LYSA FRANCO
FAIRFIELD
Summary
Detail-oriented Medical Billing Specialist with over 20 years of experience in claims processing, HIPAA compliance, and ICD-10 coding. Proven ability to resolve discrepancies and ensure timely claim submissions, driving efficiency in billing operations.
Overview
22
22
years of professional experience
Work History
Medical Billing Specialist
THE MILLENNIUM GROUP, INC
SUISUN CITY, CA
12.2003 - 12.2025
- Processed medical claims to ensure timely submissions and proper coding.
- Reviewed billing statements for accuracy and compliance with regulations.
- Communicated with insurance companies to resolve claim discrepancies effectively.
- Maintained patient billing records and updated account information regularly.
- Collaborated with healthcare providers to clarify billing issues and procedures.
- Utilized billing software to track claims and manage accounts receivable efficiently.
- Educated patients on their billing statements and payment options clearly.
- Assisted in training new staff on billing processes and company policies effectively.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Adhered to HIPAA regulations when handling confidential patient information.
- Posted charges, payments and adjustments.
- Completed appeals and filed and submitted claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Applied payments, adjustments, and denials into medical manager system.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Provided customer service support to patients who had questions about their bills or payments due.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Submitted refund requests for claims paid in error.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Collaborated closely with other departments to resolve claims issues.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Precisely completed appropriate paperwork and system entry regarding claims.
- Updated patient accounts with information obtained from internal departments or external sources.
- Reviewed and verified benefits and eligibility with speed and precision.
- Accurately coded diagnostics and prepared billing statements for patients.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
- Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
- Analyzed and interpreted patient medical and surgical records to determine billable services.
- Created and processed claims to third-party payers using specific coding guidelines.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Meticulously tracked and resolved underpayments.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Processed credit card payments from patients in accordance with office policy.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Developed strategies for improving collections performance while reducing bad debt write-offs.
- Determined prior authorizations for medication and outpatient procedures.
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
- Generated financial reports for management review.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted appeals using provider portals and phone communication.
- Reviewed claims for coding accuracy.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Organized information for past-due accounts and transferred to collection agency.
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Input details into accounts and tracked payments.
- Submitted claims to insurance companies.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Collected, posted and managed patient account payments.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Answered customer questions to maintain high satisfaction levels.
- Checked claims coding for accuracy with ICD-10 standards.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Reconciled codes against services rendered.
- Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
- Executed account updates and noted account information in company data systems.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Processed invoice payments and recorded information in account database.
- Reviewed legal claims for accuracy and issues.
- Charged expenses to accounts and cost centers by analyzing invoice and expense reports.
- Gathered information to produce accounts payable reports for review.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Developed strong professional rapport with vendors and clients.
BOOKKEEPING
THE MILLENNIUM GROUP
SUISUN CITY, CA
12.2003 - 12.2025
- Performed basic bookkeeping duties such as balancing cash drawers and reconciling accounts.
- Performed basic bookkeeping duties such as invoicing customers or preparing payroll documents.
- Supported bookkeeping tasks such as invoicing and expense tracking.
- Mastered bookkeeping software.
- Performed basic bookkeeping tasks such as entering accounts receivable and payable transactions into accounting system.
- Managed bookkeeping tasks such as invoicing clients for services rendered.
- Performed basic bookkeeping tasks such as filing invoices and maintaining records of payments.
- Performed daily bookkeeping tasks such as journal entries and account reconciliations.
- Performed basic bookkeeping tasks such as accounts payable and receivable reconciliation.
- Managed daily operations of the site including rent collection, budgeting, accounting, and bookkeeping activities.
- Performed light bookkeeping duties such as reconciling accounts payable and receivable statements.
- Managed bookkeeping duties such as invoicing, tracking expenses and preparing reports.
- Performed basic bookkeeping duties including balancing ledgers and accounts receivable and payable.
- Reconciled discrepancies between actual inventories and bookkeeping records.
- Performed basic bookkeeping duties such as reconciling bank statements.
- Performed basic bookkeeping duties such as entering data into accounting software programs such as QuickBooks or Sage 50.
- Collaborated with accounting staff on various projects such as bookkeeping or payroll processing tasks.
- Performed basic bookkeeping tasks such as processing invoices, payments and returns.
- Utilized accounting software to streamline bookkeeping processes, increasing efficiency.
- Performed basic bookkeeping duties such as coding expenses, reconciling bank statements.
- Performed basic bookkeeping duties such as maintaining ledgers and balance sheets.
- Performed basic bookkeeping duties such as reconciling accounts payable and receivable statements.
- Conducted research on a variety of accounting topics, such as cost analysis, budgeting, and bookkeeping procedures.
