Leslie Williams
Medical Claims/Medical Biller
Saint Louis,MO
Summary
Results-driven medical billing professional with expertise in ICD-10 and critical thinking, previously at SSMHC. Enhanced revenue by resolving billing discrepancies and improving claim accuracy, leading to faster reimbursements. Proven ability to collaborate effectively with teams and manage patient accounts, ensuring compliance with HIPAA standards and optimizing revenue cycle management.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Biller, Accounts Receivable
SSMHC
06.2010 - 01.2011
- Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
- Collaborated with the collections department to address overdue accounts and recover outstanding payments.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
Medical Insurance Biller
NexGen Corporation
08.2007 - 06.2010
- Boosted customer satisfaction through professional handling of patient inquiries regarding billing matters and insurance coverage.
- Contributed to company growth by accurately analyzing trends in denial rates, payer mix, and other key performance indicators relevant to revenue cycle management.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Medical Claims Adjuster
HNC Software
03.1999 - 12.2005
- Analyzed policy details along with supporting documents provided by healthcare providers to make informed decisions on claims approvals or denials.
- Resolved complex claims issues for expedited processing and resolution.
- Evaluated new software tools that improved productivity levels while maintaining accuracy standards.
- Assisted in the creation of departmental procedures and guidelines to maintain consistency across all team members'' work quality standards.
Education
Computer Analysis/Front Office Support
ITT Technical Institute
Saint Louis MO05-1989
High School Diploma -
Roosevelt High School
Saint Louis Mo05-1985
Skills
- ICD-10 proficiency
- Critical thinking
- HIPAA compliance
- Claim submission
- Patient account management
- Insurance verification
- Medical terminology
- Denial management
- Analytical problem solving
- Accounts receivable management
- CPT coding
- Payment posting
- Medical billing software
- Teamwork and collaboration
Timeline
Medical Biller, Accounts Receivable
SSMHC
06.2010 - 01.2011
Medical Insurance Biller
NexGen Corporation
08.2007 - 06.2010
Medical Claims Adjuster
HNC Software
03.1999 - 12.2005
Computer Analysis/Front Office Support
ITT Technical Institute
High School Diploma -
Roosevelt High School
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