Leslie Junker

Reimbursement Specialist

The Lutheran Social Ministries of Maryland

07.2018 - Current

Processed and submitted reimbursement claims for various service programs, ensuring compliance with regulatory standards.
Reviewed documentation for accuracy and completeness, minimizing discrepancies in reimbursement requests.
Coordinated with healthcare providers to resolve billing issues, enhancing communication and efficiency in claims processing.
Developed training materials for new staff on reimbursement procedures and best practices, promoting knowledge sharing.
Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
Enhanced the overall financial performance of the organization by diligently monitoring outstanding claims and following up on overdue payments.
Prevented delays and claim denials by correcting information prior to submission.
Followed up on denied and unpaid claims to resolve problems and obtain payments.
Managed multiple priorities effectively under high-pressure deadlines without compromising accuracy or quality of work output.
Trained department employees in proper billing and accounting procedures.
Posting of cash receipts for Insurance payments, reviewing all other cash entries that are entered and posting of receipts
Calculated adjustments, premiums and refunds.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Communicated effectively with staff members of operations, finance and clinical departments.
Approving time cards for payroll.
Responsible for approving accounts payable invoices.
Complete Medicare and Medicaid Revalidation applications yearly.
Work with families applying for MD Medicaid by gathering all required documents for submission of the application. Follow up with the Case Manager for approval of Medicaid application.