- Performed basic bookkeeping functions such as invoice processing, payroll calculations, budget tracking and reconciliation of accounts.
- Performed basic bookkeeping tasks such as tracking expenses and preparing invoices.
- Corresponded with vendors regarding invoices, balances due, and refunds and managed vendor accounts database to maintain disciplined and accurate bookkeeping.
- Performed basic bookkeeping tasks such as calculating interest on accounts and tracking deposits.
- Performed basic bookkeeping tasks such as coding expenses, reconciling accounts, and preparing journal entries.
- Performed basic bookkeeping tasks such as recording payments received or accounts payable and receivable transactions.
- Performed basic bookkeeping tasks related to athletics budgeting and expenses.
- Performed daily bookkeeping activities including journal entries and bank reconciliations.
- Performed basic bookkeeping duties such as balancing accounts receivable ledgers against payment receipts.
- Performed basic bookkeeping tasks such as invoicing, coding expenses, tracking payments.
- Performed basic bookkeeping duties such as data entry into accounting software programs.
- Performed basic bookkeeping tasks such as reconciling accounts payable and receivable statements, processing invoices and handling payments from patients.
- Prepared bank deposits, balancing of accounts receivable ledgers, and other bookkeeping duties.
- Worked closely with other departments such as Human Resources and IT to resolve any issues related to bookkeeping processes.
- Performed basic bookkeeping tasks such as recording transactions or balancing accounts.
- Advised management on ways to improve bookkeeping practices and procedures.
- Created training materials related to bookkeeping functions for new hires or current staff members needing additional assistance with their duties.
- Performed basic bookkeeping tasks such as reconciling bank statements or preparing payroll reports.
- Managed daily bookkeeping functions with attention to accounts receivable, accounts payable, banking reconciliation and disbursements.
- Prepared year-end bookkeeping entries, including reconciliations, journal entries and accruals.
- Managed daily operations of Co-Partner business, including customer service, accounting and bookkeeping, marketing, inventory control, and payroll.
- Performed basic bookkeeping tasks such as filing invoices and preparing deposits.
- Performed bookkeeping and accounting consulting services.
- Provided guidance on best practices regarding accounting principles or bookkeeping processes.
- Performed basic bookkeeping duties such as invoicing customers or tracking expenses.
- Performed basic bookkeeping tasks related to accounts payable and receivable activities.
- Performed basic bookkeeping duties such as entering data into spreadsheets or accounting software programs.
- Performed basic bookkeeping tasks such as invoice processing and banking activities.
- Tracked and reported charitable contributions and grants for nonprofit bookkeeping.
- Managed day-to-day bookkeeping activities such as invoicing customers, reconciling bank accounts, recording deposits and withdrawals.
- Followed proper accounting and bookkeeping procedures to support audits.
- Maintained fund portfolios, bookkeeping and records based on GAAP and IFRS regulatory standards.
- Inputted data into QuickBooks software system for bookkeeping purposes.
- Performed basic bookkeeping tasks such as balancing cash drawers and generating financial reports.
- Managed day-to-day accounting operations including bookkeeping, journal entries, accounts payable and receivable, payroll processing.
- Performed basic bookkeeping duties such as processing invoices and payments.
- Performed basic bookkeeping tasks such as accounts payable and receivable processing.
- Managed bookkeeping and accounting systems and completed data entry with accuracy and efficiency.
- Performed basic bookkeeping tasks such as tracking expenses or preparing invoices.
- Defined bookkeeping policies and procedures by developing system to account for financial transactions.
- Performed bookkeeping activities, such as balancing accounts and conducting nightly audits.
- Invoiced customers, reconciled accounts, and managed other bookkeeping tasks.
- Performed basic bookkeeping duties such as tracking payments received from insurance companies or patients.
- Performed basic bookkeeping duties such as entering financial transactions into ledgers.
- Performed basic bookkeeping duties such as recording expenses or tracking payments received.
- Performed basic bookkeeping functions such as balancing accounts receivable ledgers.
- Managed bookkeeping tasks related to payroll, taxes and other financial matters.
- Performed basic bookkeeping duties such as entering financial transactions into the system and reconciling accounts receivable and payable records.
- Performed basic bookkeeping duties such as balancing accounts payable and receivable records and preparing invoices or payments.
- Performed bookkeeping duties including accounts payable and receivable, general ledger entries, bank reconciliations.
- Assisted with the coordination of office operations and procedures including filing systems, record keeping, data entry, and bookkeeping.
- Performed basic bookkeeping tasks such as balancing accounts receivable and payable ledgers.
- Kept records of sales transactions for accurate bookkeeping purposes.
- Participated in special projects related to implementation of new systems or software programs designed specifically for bookkeeping operations.
- Performed basic bookkeeping duties including reconciling accounts receivable and payable transactions each month.
