Kaiela Liburd
Altamonte Springs
Summary
Results-driven Senior Medical Biller specializing in revenue optimization and effective appeals. Expertise in medical collections and HIPAA compliance ensures accurate billing while enhancing patient interactions. Manages complex multitasking and claims processing in high-pressure environments, collaborating with medical professionals and insurance providers to promptly resolve disputes and address patient inquiries.
Overview
14
14
years of professional experience
Work History
Senior Medical Biller
Adventhealth Centra Care
Maitland
06.2019 - 06.2025
- Completed and submitted appeals for denied claims, enhancing revenue recovery.
- Communicated with insurance representatives to facilitate efficient claims processing and resolve complex issues.
- Reviewed and verified account information to ensure accuracy of patient and insurance details.
- Demonstrated strict adherence to HIPAA privacy and security regulations while handling sensitive patient information.
- Utilized provider portals and phone communication for timely submission of appeals, improving claims resolution.
- Processed medical claims for multiple healthcare services, ensuring compliance and accuracy.
Customer Service Representative
Wyndham
07.2015 - 08.2017
- Delivered exceptional customer service by answering incoming calls and directing inquiries with professionalism.
- Coordinated with different departments to promptly fulfill guest requests, enhancing overall guest satisfaction.
- Conducted check-in and check-out procedures, efficiently computing bills, and collecting payments.
- Executed follow-up calls to past due owners using auto-dialer, ensuring timely communication and resolution.
- Prepared daily paperwork and arrival reports, ensuring seamless administrative processes.
Customer Service Representative/Medical Collections
Roy Lester Schneider Hospital
St Thomas
12.2011 - 05.2015
- Verified insurance eligibility, initiated pre-authorizations, and established liability for payment to bill and collect from third-party intermediaries.
- Collected and recorded accurate personal, clinical, and financial information from patients, ensuring comprehensive data for billing purposes.
- Posted cash payments, ensuring accuracy in financial transactions and supporting revenue cycle integrity.
- Collaborated with hospital Business Office staff to resolve denied claims, improving claim recovery processes.
- Researched and retrieved Explanation of Benefits (EOBs) or payer remits, assisting patients with delinquent bills to facilitate timely payments.
- Processed all inventory in assigned work queues and spreadsheets, effectively managing revenue cycle tasks.
Education
Medical Billing and Coding Diploma - Healthcare Reimbursement, Medical Terminology, Billing and Coding Procedures
Florida Technical College
05-2015
Skills
- Insurance reimbursement
- Claims management
- Medical collections
- Billing processes
- Appeals
- Insurance advocacy
- Insurance communication
- Electronic health record (EHR) systems
- Medical billing software
- HIPAA privacy regulations
- Patient data confidentiality
- Accurate records
- Administrative tasks
- Patient account management
- Customer-focused approach
References
- Malika Malone, 972.971.8924
- Samantha Howe, 340.626.7192
Timeline
Senior Medical Biller
Adventhealth Centra Care
06.2019 - 06.2025
Customer Service Representative
Wyndham
07.2015 - 08.2017
Customer Service Representative/Medical Collections
Roy Lester Schneider Hospital
12.2011 - 05.2015
Medical Billing and Coding Diploma - Healthcare Reimbursement, Medical Terminology, Billing and Coding Procedures
Florida Technical College