Lilian Mejia
Woodbridge,VA
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
11
11
years of professional experience
Work History
Office Manager
Qualis Home Health Services
02.2023 - 02.2024
- Oversee Intake department to ensure authorization are submitted on time, ensuring every client have an authorization on file.
- Coordinated regular staff meeting to address challenges, discuss solutions and share best practices within the team
- Hired, managed developed and trained staff, established and monitored goals, conducted performance reviews
- Oversee scheduling, ensuring clients are satisfied with services. Ensuring all clients were staffed
- Responsible for submitting claims to different payers, in a timely and accurate manner
- Complete weekly billing report, making sure all claims were paid
- Follow up on all unpaid claims and submitting appeals
- Conduct Bi-weekly payroll
- Assist with credentialing and maintenances
- Responsible to handle audits
- Assisted with day-to-day operations, working efficiently and productively with all team members
- Proven ability to learn quickly and adapt to new situations
- Filled in for the other staff when necessary
Intake Coordinator/Billing Specialist
Qualis Home Health Services, LL
02.2022 - 02.2023
- Responsible for creating files for all new patients and taking in all patient information
- Enhanced office productivity by handling high volume of callers per day.
- Maintained current and accurate medical records for patients.
- Completed intake assessment forms and filed clients' charts.
- Collected, verified, recorded and processed client demographics, insurance payments and referral information.
- Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Communicated with referral sources, physicians and associated staff to check documentation for proper signatures.
- Entered referrals into appropriate system based on type of referral obtained.
- Provided excellent customer service to patients, family members, and healthcare providers during the intake process.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Submitted claims to insurance companies, researched and resolved denials and explanations of benefit rejections
- Prepared and submitted electronic claims with correct CPT and ICD-10 codes
- Ensured all claims are submitted in a timely matter
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options
Billing Specialist
Serenity Home Health, LLC
02.2016 - 02.2022
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Performed data import, scanning or manual keying processes to verify invoice accuracy
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
- Solved issues with well-organized and professional approach
- Identified and posted accounts receivable payments to appropriate accounts
- Prepared and submit electronic claims with correct CPT and ICD-10 codes
- Ensured all claims are submitted in a timely matter
- Review Electronic Remittance Advice (ERA's)
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Front Desk Receptionist
Thoronka Law Offices
08.2015 - 01.2016
- Signed for packages, recorded deliveries and distributed to personnel
- Scheduled and confirmed appointments
- Answered phone calls, provided information to callers and connected callers to appropriate people
- Greeted incoming patients and verified paperwork to manage smooth intake processes
- Processed payments and updated accounts to reflect balance changes
- Located and organized requested documentation
- Translated consultations and documents
Cashier Team Lead
Chuck E Cheese
01.2013 - 08.2015
- Trained team members on cash register operation and cash handling.
- Worked extra shifts during busy periods and covered for call-in employees to maintain service levels.
- Received and processed customer payments.
- Restocked and organized merchandise in front lanes.
- Removed trash, swept and mopped floors for professional appearance.
- Worked flexible schedule and extra shifts to meet business needs.
- Operated cash register for cash, and credit card transactions with excellent accuracy levels.
Education
Certified Billing And Coding Specialist -
Northern Virginia Community College
Woodbridge, VA03.2022
Skills
- Accounts receivable
- Audit procedures
- Claims processing
- Payment transactions
- Fluent bilingual
- Customer Service
- Conflict Resolution
- Organization and Time Management
- CPT Coding and ICD-10
- Staff Leadership
- Computer Skills
Timeline
Office Manager
Qualis Home Health Services
02.2023 - 02.2024
Intake Coordinator/Billing Specialist
Qualis Home Health Services, LL
02.2022 - 02.2023
Billing Specialist
Serenity Home Health, LLC
02.2016 - 02.2022
Front Desk Receptionist
Thoronka Law Offices
08.2015 - 01.2016
Cashier Team Lead
Chuck E Cheese
01.2013 - 08.2015
Certified Billing And Coding Specialist -
Northern Virginia Community College
Similar Profiles
Debora AgyekumDebora Agyekum
Intake Coordinator/Care Coordinator at Qualis Home HealthcareIntake Coordinator/Care Coordinator at Qualis Home Healthcare
Edward CruzEdward Cruz
Home Health LVN at Home Health Nurse Golden Home ServicesHome Health LVN at Home Health Nurse Golden Home Services
Christopher FliethChristopher Flieth
Shipping & Receiving at Qualis StandardShipping & Receiving at Qualis Standard