- Performed basic bookkeeping tasks including preparing bank deposits.
- Managed bookkeeping duties such as tracking sales receipts and preparing bank deposits.
DATA ENTRY
THE MILLENNIUM GROUP
SUISUN CITY, CA
12.2003 - 12.2025
- Performed data entry tasks using various software programs.
- Performed administrative tasks such as filing, photocopying, data entry.
- Assisted with data entry of customer information into the database.
- Performed data entry, analysis, and management using various software programs.
- Performed data entry tasks to update customer accounts accurately.
- Managed data entry tasks into multiple accounting systems accurately.
- Performed data entry of financial transactions into accounting software system.
- Performed data entry tasks into electronic health records system.
- Performed data entry tasks to accurately capture document information.
- Assisted with data entry into various databases or spreadsheets.
- Performed data entry into internal databases for tracking purposes.
- Performed data entry and analysis of appraisal reports.
- Performed data entry tasks into various databases as requested.
- Verified accuracy of data entry into the database.
- Performed data entry tasks for tracking and reporting purposes.
- Performed data entry into the company's financial database system.
- Performed data entry into internal systems to process claims requests.
- Performed data entry tasks into the department's database system.
- Compiled data from source documents prior to data entry.
- Completed data entry tasks related to orders placed by customers.
- Performed data entry into internal systems for tracking purposes.
- Performed data entry of customer information into the organization's database.
- Utilized automated computer systems for data entry and tracking purposes.
- Operated computer workstations for data entry and retrieval purposes.
- Maintained accurate data entry into relevant databases.
- Verified accuracy of data entry into system.
- Tracked inventory using computer systems for accuracy of data entry.
- Performed data entry into the laboratory information system.
- Assisted with filing, scanning, and data entry tasks.
- Created daily reports to track progress of data entry projects.
- Performed data entry into the company's database system.
- Performed data entry of client information into CRM system.
- Performed data entry tasks and maintained accurate records.
- Performed data entry tasks for customer accounts and orders.
- Performed data entry of archival information into computer system.
- Performed data entry of orders into system.
- Performed data entry of financial records into the accounting system.
- Performed data entry tasks related to customer profiles, orders, invoices.
- Performed data entry tasks related to patient information.
- Provided support to medical staff on data entry related tasks.
- Performed data entry tasks into computerized systems accurately and efficiently.
- Provided administrative support, including data entry and filing documents.
- Performed data entry, data cleaning, and data coding for analysis.
- Performed data entry for customer records into company database.
- Processed incoming and outgoing documents, ensuring accuracy of data entry.
- Performed data entry of customer information into company databases.
- Performed data entry into the system following established guidelines.
- Performed data entry for various reports and spreadsheets.
- Performed basic bookkeeping functions such as data entry.
- Performed data entry activities as needed.
- Developed standard operating procedures for data entry processes.
- Assisted with data entry into various systems.
- Performed data entry tasks for customer accounts.
- Ensured accuracy of data entry into the company's database systems.
- Performed data entry into various computer systems accurately and efficiently.
- Developed tracking systems for data entry purposes.
- Performed data entry of patient information into hospital databases.
- Identified, inspected and corrected data entry errors.
- Provided data entry support for new product launches.
- Resolved complex technical issues related to data entry operations.
- Maintained customer engagement databases, ensuring accuracy of data entry.
- Managed data entry into databases related to sampling activities.
- Verified accuracy of data entry into databases.
- Performed data entry, maintained accurate records, and updated databases.
- Performed data entry for research findings into computerized databases.
- Performed data entry into multiple databases for tracking purposes.
- Performed data entry tasks accurately and efficiently.
- Performed administrative duties such as filing paperwork and data entry.
- Managed electronic health record systems ensuring accuracy of data entry.
- Assisted with patient check-in, registration, and data entry.
- Created weekly reports detailing data entry performance metrics.
- Performed administrative tasks such as filing documents, data entry.
- Performed data entry into electronic health information systems.
- Performed data entry into multiple databases accurately and timely.
- Updated reservation system software regularly with accurate data entry.
Education
Diploma -
Golden Valley Hs
Merced, CA06-1998
Skills
- Claims processing
- Billing software
- Insurance verification
- Attention to detail
- CPT knowledge
- ICD-10 proficiency
- HIPAA compliance
- CMS-1500 billing forms
- Problem solving
Timeline
Medical Billing Specialist
THE MILLENNIUM GROUP, INC
12.2003 - 12.2025
BOOKKEEPING
THE MILLENNIUM GROUP
12.2003 - 12.2025
DATA ENTRY
THE MILLENNIUM GROUP
12.2003 - 12.2025
Diploma -
Golden Valley Hs