Leslie Morales
The Bronx
Summary
Dynamic Provider Network Liaison at Centerlight Healthcare with expertise in electronic medical records and quality assurance. Proven ability to enhance operational efficiency through meticulous record retrieval and effective communication. Skilled in problem-solving and team collaboration, ensuring compliance and timely care plan completion. Committed to delivering exceptional patient support and service excellence.
Overview
4
4
years of professional experience
Work History
Provider Network Liason
Centerlight Healthcare
11.2023 - 08.2025
- Engaged medical staff at each site to retrieve records and visit notes per protocol.
- Documented all interactions and visits, ensuring compliance with HIPAA regulations.
- Reviewed and verified accuracy of medical records for quality assurance.
- Provided management with status updates on record retrieval processes.
- Completed SDR assessments and coordination notes in Care Compass EMR.
- Monitored documentation timelines, escalating delays affecting care plan completion.
- Scheduled transportation for participants and processed referrals through Athena or manual faxing.
- Requested and faxed HIPAA release forms to expedite medical record retrieval.
Medical Receptionist
Goldman Dermatology
New York
04.2023 - 09.2023
- Duties include being able to answer a multi-line telephone
- Schedule and reschedule appointments
- Collect copayments, collect patient balances day seen, inform patients of deductibles and coinsurances.
- Obtaining records, check if insurance requires referrals, collect payments for surgeries upfront, prior auth, manage staff and provider schedules and other front office duties.
- Must be able to function and utilize the EMR system properly, effectively, and efficiently.
- Responsible for checking daily cash flow matches daily log.
- Create next day super bills in advance. Responsible for processing all schedule changes and communicating with physicians regarding schedules
Medical Receptionist
Aura Dermatology
Edison
08.2022 - 03.2023
- Collected patient information and distributed it to appropriate medical leads.
- Monitored medical staff to ensure operational efficiency throughout daily activities.
- Managed correspondence and facilitated timely transfer of files.
- Processed cash, credit, and gift card transactions while collecting copays and outstanding balances.
- Executed bookkeeping functions, including financial reporting, credits, and collections.
- Scheduled follow-ups and calculated amounts due for front desk collection.
- Handled incoming faxes, referrals, and requests for medical records.
- Responded to phone calls and managed insurance pre-certifications efficiently.
Medical Receptionist
Cardio Metabolic Institute
02.2022 - 07.2022
- Greet, check-in, and check-out patients. Answer telephones and place calls to patients.
- Create new appointments and modify existing appointments
- Update patient information in the electronic medical records system
- Process co-payments and patient balances that are due
- Manage schedules for multiple doctors, testing and Wellness programs
- Check paperwork for proper documentation and other front office responsibilities as assigned
Store Associate
Aldis
Piscataway
04.2021 - 02.2022
- Processes customer purchases, perform general cleaning duties, stocks shelves and merchandise display neatly
- Ability to operate a cash register efficiently and accurately
- Provide exceptional customer service, assisting customers with their shopping experience
- Collaborate with team members and communicate clearly to the store management team
- Provide feedback to management on all products, inventory losses, scanning errors, and general issues
- Complies with all established company policies and procedures while upholding the security and confidentiality of documents and data
- Ability to stay organized, give attention to detail, follow instructions and multi-task in a professional and efficient manner
Education
Medical Billing & Coding - Medical Terminology & Anatomy, Medical Billing & Insurance, ICD-10 CM/PCS Medical Coding
Middlesex County College
Edison, NJ12-2021
High School Diploma -
Harlem Renaissance High School
New York, NY04-2019
Skills
- Medical terminology and anatomy
- Electronic medical records
- Quality assurance
- Referral processing
- Medical billing and insurance
- ICD-10 CM/PCS coding
- EClinicalWorks proficiency
- Problem solving and communication
- Analytical skills
- Data entry
- Attention to detail
- Multitasking abilities
- Medisoft expertise
- Record retrieval
- Team collaboration
- Parent liaison
Timeline
Provider Network Liason
Centerlight Healthcare
11.2023 - 08.2025
Medical Receptionist
Goldman Dermatology
04.2023 - 09.2023
Medical Receptionist
Aura Dermatology
08.2022 - 03.2023
Medical Receptionist
Cardio Metabolic Institute
02.2022 - 07.2022
Store Associate
Aldis
04.2021 - 02.2022
Medical Billing & Coding - Medical Terminology & Anatomy, Medical Billing & Insurance, ICD-10 CM/PCS Medical Coding
Middlesex County College
High School Diploma -
Harlem Renaissance High School
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