Nalleli Perez
Troutman,NC
Overview
6
6
years of professional experience
Work History
Billing specialist
Iredell health system
Statesville, NC
10.2025 - Current
- Managed submission of Medicare, Medicaid, and commercial claims to improve claim flow and payment timeliness.
- Completed CMS-1500 forms and corrected CPT/HCPCS coding to increase first-pass claim acceptance.
- Collaborated with healthcare teams across multiple specialties including pain management, cardiology, and urology.
- Maintained electronic billing queues and monitored claim status, resolving rejections and denials to enhance cash flow.
- Documented account activities and handled collections to recover revenue and minimize outstanding balances.
- Updated patient billing information and performed pre-submission follow-up to ensure clean claims and timely payments.
- Coordinated clinic-specific billing workflows within a team pod to improve compliance and
- Profee claims processing efficiency.
- Reviewed charge entries and claim edits daily to catch discrepancies early and support accurate month-end reporting.
- EMR system Cerner and SSI
- Audited payer remittance patterns to identify denial themes and implement corrections that improved acceptance rates.
- Verified coding and modifiers against encounter notes at billing to prevent discrepancies and support accurate reporting.
- Introduced claim validation checkpoints at intake to close documentation gaps and reduce follow-up cycles.
- Maintained daily reconciliation of billing ledgers and variance logs to detect posting errors and support audit readiness.
- Implemented standardized claim review templates to enforce coding consistency and improve first-pass acceptance.
- Analyzed payer adjudication patterns to prioritize follow-up queues, improving workflow efficiency and resolution speed.
- Established daily reconciliation routine for billing ledgers and adjustments to detect posting errors early and ensure accurate month-end closes.
- Reviewed insurance claims for coding errors and missing information.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Trained new billing staff on billing procedures to ensure accuracy.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
General Manager
Katrinasc Mexican Cuisine
Senoia, GA
01.2025 - 02.2026
- Analyzed sales, costs, and margins to monitor financial performance and produce accurate financial reports.
- Developed efficient weekly staff schedules ensuring full coverage during peak hours and consistent service levels.
- Created efficient weekly staff schedules to ensure full coverage during peak hours and consistent service levels.
- Monitored financial performance by analyzing sales, costs, and margins, producing accurate financial reports.
- Negotiated pricing and delivery terms with vendors, controlling supply costs and ensuring timely inventory restocks.
- Trained new hires on food safety and sanitation protocols to maintain compliance and reduce health risks.
- Coordinated catering for events while maintaining detailed financial and administrative records to support accurate billing.
- Resolved customer complaints promptly and professionally, improving guest satisfaction and encouraging repeat business.
- Supervised kitchen and front-of-house staff schedules and coverage
- Trained team members on service standards and food safety
- Monitored inventory, ordering, and vendor relationships for ingredients
- Managed guest concerns and resolved service issues promptly
- Coordinated cash handling, deposits, and daily sales reports
- Enforced cleanliness, sanitation, and compliance across dining areas
- Managed all aspects of daily business operations including budgeting, staffing, scheduling, inventory control, customer service and sales.
- Administered employee discipline through verbal and written warnings.
- Tracked monthly sales to generate reports for business development planning.
- Managed inventory levels and conducted corrective action planning to minimize long-term costs.
- Monitored financial performance and identified areas for improvement in cost savings and revenue generation.
- Directed safety operations and maintained a clean work environment to adhere to FDA and OSHA requirements.
- Identified areas of improvement in current business practices and collaborated with other departments to develop action plans for implementation.
- Analyzed existing processes for effectiveness and developed new systems as needed to enhance overall productivity levels.
Administrative Assistant
The Medical Spot
Fayetteville, GA
09.2024 - 04.2025
- Provided administrative support to management by scheduling meetings, preparing agendas, and maintaining organized records.
- Led front-desk operations to speed patient intake and reduce wait times with smoother daily flow.
- Managed office inventory and tracked monthly usage to ensure optimal supply levels.
- Served as first point of contact for patients and families, resolving inquiries and arranging follow-ups to boost satisfaction.
- Evaluated front-desk workflows and implemented checklist-based handoffs, reducing processing gaps and improving appointment readiness.
- Coordinated cross-provider appointment scheduling to balance caseloads and enhance continuity of care.
- Entered accurate patient data into EMR and created clear presentations using Microsoft Office.
- Evaluated front-desk workflows and implemented checklist-based handoffs to streamline processes and ensure appointment readiness.
- Maintained audit trails for intake forms and consent documents, catching omissions early and supporting smoother chart completion.
