Lisa Medina
Tampa,FL
Summary
Seasoned Senior Medical Biller with comprehensive background in medical billing and claims. Able to efficiently process payments, review accounts, and conduct audits to ensure accuracy. Strong interpersonal skills combined with deep knowledge of coding procedures and insurance policies contribute to effective communication with healthcare providers and insurance companies. Proven ability to improve billing processes for better efficiency and accuracy, leading to improved revenue cycle management.
Overview
11
11
years of professional experience
Work History
Sr. Medical Biller and Coder
Emotive Medical Solutions
Tampa, FL
03.2023 - 07.2024
- Performed eligibility checks on patients' insurance coverage prior to services being rendered.
- Resolved discrepancies between charge entry systems and practice management software to prevent overbilling or underbilling of claims.
- Researched rejected claims due to incorrect coding or inaccurate information submitted by providers.
- Processed electronic payments from payers in a timely manner according to established deadlines.
- Evaluated patient bills for completeness and accuracy prior to submission for payment processing.
- Completed and submitted appeals for denied claims.
Sr. Medical Billing Specialist
Simetria Health
Tampa, FL
01.2019 - 10.2023
- Developed and implemented processes to ensure accurate coding of diagnoses and procedures.
- Reconciled accounts receivable balances with third party payers on a regular basis.
- Updated patient accounts as needed based on changes in insurance coverage or financial responsibility.
- Processed appeals on denied claims as necessary.
- Called insurance companies to verify patient benefits.
- Completed and submitted appeals for denied claims.
- Reviewed claims for coding accuracy.
Billing Supervisor
Orthopaedic Medical Group
Brandon, FL
12.2013 - 11.2018
- Supervised a team of 8 billing clerks to ensure accuracy and efficiency in daily tasks.
- Created monthly financial statements for management review and analysis.
- Delegated work to staff, setting priorities and goals.
- Reviewed customer account information for accuracy prior to submitting invoices for payment approval.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Education
Associates Of Business - Business
Hillsborough Community College
Tampa, FL05-2027
Billing & Coding Certificate - Medical Billing And Coding
Concorde Career Institute
Tampa, FL08-2009
High School Diploma -
West Babylon Senior High School
West Babylon, NY06-1998
Skills
- Billing and Collection Procedures
- Insurance Verification
- Medical Terminology
- Medical Billing
- ICD-10 Coding
- CPT code modifiers
- Data Entry
- EPIC EMR
Timeline
Sr. Medical Biller and Coder
Emotive Medical Solutions
03.2023 - 07.2024
Sr. Medical Billing Specialist
Simetria Health
01.2019 - 10.2023
Billing Supervisor
Orthopaedic Medical Group
12.2013 - 11.2018
Associates Of Business - Business
Hillsborough Community College
Billing & Coding Certificate - Medical Billing And Coding
Concorde Career Institute
High School Diploma -
West Babylon Senior High School
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