Lindy Solis
Canyon Country,CA
Summary
Quality professional with in-depth expertise in quality analysis, known for driving impactful improvements. Proven ability to implement effective quality control processes and enhance operational efficiency. Highly collaborative and adaptable, committed to achieving results and ensuring team success.
Overview
13
13
years of professional experience
Work History
Quality Analyst
Banner Healthcare
01.2021 - 08.2025
- Analyzed patient accounts to ensure consistent reimbursement for services rendered with contracts for both debits and credits.
- Reconciled and balanced payments, work with insurance remits, facility contracts, provider representatives, and spreadsheets to ensure maximum reimbursements.
- Identified and documented payer issues and trends affecting reimbursement.
- Validate expected reimbursement from all payers ( Medicare advantage, Medicaid, Commercial).
- Made corrections and adjustments to inaccurate accounts by processing patient and insurance refunds.
Collections Specialist
Optum360
03.2016 - 01.2021
- Responsible for collecting both inpatient and outpatient payments and maintenance of accounts receivable, ensuring that claims are processed and paid in accordance with regulated rates, current contracts and non-contracted.
- Files appeals and follows up with payers as necessary in a timely manner.
- Reconciles processed payments to ensure accuracy, and creates adjustments to account balances. Follows HIPAA guidelines.
Cash Applications Specialist
Dignity Healthcare
06.2014 - 03.2016
- Responsible for posting manual and electronic payments. Insurance, Patient and credit card payments. Scan and prepare batches. Balance batches accurately and be able to handle high volume in a fast paced environment.
- Followed a month end closing schedule and make sure all payments are posted in a timely manner.
Payment poster
Nextcare Urgent care
02.2013 - 08.2013
- Responsible for all aspects of payment posting. Manual and electronic. Insurance companies and patient payments. Credit cards, correspondence and denials.
Payment Poster
Fresenius Medical Care
10.2012 - 01.2013
- Posted payments and denials.
Education
High School -
San Fernando High School
01.1989
Medical Assistant - undefined
Concorde Career Institute
01.1993
Skills
- Microsoft office (word, excel, outlook)
- Excellent phone skills
- Medical Terminology
- Cpt & ICD-10 knowledge
- HIPPA rules and regulations
- Excellent communication skills
- SAP, IDX, Office Ally, Nextgen, Finthrive
- RCM, EFR, Invision and Ms4, Cerner
Timeline
Quality Analyst
Banner Healthcare
01.2021 - 08.2025
Collections Specialist
Optum360
03.2016 - 01.2021
Cash Applications Specialist
Dignity Healthcare
06.2014 - 03.2016
Payment poster
Nextcare Urgent care
02.2013 - 08.2013
Payment Poster
Fresenius Medical Care
10.2012 - 01.2013
Medical Assistant - undefined
Concorde Career Institute
High School -
San Fernando High School
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