Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Leticia Vasquez

Roseville,MN

Summary

Dynamic Billing Specialist with a proven track record at Revo Health, excelling in billing systems and customer service. Expert in resolving discrepancies and enhancing team efficiency through training. Committed to maintaining HIPAA compliance while achieving high accuracy in account reconciliation and invoice processing, contributing to organizational success.

Billing professional with proven track record in financial management and billing accuracy. Known for improving billing procedures and resolving discrepancies efficiently. Reliable team collaborator focused on achieving results and adapting to changing needs, with keen eye for detail and problem-solving skills.

Overview

11
11
years of professional experience

Work History

Billing Specialist

Revo Health
04.2024 - 10.2024
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked with multiple departments to check proper billing information.
  • Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
  • Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.

Appeals and Grievances Coordinator

HealthPartners
09.2023 - 03.2024
  • Processed and finalized appeals and grievances within agreed-upon turnaround time.
  • Remained knowledgeable regarding company policies and procedures and current developments within operational departments.
  • Submitted verbal and written notification to members and providers.
  • Increased staff efficiency through comprehensive training programs focused on best practices in appeals and grievances processing.
  • Contributed to organizational goals by consistently meeting or exceeding established performance metrics related to appeals and grievances management.
  • Maintained strict confidentiality of sensitive member information while adhering to HIPAA regulations during case investigations.

Triage Specialist

UCare of Minnesota
11.2021 - 07.2022
  • Managed accounts for Fairview, HealthPartners, North Memorial.
  • Relayed triage information and facilitated communication between departments internally regarding provider concerns.
  • Obtained case history and gathered triage information to determine appropriate avenue and next steps.
  • Worked with Care management team on provider issues.
  • Hosted monthly meetings with providers and internal departments needing further examination and concerns with system issues and other internal departments.

Configuration Analyst

UCare of Minnesota
06.2020 - 02.2021
  • Delivery Team implementation of payer system to create processes and workflows for Health Rules
  • Reviewed the implementation of the health rules to ensure compliance and effectiveness
  • UAT system testing
  • Supported government teams with accurate, timely information on infrastructure system and service configuration items.
  • Created and maintained version description documents
  • Implemented change control, configuration status accounting and configuration audits.
  • Established clear communication channels between stakeholders to ensure smooth execution of changes in system configurations.

Claims Team Leader

UCare of Minnesota
03.2016 - 01.2020
  • Reviewed and analyzed claim trends, providing recommendations for risk mitigation strategies.
  • Fostered a culture of continuous learning by actively encouraging professional development opportunities for team members, resulting in a more knowledgeable and skilled workforce.
  • Mentored junior team members to improve their skills and advance within the organization.
  • Submitted timely and accurate assessments of team performance to leadership with identification of areas of opportunity and outlined steps required to improve outcomes.
  • Achieved high customer satisfaction ratings by ensuring timely resolution of claims inquiries and concerns.
  • Ensured accurate documentation of all claim-related activities for compliance purposes.
  • Maintained regulatory compliance in team file outcomes.

Claims Examiner

UCare of Minnesota
12.2013 - 12.2015
  • Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
  • Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
  • Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
  • Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
  • Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
  • Researched claims and incident information to deliver solutions and resolve problems.

Education

Associate of Arts - Billing And Coding

Saint Paul College
Saint Paul, MN
06-2012

Skills

  • Billing systems and software
  • Insurance verification
  • Invoice processing
  • Customer service
  • Claims processing
  • Data entry proficiency
  • HIPAA compliance
  • Account reconciliation
  • Invoice generation

Languages

Spanish
Full Professional

Timeline

Billing Specialist

Revo Health
04.2024 - 10.2024

Appeals and Grievances Coordinator

HealthPartners
09.2023 - 03.2024

Triage Specialist

UCare of Minnesota
11.2021 - 07.2022

Configuration Analyst

UCare of Minnesota
06.2020 - 02.2021

Claims Team Leader

UCare of Minnesota
03.2016 - 01.2020

Claims Examiner

UCare of Minnesota
12.2013 - 12.2015

Associate of Arts - Billing And Coding

Saint Paul College

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Leticia Vasquez