Lasalete Pereira
Deltona
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
21
21
years of professional experience
Work History
RCM SPECIALIST
NOVA MEDICAL SERVICES LLC
Miami
02.2025 - 10.2025
- Resolved medical claims by researching denial reasons and appealing with the required clinical or eligibility information.
- Invoiced patients for the coinsurance amount due based on the insurance plan.
- Processed adjustments based on payer guidelines.
- Identified root cause of denials to provide plans for denial resolution.
- Answered customer inquiries regarding billings, payments, account status.
- Resolved discrepancies between customers' remittances and invoices received.
- Maintained accurate records of collections, adjustments and denials in the system.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Monitored accounts receivable activity to ensure timely payment of invoices.
REFERRAL COORDINATOR
CENTRAL FLORIDA HEART ASSOCIATES
Orange City
03.2023 - 02.2025
- Assisted patients in understanding referral processes and required documentation.
- Provided support during patient intake by gathering necessary information effectively.
- Resolved issues related to referrals through effective problem-solving techniques.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
- Reviewed demographic, clinical and insurance information before sending to referred specialists.
- Answered questions and resolved concerns raised by both patients and specialists.
- Communicated regularly with patients regarding their care plans following a referral.
- Performed data entry related to referrals into electronic health record systems.
EXECUTIVE ASSISTANT
FLORIDA CARDIOPULMONARY CENTER
Orange City
06.2021 - 03.2023
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
- Verified accuracy of accounts payable payments.
- Used data entry skills to accurately document and input statements.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer, or bank draft.
- Generated monthly billing and posting reports for management review.
- Monitored outstanding invoices and performed collections duties.
- Answered multi-line phone system and routed calls efficiently.
- Assisted with mail distribution and office supply management.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Prepared detailed reports for patient care management and administrative reviews.
- Assisted in maintaining electronic health records with accuracy and confidentiality.
- Monitored incoming emails and responded accordingly in a timely manner.
- Prepared reports, presentations, agendas, minutes, and other documents as needed by the executive staff.
RECEPTIONIST
DAYTONA HEART GROUP
Orange City
03.2020 - 05.2021
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out, and payments for billing.
- Answered phone calls and messages for physicians, medical facilities, scheduling appointments, and managing patient inquiries.
- Processed medical insurance claims and payments.
- Assisted with medical coding and billing tasks.
PATIENT FINANCE CLAIMS REPRESENTATIVE
NEW YORK PRESBYTERIAN WEILL CORNELL
White Plain
07.2012 - 02.2020
- Verify eligibility and benefits with various insurance companies.
- Collect patient payments, and refunds.
- Assist with patient queries and respond in person or via telephone.
- Research and resolve incorrect payments, EOB rejection and other issues with outstanding accounts.
- Maintaining each patient's personal accounts for both in/outpatients.
PRACTICE MANAGER
T.Y. KIM, M.D. ANESTHESIA GROUP
Yonkers
01.2005 - 06.2012
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Evaluated and settled complex insurance claims in strict time limits.
- Modified, updated, and processed existing policies.
- Anesthesia Rate negotiations with contracted insurance companies.
- Worked with Anesthesia Coder and prepared insurance claim forms or related documents for completeness when initiating appeals.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Generated, posted, and attached information to claim files.
Education
BUSINESS AND MARKETING -
COLLEGE OF WESTCHESTER
WHITE PLAINS, NY06.2016
Skills
- Insurance verification and denial management
- Referral coordination
- Effective communication
- Reliability
- Medical terminology expertise
- ICD-10 and CPT coding
- Pre-authorizations processing
- Medical billing proficiency
Languages
- Spanish
- Portuguese
- Fluent in English
Technology Software
- E-Clinical Works (ECW)
- EPIC - HER
- Waystar Clearinghouse
- Change Healthcare
- AS400
- Athena Health
- Meditech
- Cerner
Timeline
RCM SPECIALIST
NOVA MEDICAL SERVICES LLC
02.2025 - 10.2025
REFERRAL COORDINATOR
CENTRAL FLORIDA HEART ASSOCIATES
03.2023 - 02.2025
EXECUTIVE ASSISTANT
FLORIDA CARDIOPULMONARY CENTER
06.2021 - 03.2023
RECEPTIONIST
DAYTONA HEART GROUP
03.2020 - 05.2021
PATIENT FINANCE CLAIMS REPRESENTATIVE
NEW YORK PRESBYTERIAN WEILL CORNELL
07.2012 - 02.2020
PRACTICE MANAGER
T.Y. KIM, M.D. ANESTHESIA GROUP
01.2005 - 06.2012
BUSINESS AND MARKETING -
COLLEGE OF WESTCHESTER