Lillian Espinosa
Bethlehem,PA
Summary
Professional with proven expertise in patient account management and revenue cycle operations. Adept at resolving billing issues, ensuring accurate financial records, and maintaining compliance with healthcare regulations. Strong focus on team collaboration and achieving results, with flexible approach to adapting to changing needs. Known for excellent communication, problem-solving skills, and commitment to patient satisfaction.
Overview
22
22
years of professional experience
Work History
Patient Account Representative (Biller/Insurance Follow-Up Representative
Lehigh Valley Hospital
01.2011 - Current
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Posted payments and processed refunds.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Posted and adjusted payments from insurance companies.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Third Party Medical Billing
Easton Hospital CHS
01.2005 - 01.2011
- Collaborated with cross-functional teams to streamline communication for improved accuracy in billing procedures.
- Managed high volumes of transactions with precision, ensuring prompt processing of all invoices and payments received from third parties.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Medical Biller
St Lukes
01.2003 - 01.2005
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
Education
Completion Certificate - Theological Studies
Latin American Bible Institute
Bethlehem Pa06-1996
Medical Secretary - Medical Secretary Certificate
Star Technical Institute
Allentown, PA06-1994
GED -
Easton
Easton PA04-1987
Skills
- Medical Billing Understanding
- Data entry proficiency
- Insurance collaboration
- Aging reports analysis
- Organization skills
- Problem-solving abilities
- Client Relationship Management
- Insurance claims processing
- Medical claims submission
- Patient account analysis
Languages
Spanish
Native or Bilingual
Timeline
Patient Account Representative (Biller/Insurance Follow-Up Representative
Lehigh Valley Hospital
01.2011 - Current
Third Party Medical Billing
Easton Hospital CHS
01.2005 - 01.2011
Medical Biller
St Lukes
01.2003 - 01.2005
Completion Certificate - Theological Studies
Latin American Bible Institute
Medical Secretary - Medical Secretary Certificate
Star Technical Institute
GED -
Easton
Similar Profiles
Ryan MoyerRyan Moyer
Student Physical Therapist at Lehigh Valley Hospital and Health NetworkStudent Physical Therapist at Lehigh Valley Hospital and Health Network
Jeanny EutseyJeanny Eutsey
Registered Nurse at Lehigh Valley Hospital and Health NetworkRegistered Nurse at Lehigh Valley Hospital and Health Network
Fanyu MengFanyu Meng
Registered Nurse, Labor and Delivery at Lehigh Valley Hospital - PoconoRegistered Nurse, Labor and Delivery at Lehigh Valley Hospital - Pocono
Theodore HernandezTheodore Hernandez
Help Desk Analyst at Lehigh Valley Hospital and Health NetworkHelp Desk Analyst at Lehigh Valley Hospital and Health Network
Doris N. OrtizDoris N. Ortiz
Group Leader at IntegerGroup Leader at Integer