Summary
Overview
Work History
Education
Skills
Software
Timeline
Generic

Melissa Leos

Josephine,TX

Summary

Proficient Billing Manager pursuing dynamic new position.. Offering a solid track record of success as a supervisor and skill in reviewing operations and implementing modern, successful updates. Proactive and hardworking collaborator focused on quality and efficiency.

Overview

15
15
years of professional experience

Work History

RCM Billing Manager

Vesta Healthcare
New York, NY
03.2024 - Current
  • Participated in process improvement initiatives to increase efficiency within the department.
  • Prepared monthly reports on accounts receivable status and aging analysis.
  • Reconciled bank statements each month ensuring accuracy of deposits made by customers.
  • Facilitated monthly training sessions for billing department staff on new billing procedures and technologies.
  • Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
  • Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
  • Managed billing calendar and scheduled claims for payments.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Maintained regular performance appraisals for subordinates through verbal, written and on-going review programs.
  • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.

RCM Billing Manager for Post Billing Dept

Access Telecare
Dallas, TX
12.2019 - 03.2024
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Researched complex billing issues using internal resources and external sources as needed.
  • Participated in process improvement initiatives to increase efficiency within the department.
  • Developed improved standard operating procedures to increase billing accuracy and cash flow.
  • Developed and implemented billing procedures to ensure accurate data entry and timely payment collection.
  • Prepared monthly reports on accounts receivable status and aging analysis.
  • Developed performance improvement plans based on deep reviews of current work.
  • Provided support to Finance department when needed regarding vendor inquiries or dispute resolution.
  • Conducted insurance verification and pre-authorization and procedures.
  • Created and updated financial reports on frequent basis to present information to leadership teams.

Check Out / Payment Poster

Dr. Gene Wyll
Richardson, TX
02.2019 - 12.2019
  • Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data into the system.
  • Performed audits on accounts receivable transactions for compliance with company policies and procedures.
  • Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
  • Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
  • Generated reports on monthly revenue totals, outstanding balances, and other financial indicators as requested by management.
  • Assisted in resolving payment issues, such as rejections or delayed payments due to incorrect coding or missing information.

Billing Specialist

Aprima
Richardson, TX
06.2009 - 06.2016
  • Reconciled codes against services rendered.
  • Prepared and posted weekly payments.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Checked claims coding for accuracy with ICD standards.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Submitted claims to insurance companies.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.

Education

Certificate - Medical Billing

CCI Training Center, Inc. - Arlington
Arlington, TX
06-2002

Skills

  • Report Preparation
  • HIPAA Knowledge
  • Staff Training and Development
  • Revenue Cycle Management
  • Payment Posting
  • Workflow Planning
  • Team Direction
  • Process Improvements
  • Insurance Verification
  • Claims Processing
  • Training and mentoring

Software

  • Athena
  • eCW
  • Hybrid Chart
  • MediMobile
  • Chart Logic
  • Misys Tiger
  • Sales Force

Timeline

RCM Billing Manager

Vesta Healthcare
03.2024 - Current

RCM Billing Manager for Post Billing Dept

Access Telecare
12.2019 - 03.2024

Check Out / Payment Poster

Dr. Gene Wyll
02.2019 - 12.2019

Billing Specialist

Aprima
06.2009 - 06.2016

Certificate - Medical Billing

CCI Training Center, Inc. - Arlington

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Melissa Leos