LETICIA VILLA
Northwestern Memorial Hospital
Yorkville,IL
1
Language
2027
years of professional experience
Achieved streamlined patient registration and referral processes through effective insurance verification oversight. Facilitated accurate medical documentation by managing prior authorization requests successfully. Resolved claim discrepancies by collaborating with healthcare providers and insurance carriers. Healthcare professional with background in medical claims analysis and resolution. Valued team player with focus on collaboration and achieving optimal results, exhibiting flexibility to adapt to evolving demands. Proficient in medical coding, data analysis, and regulatory compliance, showcasing reliability and results-driven mindset.
Work History
Insurance Claims Analyst
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Submitted electronic/paper claims documentation for timely filing.
- Collaborated with healthcare providers to obtain necessary documentation for claim approvals.
- Processed medical claims efficiently, ensuring compliance with industry regulations and policies.
Insurance Verification Specialist
4 Years 5 Months- Conducted insurance eligibility verifications for patient accounts to ensure accurate billing processes.
- Collaborated with healthcare providers to resolve discrepancies in insurance information.
- Utilized electronic health record systems to document patient insurance details efficiently.
- Streamlined verification processes, enhancing workflow efficiency within the department.
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Trained new staff on current, correct insurance verification procedures.
- Posted payments to accounts and maintained records.
Administrative Assistant / Accounts Payable
- Oversaw documentation compliance and vendor communications, safeguarding confidential records.
- Resolved discrepancies and enhanced office workflow efficiency.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Used critical thinking to break down problems, evaluate solutions, and make decisions.
Patient Registration / Insurance Clerk
4 Years- Verified insurance eligibility and benefits.
- Processed referrals and prior authorizations.
- Worked directly with insurance companies regarding coverage determinations.
- Scheduled surgeries, imaging, and specialty procedures.
- Maintained HIPAA compliance and patient confidentiality.
- Assisted Spanish-speaking patients and providers.
Patient Registration
2 Years- Registered 100+ patients daily.
- Verified insurance information and prepared medical records.
- Coordinated appointments, testing, and follow-up care.
- Supported providers with documentation for insurance processing.
Education
- Esthetics
- Phlebotomist
Bachelor of Healthcare Administration
Pharmaceutical Technical Assistant Certificate
Skills
Assisted with medical appeals processes to facilitate timely resolutions.
Supported denials management efforts to improve claim acceptance rates.
Processed prior authorizations to secure necessary patient treatments.
Conducted insurance verifications to confirm eligibility and coverage.
Organized and maintained medical documentation for accuracy and compliance.
Adhered to HIPAA compliance regulations to protect patient information.
Utilized EPIC EMR system to manage electronic medical records efficiently.
Reviewed claims to identify discrepancies and ensure proper processing.
Contributed to revenue cycle management initiatives to optimize financial performance.
Fostered provider relations to enhance collaboration and communication.
Advocated for patients to navigate healthcare services effectively.
Communicated fluently in English and Spanish to assist diverse patient populations.
Operated Microsoft Office Suite
including Outlook
Excel
and Word
for daily tasks.
Managed data within electronic medical records systems for streamlined access.
Utilized QuickBooks for financial tracking and management.
Languages
Fluent in English and Spanish
Timeline
Insurance Verification Specialist
Rush Copley Medical Group
06.2018 - 11.2022Read More
Patient Registration / Insurance Clerk
Cadence Health
01.2010 - 01.2014Read More
Patient Registration
Heartland Cardiovascular
01.2007 - 01.2009Read More
Daley Community College
Pharmaceutical Technical Assistant Certificate
Read More
Insurance Claims Analyst
Northwestern Memorial Hospital
2023 - 04.2026Read More
Administrative Assistant / Accounts Payable
Nature Green Paving
2014 - 2017Read More
Chicago School of Phlebotomy
from Phlebotomist
Read More
Tricoci University
from Esthetics
Read More
DeVry University
Bachelor of Healthcare Administration
Read More