Billing Specialist
Medical Coding and Billing Specialist, SCWH
Fayetteville, GA
01.2024 - 09.2024
- Applied medical terminology and anatomy expertise to assign ICD-10-CM and CPT codes accurately, reducing coding errors and improving billing reliability.
- Used ICD-10-CM and CPT coding to complete clinical records and prepare claims for submission, reducing rework and claim denials.
- EMR systems Greenway
- Reviewed medical records to identify correct diagnosis codes, procedures, services, and supplies for accurate billing and audit readiness.
- Maintained up-to-date knowledge of Medicare, Medicaid, Blue Cross/Blue Shield, and private payer rules to ensure accurate claims and timely reimbursements with measurable consistency.
- Monitored aging accounts receivable to prioritize claims and accelerate payment resolution, enhancing cash flow and collections.
- Submitted insurance claims electronically and by mail to ensure timely reimbursement processing and fewer payment delays.
- Analyzed insurer policies and adjudication processes to enhance reimbursement outcomes and reduce denial rates.
- Assigned modifiers and coded narrative diagnoses while verifying documentation to reduce denials and improve first-pass claim acceptance.
- Organized and maintained electronic medical records and supporting documents to ensure accurate, retrievable files and audit readiness.
- Resolved billing discrepancies through patient account research and documentation review.
- Processed adjustments, refunds, and write-offs within billing records.
- Reviewed insurance claims for accuracy and compliance with payer requirements.
- Coordinated with registration, coding, and revenue teams on account issues.
- Monitored denied claims and prepared follow-up billing corrections.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Worked closely with patients to discuss payment arrangements when needed.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Calculated billing charges, prepared and submitted claims to insurance companies.
Assistant Manager
Undeniable Healthcare
Peachtree City, GA
10.2020 - 01.2024
- Verified patient insurance eligibility and collected co-payments to facilitate accurate billing and ensure timely appointments.
- Managed departmental billing and coding to support accurate revenue cycle operations and improve collections.
- Verified patient insurance eligibility and collected co-payments to ensure accurate billing and timely appointments.
- Entered patient insurance, demographics, and medical history into EMR to maintain complete and audit-ready clinical records.
- Coordinated patient communications and administrative tasks by managing incoming calls, faxes, and email efficiently.
- Processed patient records and streamlined billing workflows using Athena One and Experiment EMR.
- Maintained clinic safety by following protocols and performing routine safety checks to protect staff and patients.
- Delivered consistent high-quality customer service to enhance patient satisfaction and encourage repeat care.
- Designed and launched a patient-flow checklist that reduced registration delays and improved appointment throughput.
Education
High School Diploma -
Hartford High School
Hartford, MISome College (No Degree) - Business Healthcare Technology and Medical Billing and Coding
West Georgia Technical College
Newnan, GA 01.2021 -
Skills
- Billing procedures
- CPT coding
- ICD-10 coding
- Claim adjudication
- Claim submission
- Denial management
- Insurance verification
- Collections
- Payment posting
- Billing best practices
- Billing software
- EMR Systems
- EMR documentation
- Revenue cycle
- Billing cycle management
- Billing dispute resolution
- Statement processing
- Audit procedures
- Data research
- Analytical thinking
- Problem-solving
- Issue resolution
- Clerical Experience
- Office administration
- Client relations
- Healthcare management
- POS System Operation
- Multitasking
- Customer service
- Verbal and written communication
- Decision-making
- Collections management
- Report generation
- Collections management
- Claim handling
- Claim submission
- Insurance verification
- Report generation
- Verbal and written communication
Personal Information
Bilingual Medical Billing Specialist with hands-on experience in medical billing, claims processing, insurance verification, accounts receivable, and professional fee (profee) claims. Experienced working with Cardiology, Family Medicine, Neurology, ENT, Urology, Pain Management, Addiction Management, Rheumatology, Urgent Care, Vascular, and Primary Care. Proficient with insurance portals and computer systems, with strong attention to detail, organization, and the ability to learn new systems quickly.
Languages
Title: Bilingual Customer Service
Power Cross
Title: Bilingual Customer Service
Courses
Title: Bilingual Customer Service
Timeline
Billing specialist
Iredell health system
10.2025 - Current
General Manager
Katrinasc Mexican Cuisine
01.2025 - 02.2026
Administrative Assistant
The Medical Spot
09.2024 - 04.2025
Billing Specialist
Medical Coding and Billing Specialist, SCWH
01.2024 - 09.2024
Some College (No Degree) - Business Healthcare Technology and Medical Billing and Coding
West Georgia Technical College
01.2021 -
Assistant Manager
Undeniable Healthcare
10.2020 - 01.2024
High School Diploma -
Hartford High School