Lesly Velez
Fords
Summary
Dedicated Medical Assistant with over 15 years in fast-paced healthcare settings, providing exceptional patient care. Proven ability to enhance patient satisfaction and streamline operations through effective insurance verification and billing processes.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Billing Specialist/Clinical Medical Assistant
Atlantic Spine Center
West Orange
03.2019 - 07.2026
- Verified insurance benefits for PIP, Workers' Compensation, and major medical plans for an out-of-network medical practice.
- Followed up on denied PIP office visit claims by contacting insurance carriers and adjusters to identify denial reasons and obtain claim resolution.
- Managed major medical insurance collections by following up on outstanding balances, denied claims, and unpaid accounts with insurance carriers.
- Routed checks, EOBs, and supporting documentation to the payment posting specialist for accurate and timely payment posting.
- Obtained Letters of Protection (LOPs) or medical liens from attorneys to secure payment for patient procedures when PIP benefits were denied or exhausted.
- Manage patient scheduling, pre-operative assessments, and post-operative follow-ups, ensuring seamless patient care.
- Maintain accurate medical records and assist in the documentation of patient histories and treatment plans.
- Serve as a liaison between patients, physicians, attorneys, and administrative staff to enhance communication and care delivery.
- Performed insurance accounts receivable (A/R) follow-up to reduce aging balances and improve collections.
Assistant Office Manager/Medical Assistant
North Jersey Foot and Ankle Specialist
Totowa
01.2016 - 03.2019
- Managed all administrative front desk duties.
- Obtained pre-authorization for surgery, orthotics, and other tests.
- Assisted physician in exam rooms and gave instructions to patients, as instructed by the physician.
- Escorted patients to exam rooms, interviewed patients, measured vital signs, including weight, blood pressure, pulse, temperature, and documented all information in patients' charts.
- Conducted high quality x-ray examinations.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; evaluating new office products.
Receptionist/Legal Assistant
Youman, Madeo & Fasano, LLP
Union City
02.2014 - 12.2015
- Supported three attorneys in a high-volume immigration practice. Interacted with attorneys, clients and court personnel via letter, email and telephone.
- Worked directly with attorneys on cases involving granting permission for foreign nationals to work in U.S..
- Prepared and filed Adjustments of Status, Immigrant Visa petitions and Naturalization applications.
- Met with clients and visitors while answering visitor inquiries; Provided information to callers and clients.
- Maintained and coordinated appointment schedule with partners, associates, and offices.
- Created contracts and organized files for new clients in the immigration practice.
Education
Certification of Medical Assistant
Eastern International College
Belleville, NJ12-2019
Skills
- Medical Billing
- Insurance Accounts Receivable
- Insurance verification
- eClinicalWorks
- Spanish Medical Terminology
- Fluency in English and Spanish
- Excellent Interpersonal and Patient Communication
Certification
- Certified Medical Assistant (CMA) — 2009
- Basic Life Support (BLS) Certification — 2022
Timeline
Billing Specialist/Clinical Medical Assistant
Atlantic Spine Center
03.2019 - 07.2026
Assistant Office Manager/Medical Assistant
North Jersey Foot and Ankle Specialist
01.2016 - 03.2019
Receptionist/Legal Assistant
Youman, Madeo & Fasano, LLP
02.2014 - 12.2015
Certification of Medical Assistant
Eastern International College