Leslie Franklin
Tucson,AZ
Summary
Dynamic Medical Billing Specialist with extensive experience at Desert Sky Spine and Pain, adept at resolving denied claims and ensuring compliance with HIPAA regulations. Proven track record in collections management and insurance verification, fostering strong communication with patients and providers to enhance revenue cycle efficiency. Skilled in claim submission and financial assessment.
Competent medical billing professional manages busy medical office and delivers excellent customer service to patients.
Certified Medical Billing Specialist with 10 years of experience in fast-paced, multiple-client medical billing company serving small private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
7
7
years of professional experience
Work History
Medical Billing Specialist
Desert Sky Spine and Pain
11.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Posted payments and collections on regular basis.
Medical Billing Specialist
J&J Consulting and Billing Management
05.2020 - 11.2023
- Located errors and promptly refiled rejected claims.
- Evaluated patients' financial status and established appropriate payment plans.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Filed and updated patient information and medical records.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Compiled and tracked outstanding balances owed to medical facilities.
- Monitored outstanding invoices and performed collections duties.
Medical Billing Specialist
Sunbelt Medical Manager
12.2018 - 05.2020
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Filed and updated patient information and medical records.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Collected payments and applied to patient accounts.
Education
Certify Coder - Medical Coder
AACP
Remote03-2026
Certificate of Technical Studies - Medical Billing And Coding
Brookline Collecge
Tucson, AZ04-2010
Skills
- Files and records management
- Medicare and medicaid process
- Collections management
- Insurance verification
- Accounts payable
- Disability claims process
- HIPAA compliance
- Claim submission
- Claims review
Timeline
Medical Billing Specialist
Desert Sky Spine and Pain
11.2023 - Current
Medical Billing Specialist
J&J Consulting and Billing Management
05.2020 - 11.2023
Medical Billing Specialist
Sunbelt Medical Manager
12.2018 - 05.2020
Certify Coder - Medical Coder
AACP
Certificate of Technical Studies - Medical Billing And Coding
Brookline Collecge