Laurie A Calabrese
Med-Metrix
Daytona Beach,FL
19
years of professional experience
Skilled and experienced background in revenue cycle management working with multiple payers. Redesigned front desk and billing workflow to improve accuracy and efficiency. Bringing dependability, problem solving ability and organization skills to support healthcare operations.
Work History
Accounts Receivable Team Lead
1 Year 1 Month- Led accounts receivable workflows, prioritizing aging balances, denial follow-up, and payer resolution queues.
- Reviewed denied claims, identified root causes, and coordinated timely appeals and corrections.
- Mentored team members on claim research, payment posting, and collection standards.
- Monitored productivity, quality, and work distribution to maintain consistent receivable operations.
- Attained high accuracy levels consistently while processing large volumes of transactions daily, maintaining integrity of financial records at all times.
Reimbursement Specialist
2 Years 9 Months- Processed and managed insurance claims, administrative appeals, reinstatements, and rejections to maintain workflow efficiency.
- Processed insurance claims, administrative appeals, reinstatements and rejections.
- Identified and resolved billing and coding issues in individual claims, notifying medical billers for timely error correction.
- Identified billing and coding issues with individual claims, notifying medical billers for error correction.
- Made patient eligibility determinations, assessed coverage and reviewed claim status using online systems.
- Collaborated with insurance payors to ensure accurate reimbursement on patient accounts, expediting resolution.
- Verified and input billing charges into applicable systems.
- Processed incoming payments for patient accounts and posted to correct accounts.
Medical Billing Manager
14 Years 6 Months- Processed, corrected, and submitted claims to ensure timely reimbursement and minimize denials.
- Monitored unpaid claims.
- Researched and resolved claims issues.
- Processed appeals and refunds.
- Compiled data and completed routine reports to keep management informed and aid in financial decision-making.
- Compiled data and generated routine reports to inform management and support financial decision-making.
- Assisted with internal and external audits to assess billing procedures.
- Developed and maintained billing policies and procedures to streamline team operations and enhance compliance.
- Analyzed historical financial data to identify deficiencies and available development opportunities.
Education
Medical Assisting - Medical Assisting
- Certified Phlebotomist
- Certified Xray Technician
- Certified Ward Clerk
Skills
Revenue cycle management
Tenacious
Organization
Problem Resolution
Experienced in Greenway Intergy and ECW
Claim appeals process
Dependable
Accounts receivable
Claim management
Data analysis
Invoice processing
Accomplishments
- Redesigned front desk and billing workflow to increase revenue from 50 to 80%.
- Turned around financially unstable office, about to close making it profitable in 4 weeks.
Timeline
Accounts Receivable Team Lead
Med-Metrix
09.2025 - CurrentRead More
Reimbursement Specialist
Pediatric Associates
10.2022 - 07.2025Read More
Medical Billing Manager
Ormond Pediatrics
03.2008 - 09.2022Read More
Keiser College
Medical Assisting from Medical Assisting
Read More