Lenora Palatnik
Bethany,USA
Summary
Patient Financial Clearance Team Leader with expertise in medical billing and customer service. Proven ability to enhance team workflows and mentor staff, resulting in increased productivity and compliance. Skilled in strategic planning and conflict resolution, driving performance improvements. Strong leadership and problem-solving skills support organizational objectives effectively.
Overview
21
21
years of professional experience
Work History
Patient financial Clearance Team Leader
Nuvance Health
Danbury, USA
01.2019 - Current
- Conducted insurance verifications and benefit determinations via electronic systems and payer websites.
- Facilitated interdepartmental communication to enhance workflow processes.
- Mentored junior staff on best practices and professional growth.
- Resolved conflicts among team members, fostering a collaborative work environment.
- Delegated daily tasks to optimize team productivity and performance.
- Maintained a positive atmosphere that encouraged teamwork and collaboration.
- Monitored daily operations to ensure compliance with established policies.
- Interpreted patient financial responsibilities and addressed customer complaints effectively.
Senior Claims Processor
EHIM
Southfield, USA
10.2014 - 12.2019
- Resolved inquiries from members, physicians, and hospitals regarding claim payments.
- Processed medical claims efficiently for Health Reimbursement Accounts.
- Collaborated with claims department and cross-functional teams to optimize workflows.
- Mentored junior processors on best practices in claims processing techniques.
- Communicated claim status, requirements, and decisions to clients effectively.
- Developed training materials for new hires on claims procedures and systems.
- Maintained detailed records of claims activity, including payments and denials issued.
- Identified discrepancies in claim information, requesting additional documentation as needed.
Team Leader
Rainbow Rehabilitation Centers
Livonia, USA
10.2014 - 12.2019
- Supervised rehabilitation assistance while delivering direct patient care and ensuring safety.
- Administered medication, bathed clients, and transported them as needed.
- Maintained cleanliness of facility to promote a healthy environment.
- Lifted and transferred clients using Gait Belt and Hoyer Lift techniques.
- Coordinated care plans with healthcare professionals and support staff.
- Led team in providing comprehensive rehabilitation services to enhance patient outcomes.
- Facilitated communication among clients, families, and multidisciplinary teams to ensure cohesive care.
- Implemented best practices for client safety and wellness programs.
Medicare Billing Specialist
BCA StoneCrest Center
Detroit, USA
10.2013 - 10.2014
- Monitored daily accounts receivable reports and contacted insurance companies for unpaid claims.
- Processed Medicare claims with specialized billing software to ensure accuracy.
- Reviewed patient records for compliance with billing regulations.
- Collaborated with internal teams to enhance billing processes and efficiency.
- Trained new staff on Medicare billing practices and protocols.
- Reviewed financial statements for accuracy and completeness prior to submission.
- Maintained expertise in CPT, HCPCS codes, ICD-10 codes, and insurance plans.
- Verified patient demographics and confirmed active insurance coverage for billing.
Claims Resolution Representative/Member Service Representative
Molina Healthcare of Michigan
Troy, USA
10.2004 - 09.2013
- Educated billers, doctors, and patients on medical claim payment issues and eligibility requirements.
- Managed high call volumes professionally in a fast-paced call center environment.
- Resolved customer complaints empathetically, ensuring satisfaction while maintaining service standards.
- Trained new representatives on policies and procedures to enhance team performance.
- Documented and researched customer service inquiries and claims issues effectively.
- Investigated Coordination of Benefits issues to facilitate accurate claims processing.
- Defused volatile situations calmly to improve customer experience during challenging interactions.
- Gathered and verified patient information for tracking and reporting purposes.
Education
Medical coder -
AAPC
Salt Lake City, UT03.2023
Social Work -
Oakland Community College
South Field, MI03.1989
Liberal Arts & Sciences -
Old Redford Academy - High School
Redford, MI06.1987
Skills
- Word processing and computer literacy
- Data collection and entry
- Medical office and billing
- ICD-10 and CPT coding
- Cash handling and financial assessment
- Leadership and team building
- Training and development
- Customer service and support
- Effective communication skills
- Problem solving and conflict resolution
- Attention to detail and quality improvement
- Compliance monitoring and process improvement
Personal Information
Authorized To Work: US
Timeline
Patient financial Clearance Team Leader
Nuvance Health
01.2019 - Current
Senior Claims Processor
EHIM
10.2014 - 12.2019
Team Leader
Rainbow Rehabilitation Centers
10.2014 - 12.2019
Medicare Billing Specialist
BCA StoneCrest Center
10.2013 - 10.2014
Claims Resolution Representative/Member Service Representative
Molina Healthcare of Michigan
10.2004 - 09.2013
Medical coder -
AAPC
Social Work -
Oakland Community College
Liberal Arts & Sciences -
Old Redford Academy - High School
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