Summary
Overview
Work History
Education
Skills
Timeline
Generic

Leslie Wilkerson

ORLANDO,FL

Summary

Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.

Overview

29
29
years of professional experience

Work History

Medical Billing Manager

Expertus Laboratories, Inc.
10.2021 - Current
  • Reviewed billing problems, researched issues and resolved concerns.
  • Worked with customers to develop payment plans and bring accounts current.
  • Conducted performance reviews and implemented improvement plans.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Created new standard operating procedures improving billing accuracy and cash flow.
  • Performed billing, collection and reporting functions.
  • Performed testing for billing modules, enhancing new functionality and process improvements.
  • Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
  • Developed strategic plans for day-to-day financial operations.

Billing Manager/Account Manager-Remote

Matrix Medical Network
12.2017 - 08.2021
  • Reviewed billing problems, researched issues and resolved concerns.
  • Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
  • Kept up-to-date and accurate funding accounts for internal departments, key programs and special projects.
  • Developed performance improvement plans based on deep reviews of current work.
  • Led a 10 staff team, handling more than a million dollars in monthly charges.
  • Conducted insurance verification and per-authorization, coded billing procedures and managed patient charts.
  • Built-high performance team by collaboration with new members on procedural, administrative, collections and compliance areas.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Improved standard operating procedures to increase billing accuracy and cash flow.
  • Worked directly with clients to ensure claims and reports were delivered accurately.

Medical Insurance Specialist

Florida Hospital Medical Group
06.2015 - 12.2017
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
  • Followed up on denials, late payments, extensions and other special circumstances.

Medical Billing Specialist

Clinical Pathology Laboratory
09.2012 - 05.2015
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Posted and adjusted payments from insurance companies.
  • Located errors and promptly refiled rejected claims.
  • Precisely evaluated and verified benefits and eligibility.
  • Manages efficient cash flow reporting, posted cash receipts and analyzed chargebacks.
  • Performed targeted collections on past due accounts aged over 90 days.

Medical Billing Manager

Activcare Physical Therapy
08.2009 - 07.2011
  • Reviewed billing problems, researched issues and resolved concerns.
  • Worked with customers to develop payment plans and bring accounts current.
  • Conducted performance reviews and implemented improvement plans.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.


Billing/Collection Manager Specialist

Avante Physical Therapy
01.2008 - 06.2011
  • Negotiated to collect balance in full.
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Processed payments and applied to customer balances.
  • Achieved performance goals on consistent basis.
  • Researched, analyzed and settled 10-15 disputes per week.
  • Researched accounts and completed due diligence to resolve collection problems.

Medical Insurance Specialist

Omni Vision
09.2004 - 08.2007
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Managed large volume of medical claims on daily basis.
  • Paid or denied medical claims based upon established claims processing criteria.
  • Responded to correspondence from insurance companies.
  • Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.

Office Manager

Dr. Harvey Roter
12.1995 - 07.2004
  • Maintained computer and physical filing systems.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.

Medical Billing Assistant Manager

Dr. William Cantor
08.1992 - 12.1994
  • Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
  • Communicated with patients, ensuring that medical information was kept private.


Education

Associate of Science -

University of Bridgeport
Bridgeport, CT

Skills

  • Records Maintenance
  • Organizational Systems
  • Business Relationship Management
  • Accounts Payable and Receivable
  • Insurance Coverage Verification
  • Time Management
  • Verbal and Written Communication
  • Medicare Compliance
  • Insurance Practices

Timeline

Medical Billing Manager

Expertus Laboratories, Inc.
10.2021 - Current

Billing Manager/Account Manager-Remote

Matrix Medical Network
12.2017 - 08.2021

Medical Insurance Specialist

Florida Hospital Medical Group
06.2015 - 12.2017

Medical Billing Specialist

Clinical Pathology Laboratory
09.2012 - 05.2015

Medical Billing Manager

Activcare Physical Therapy
08.2009 - 07.2011

Billing/Collection Manager Specialist

Avante Physical Therapy
01.2008 - 06.2011

Medical Insurance Specialist

Omni Vision
09.2004 - 08.2007

Office Manager

Dr. Harvey Roter
12.1995 - 07.2004

Medical Billing Assistant Manager

Dr. William Cantor
08.1992 - 12.1994

Associate of Science -

University of Bridgeport
Leslie Wilkerson