History
Medical Billing Specialist
Premier Health Associates LLC
Sparta, NJ
04.2023 - 12.2025
- Managed claim resolution processes, focusing on denials and appeals for multiple payors.
- Reviewed and verified medical records for accuracy in coding and compliance with billing regulations.
- Established efficient coding workflows to enhance claim processing efficiency.
- Instructed new employees on coding protocols and billing workflows to optimize overall team performance.
- Facilitated collaboration with healthcare providers to address billing inquiries and enhance patient satisfaction.
- Managed patient interactions to effectively resolve insurance claim and billing concerns, fostering trust and satisfaction.
- Upheld patient privacy standards by consistently following HIPAA guidelines during all coding and billing activities.
- Analyzed patient records and conducted thorough research on procedures and diagnostic codes to ensure accurate reimbursement from insurance companies.
- Coordinated efforts with healthcare providers to obtain critical documentation, supporting accurate coding and efficient claims processing.
- Conducted detailed analysis of denied claims, ensuring prompt correction and resubmission to optimize revenue outcomes.
- Assessed and rectified discrepancies in claims and associated responsibilities to uphold operational efficiency.
- Facilitated prompt and precise posting of patient payments to support revenue cycle management.
- Analyzed and verified daily postings to identify discrepancies and enhance reporting accuracy.
- Executed systematic entry and tracking of billing charges, facilitating timely invoicing and payment processing.
- Accessed and navigated payor and clearinghouse websites to ensure accurate and timely claim submissions.
- Provided accurate information to patients in a timely manner, ensuring clarity and support.
- Coordinated educational efforts to ensure office sites effectively implemented billing and collections procedures.
- Coordinated onboarding sessions and training workshops to familiarize incoming staff with company procedures and standards.
Medical Billing/ Office Manager
Newton Sparta Pediatrics
Newton, NJ
06.2000 - 09.2022
- Implemented file monitoring procedures to validate accurate data entry and processing in billing operations.
- Investigated unusual findings in periodic billing error reports and implemented corrective actions.
- Engaged with physicians to resolve ambiguities in coding practices.
- Collaborated with requestors to assess and gather medical records required for effective client care review and billing.
- Maintained balanced cash drawers and monitored petty cash usage to support financial integrity.
- Collected and transmitted essential information and messages in a timely manner to enhance workflow.
- Maintained accurate patient records by entering verified and updated information into systems.
- Engaged with insurers to verify coverage and secure payment collections.
- Ensured compliance with established policies, procedures, regulatory and accreditation requirements, and applicable professional standards.
- Analyzed patient records to identify and rectify incomplete information, thereby improving data integrity.
- Developed and maintained a system for confirming appointments, effectively minimizing no-show occurrences.
- Organized and provided correct medical records to support physician consultations and enhance patient care.
- Executed chart retrieval and confirmation call processes to optimize patient flow for upcoming appointments.
- Managed patient registration activities and ensured readiness for clinical staff, maximizing efficiency in patient flow.
- Managed distribution of essential intake and new patient forms to ensure compliance with office policies and legal requirements.
- Monitored and replenished office supplies to support uninterrupted workflow and enhance productivity.
- Communicated fee structures and financial responsibilities to patients, facilitating informed decision-making regarding their accounts.
- Coordinated office scheduling to align staff availability with patient demand, enhancing operational efficiency.
Education
High School Diploma -
Emerson High School
Union City, NJ06-2000
Medical Billing And Coding Certification -
Sussex County Community College
Newton, NJ06-2006
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- Denial management
- ICD-10 proficiency
- Patient billing
Timeline
Medical Billing Specialist
Premier Health Associates LLC
04.2023 - 12.2025
Medical Billing/ Office Manager
Newton Sparta Pediatrics
06.2000 - 09.2022
High School Diploma -
Emerson High School
Medical Billing And Coding Certification -
Sussex County Community College