Lillian Padilla
Waterford
Summary
Detail-oriented to identify billing issues with strong problem-solving abilities, willingness to learn, and excellent communication skills. Contribute to being a team player. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Knowledge of Epic, Allscripts systems. Knowledge of CPT/ICD-10 coding. Knowledge of government, BC, Commercial and Managed Care insurance plans
Overview
10
10
years of professional experience
Work History
Billing & Follow Up
Trinity Health
Livonia, MI
02.2019 - Current
- Insurance verification, claim status, appeals
- Payer rejections from clearinghouse
- Customer service with payers and patients for claim issues
- Review denials for corrections due to coding issues
- Performs multiple tasks as assigned
- Detail-oriented with a strong work ethic.
Billing Specialist
Ear, Nose & Throat Consultants, PC
Southfield, MI
01.2016 - 02.2019
- Payer rejections, corrections, resubmissions
- Insurance verification, denials, appeals which include customer service
- Processed and verified patient billing statements for accuracy and compliance.
- Researched and resolved billing discrepancies to enable accurate billing.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
Billing Specialist
Associated Podiatrists, PC
Novi, MI
01.2009 - 01.2016
- Monitor and follow up with A/R
- Cash posting and payment reconciliation
- Electronic and paper claim submissions
- EDI failed claim edits, corrections, and resubmissions
- Insurance appeals with third party payers which include customer service
- Review for pre-collection accounts
- Month end closing and reports
Education
Associate of Science - Accounting
Baker College of Auburn Hills
Auburn Hills, MISkills
- Extensive experience in accounts receivable across multiple specialties
- Experienced in professional billing using ICD-10 and CPT codes
- Proficient in navigating insurance websites
- Familiarity with Epic and Allscripts systems
Timeline
Billing & Follow Up
Trinity Health
02.2019 - Current
Billing Specialist
Ear, Nose & Throat Consultants, PC
01.2016 - 02.2019
Billing Specialist
Associated Podiatrists, PC
01.2009 - 01.2016
Associate of Science - Accounting
Baker College of Auburn Hills